The London Thyroid & ENT Clinic
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Frequently Asked Questions



What happens if 108 Medical Chambers is not within an insurers hospital network 

Patients are still able to access treatment even if the clinic is not within their insurers network or listed within their actual policy network members. Under the Financial Services Ombudsman ruling on access to treatment patients are able to attend any clinic and have the fees re-imbursed on an ex-gratia basis to the sum equivalent to the recommended fee level as if the procedure has been carried out in a recognised centre. 

The member would have to pay the bill and submit the receipted account to for re-imbursement. 

We guarantee no shortfall subject to policy excess and exclusion as we are aware of the recommended fee levels and would charge in accordance with these. 

If you have any questions on this please contact Hamish Millar at 108 Medical Chambers

0207 563 1234 / hamish@108harleystreet.co.uk / 07879 418969

I've been referred to The The London Thyroid and ENT Clinic. Does this mean I have a serious problem?

Not necessarily. You will have been referred so that a Consultant Surgeon can review you and arrange any investigations that may be required.

Most conditions are not malignant, however any different or unusual changes should be investigated to exclude the possibility of cancer. Also the sooner any problems are dealt with, the better the outcome is likely to be.

How soon can I have an appointment?

We have a specialist Consultant Surgeon available every Monday, Thursday and Friday, so it can usually be within 48 hours of requesting the appointment. In some cases it may be possible to have a same day appointment.

What tests will I have?

The normal diagnostic tests include blood tests for thyroid hormones and thyroid antibodies, an ultrasound scan to assess the size of the thyroid and a radioactive scan to see how well the thyroid is functioning. Any enlarged areas within the thyroid gland may have a needle biopsy taken from them, for analysis. This may be carried out by the surgeon or by one of the consultant radiologists, under ultrasound guidance.

How long does it take to get my test results?

Results of the imaging tests are ready 24 hours after the test. Cytology results are usually available within 72 hours. Blood tests can sometimes take a little longer, particularly if the autoantibody levels are required. The Consultant Surgeon will tell you when the results will be available and arrange a follow up appointment to discuss them with you if required.

Which consultant will I see?

Mr Simon Marsh is the Consultant Surgeon who established The The London Thyroid and ENT Clinic.

Do you contact my GP?

Yes. We will inform your GP and any other relevant specialists, e.g. your gynaecologist, in writing, of all consultations, investigations and treatments that you have received.

I feel anxious about the appointment.

We understand how anxious and sometimes embarrassed you may feel about your appointment, but our fully trained staff aim to make your visit as comfortable and relaxed as possible. Please do not hesitate to tell the Consultant or Clinic Nurse if you are overly concerned. They will be pleased to answer your questions and put your mind at rest.

What happens next?

Should surgery be required this can usually be scheduled within a week of the decision being made, however, in some cases it can be quicker.

If surgery is not required, any follow-up treatment will be explained to you.

How much does it cost?

The costs for consultations vary from £185 to £400 for a first consultation or second opinion, and £155 to £185 for follow-up consultations. There are additional charges for any investigations or diagnostic tests.

Charges are routinely covered in full by all medical insurers, subject to individual policy benefit limits, restrictions and excesses. If you require surgery, you will be given an estimate of the Consultant Surgeon’s fees, so that you can check your level of cover with your insurer.

If you are not covered by medical insurance we offer all-inclusive packages for surgery.

For more information on charges please contact us on 0207 563 1234.

How do I get further information on The The London Thyroid and ENT Clinic?

Do not hesitate to call us on 0207 563 1234 and you will be directed to the most appropriate person to answer your enquiry.

How do I make an appointment?

Simply call 0207 563 1234, Monday to Friday between 8am and 6pm (5.30 pm on Fridays). If you are expecting your medical insurer to pay, you will need a referral letter from your GP, to see the Consultant. Please bring this with you to your first appointment.

Are you regulated?

We are registered with the Care Quality Commission and subject to their audit process. Internally we are managed by a Medical Advisory Committee (MAC) who ensure that all regulatory matters are kept up to date and manage the conduct of the Consultants with admitting rights to 108 Harley Street. There are also regular multi-disciplinary team meetings that deal with both ongoing professional education and case management.

We are a Founder member of the Harley Street Alliance and have signed up to "The Ten Commitments". More information on the Harley Street Alliance can be found at http://www.harleystreet.com/.

We attach the findings of our latest patient survey. 

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