The first appointment lasts about 1 to 1.5 hours which involves a detailed case history covering the health complaint the individual has come with and all other aspects of their health, including past medical history, lifestyle, diet, allergies, body systems (respiratory, cardiovascular, digestive, nervous, musculoskeletal, urinary, gynaecological and skin) and past and current medications. The investigative questioning is done in order to get to the root of what could be causing a presenting health complaint and also provides information to treat the individual holistically. The individual is requested to bring any medications including any results of tests and investigations.

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After the case history a physical examination is performed following consent from the individual.  This generally involves measurement of blood pressure and pulse including any other clinical examination if appropriate.  If necessary the patient may also be referred to their GP for further tests and investigations.

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​After the consultation a personalised treatment plan is devised and discussed with the individual, with duration of treatment and realistic expectations of health outcomes. Treatment and advice is tailored to each individual depending on their current health status.

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The herbal medicines are from reputable herbal suppliers from the UK.  The  medicines may take about 20-30 minutes to prepare in addition to the appointment time. These will usually be made up on the day.  Repeat prescriptions may also be arranged for collection or dispatched by courier.

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​Follow-up appointments last between 30-45 minutes.  The first follow-up appointment will usually be two weeks after the first visit to review progress and to check how the individual has been responding to the herbal medicine, dietary/lifestyle changes and if the herbal medicine needs to be adapted in any way.  Further appointments are spaced out at four to six week intervals.  After the first few consultations longer duration of time is usually left between consultations. 

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The aim is to have the individual on the least amount of herbal medicine required to support them, and for the minimum amount of time required. 

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