CMA / Fees

Private healthcare is expensive.

If you have medical insurance please check with your insurer as to whether your policy will provide adequate cover

My fees reflect not just my 24 years of experience in Dermatology and expertise as a Consultant Dermatologist of 18 years, but also the costs incurred by me in secretarial fees, room rental fees, medical defence indemnity fees, accountancy fees, postage, stationery, equipment, costs of journals, cost of medical meetings and keeping up with medical developments, taxes to HMRC and time spent in the background sorting out logistics of your care.
The past few years have seen an enormous rise in private practitioner’s time being consumed behind the scenes with administration for each patient interaction as Regulators such as CMA introduce new rules. Each private Facility has rules. Some rules are onerous, time consuming and involve labour intensive logistics and administration. There is more documentation, more paperwork, more and more time spent on more discussions and recording of work due to the Patterson case and GDPR. Each insurer is increasing the time spent on admin related tasks. Naturally the COVID-19 situation will add increased background work to maintain safety and standards

I am recognised by the following insurers and have agreed to their level of reimbursement.

Insurers that recognise me

Exeter Friendly
CS Healthcare

I do not see New patients with
Cigna international
Police Mutual Health Care

I hold no financial interest in the hospitals/ facilities / equipment at
-Ramsay Health Care UK
-BMI hospitals / BMI Park Hospital
-Spire Hospitals
-Nottingham NHS Treatment Centre


The exact fee will depend on the location of your lesion e.g. Face vs chest vs Back.
It will depend on the complexity of the surgery to effect a good cosmetic result.
It will depend on the size of the lesion.
Many patients are on "blood thinners" or have a pacemaker or an implanted cardiac defibrillator which significantly increases complexity and operative time.
Surgery near vital nerves on the face and arteries in the neck may naturally be expected to cost more than a simple removal on the thigh.
Surgery on the nose or near the eyes are technically more difficult than on the cheek.
Mohs surgery, grafting, cartilage batten grafting or flap repair are specialised skills that I learnt during my training in the USA and now teach to others.

You will need to take into account that the overall cost to you will have to include my procedure fee, the fee that the hospital will charge for the use of their facilities, equipment, nurses and the Pathologist's fee to analyse your specimen (and technicians fee if you are having Mohs surgery) and the cost of follow ups.

For the PHIN website which will provide useful information on the quality of performance of hospitals and consultants and fees - click here

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