Most medication lists are built one prescription at a time, by different doctors, over a lot of years. Each one made sense when it was started. What rarely happens is someone sitting down with you and the whole list, and asking whether it still fits.
The aim is the smallest effective medical footprint. That might mean stopping something, reducing something, or leaving everything exactly as it is.
Book the reviewInvestigations are charged separately. A question first? Free 5-minute call.
The review starts with a 55-minute consultation, in person, at Sutton Medical Consulting, First Floor, Ashfurlong Medical Centre, 233 Tamworth Road, Sutton Coldfield, B75 6DX. I take your history, go through every medication you take, and find out what you want from the review.
Then I write your plan. Bring your medication list and anything you have from your GP; the NHS App has your records and recent results. If a question can't be answered properly without an investigation, I'll say so and arrange it. Investigations are charged separately, whether they are done privately or through your GP.
If the plan involves changing something, you can carry it out with me, under supervised step-down, or take the plan to your GP. Either is fine, and the plan is written so that both work.
I am independent. I didn't start any of your medications and I have no stake in whether you stay on them. Where appropriate, changes are made alongside your GP or specialist.
The review is about your medication list and the physiology underneath it. Your nutrition, sleep, movement and body composition all change what your body needs from medication, so the plan works with them.
They are simple questions. They are rarely asked together, about every medication at once.
What the problem was, who prescribed it, and what it was meant to do.
Some problems resolve. Some were never confirmed in the first place. If the reason has gone, we need to ask why you are still taking it.
Your weight, your kidney function, your blood pressure, your age, how active you are. A dose that was right ten years ago may not be right now.
One medication causes a symptom, a second is added to treat it, and nobody joins the two up.
It is written for you, and it is yours to keep and to share with your GP. It sets out five things, and what happens next.
Every medication you take, what it is for, and how it sits with the others.
The history of the list: what was started, when, and why.
What I would reduce, stop or adjust, and in what order.
What should stay as it is, and the reason.
The points at which we look again, and what we are looking for.
Whether the plan can go straight to your GP, or whether it needs watching while you carry it out. If it does, that is what supervised step-down is for.
Supervised step-down is optional and costs £99 a month. It includes a short check with me each month, your home readings reviewed, a letter to your GP each time a dose changes, and email questions about the plan with a reply within two working days. New or urgent symptoms go to your GP, NHS 111 or 999, not to email. It ends when the plan is complete, and I'm the one who tells you. Cancel any month.
You don't need to be unwell, and you don't need to have decided that you want to come off anything. Most people who book have one of these in mind.
The review is booked by the patient. Family members are welcome to make first contact and ask questions, but the appointment and the decision to proceed are the patient's.
This is not urgent care. If you have new or urgent symptoms, contact your GP, NHS 111 or 999.
The review is the only service I offer to new patients.
Investigations are charged separately, whether they are done privately or through your GP.
Supervised step-down is set up after your consultation, not at booking. Email is for questions about your plan. New or urgent symptoms go to your GP, NHS 111 or 999.
Full details on the fees page →
You book online, directly with me. Choose the Independent Medication Review and a time, and the booking is confirmed by email. The appointment is booked by the patient. Supervised step-down is set up after the consultation, if you want it.