Updated August 2026
These Terms and Conditions apply to services provided by Dr Ricardo Jose through LDN Medical Specialists Ltd, a company registered in England and Wales under company number 15034820 and trading as Dr Ricardo Jose – London Chest Specialist.
The contract for the provision of clinical services between you and LDN Medical Specialists Ltd is formed when you electronically acknowledge and accept these Terms and Conditions.
Where an appointment is provisionally reserved before these Terms and Conditions are electronically accepted, the Cancellation, Rescheduling and Refund Policy may apply from the time of reservation, provided that the applicable cancellation terms have been brought to your attention and you have agreed to proceed with the booking. Further details are set out in the Cancellation, Rescheduling and Refund Policy below.
You must electronically acknowledge and accept these Terms and Conditions within 24 hours of receiving them, or before your consultation, whichever occurs first. Until you have done so, your appointment will remain provisionally reserved and may be released if acceptance is not received within the applicable timeframe. If your consultation is scheduled to take place within 24 hours of booking, you must acknowledge and accept these Terms and Conditions before the consultation can proceed.
If you do not agree with any part of these Terms and Conditions, please contact us before accepting them or before proceeding with the relevant service.
Fees
Consultation fees
a. Initial Outpatient or Remote Consultation: The fee for an initial consultation of up to 30 minutes is £250.00.
b. Follow-up Outpatient or Remote Consultation: The fee for a follow-up consultation of up to 15 minutes duration is £200.00 unless outside of regualr scheduled clinic times.
c. Inpatient consultations: The fee for an initial inpatient consultation is £300 and follow-up inpatient consultation is £200.
d. Inpatient care: The fee for daily inpatient care is £200 per day.
e. Home visits: The fee for consultations in your home will vary depending on location and time of the day. You will be told of the fee at the time of your booking.
f. Ad hoc consultations scheduled outside our regular clinic times may incur an additional charge of £100.
g. If your first consultation is conducted remotely while you are physically outside the United Kingdom, an additional £100 fee will apply, irrespective of your country of residence or billing address.
Non-Consultation Administrative fees
These fees apply to written requests and administrative tasks completed outside of a medical consultation. This is not for the medical report that you receiving regading your consultaiton. Additional, services fall outside standard clinical care and reflect the clinician’s time in reviewing medical records, preparing documentation, and the professional responsibility associated with a medical signature.
a. Letter Classifications & Fees
1. Simple Letter – £50.00
A concise, factual statement based solely on existing medical records. This does not include clinical interpretation or opinion.
Examples include: “To Whom It May Concern” letters, basic fitness certificates (e.g. gym), and confirmation of prescribed medication.
2. Complex Letter or Report – Starting from £100.00
Detailed documentation requiring comprehensive review of medical history and/or provision of a clinical opinion.
Examples include: insurance forms, and detailed health declarations.
Cost confirmation: Following an initial review of your request, a final fee will be provided for approval before any work is undertaken.
3. Airline “Fitness to Fly” Form – £50.00
Completion of airline-specific medical clearance forms or supporting letters.
b. Urgent Requests
The standard turnaround time for non-consultation letters is 7 working days.
For requests required within 72 hours, an urgency fee of £30 applies.
All administrative fees must be paid in full prior to commencement of work.
Letters will include only information supported by your medical records. Personal statements or claims that are not clinically documented cannot be included.If the doctor determines that a request cannot be fulfilled based on existing records alone, you may be advised to book a separate consultation. This will be treated as a clinical service and is not covered under administrative fees.
c. Prescription fees
Prescriptions issued during a consultation will not incur any charges. However, for prescriptions issued outside of a consultation, such as requests for repeat prescriptions, charges will be applied as follows: £50 per prescription for up to 5 items, and an additional £5 per item for prescriptions exceeding 5 items. In this context, a ‘prescription’ is defined as an instruction written by a medical practitioner, authorising the provision of medicine or treatment to a patient.
Other fees
Following your consultation, you may need certain tests (e.g., blood tests, lung function tests, or imaging such as X-ray, MRI, or CT scan) to help diagnose or monitor your condition. If the test is undertaken by the clinic or hospital (i.e., Dr Jose has requested the test but not performed the test himself), the fees for those tests will be determined by the clinic or hospital and charged to you, or your private medical insurer, separately by the hospital or clinic. For prices of these investigations, please contact the clinic or hospital directly. It is your responsibility to ensure that you are aware of the fees before agreeing to have the tests. If you are insured, please ensure that you seek authorisation for tests as required by your policy. By agreeing to have tests or investigations performed, you acknowledge and accept responsibility for any costs incurred.
Private Medical Insurance
If you have private medical insurance, please contact your insurer before your consultation, to check the terms of your policy, particularly the level and type of cover you have, including any reimbursement limits on individual consultation fees. Dr Jose is recognised and fee assured by most private medical insurance companies, including Aetna, BUPA, Cigna, Allianz, AVIVA, AXA, Healix, Vitality, and WPA. It is your responsibility to obtain necessary authorisations from your insurance company ahead of your scheduled consultation. If a valid insurance authorisation is not obtained before the appointment, self-page charges will apply and cannot be retrospectively revised. Any fees incurred as a result of insufficient or no authorisation from the insurance company will be your responsibility.
Liability for Payment
a. Self-funding Patients: If you are a self-funding patient, you are required to make payment within 24 hours of making your booking. If your appointment is scheduled within 24 hours of the booking, payment must be made within 6 hours of the booking or before your appointment, whichever comes first. If you are unable to make payment online, over the phone, or via bank transfer within these timeframes, you must contact the practice to discuss and agree upon alternative arrangements, and must sign the electronic acceptance of the terms and conditions. If payment is not received within the specified timeframe and no prior arrangements have been made (with submission of a signed terms and conditions form), your appointment will be subject to cancellation unless you contact us to provide a valid reason for the delay.
Please note that invoices relating to inpatient consultations must be settled within 30 days of the invoice date. If any part of an invoice remains unpaid after this 30-day period, Dr Ricardo Jose, LDN Medical Specialists Ltd, or the clinic may, at its discretion, apply interest at a rate of 4% per annum above the Bank of England base rate. Following a final demand, any outstanding balance may be referred to a debt collection agency or pursued through the small claims court, as deemed appropriate. This may result in additional collection charges and fees.
b. Sponsored Patients: Dr Ricardo Jose, LDN Medical Specialists Ltd and the clinics accept direct settlement arrangements only with third parties with whom we have an agreement. If such an agreement is not in place, you will be asked to settle the account ahead of your consultation and seek to recover the sum from the sponsor. Where an agreement is in place, we must have a letter of guarantee specific to this consultation and / or treatment.
c.) Insured patients: It is your responsibility to secure the necessary authorisations from your insurance company prior to your scheduled consultation or investigations. Should any fees be incurred due to a lack of, or insufficient, authorisation, or applicable excesses from the insurance company, these will fall under your responsibility and must be settled within 30 days from the date the invoice is issued. If any part of the invoice remains unpaid after this 30-day period, Dr Ricardo Jose, LDN Medical Specialists Ltd, or the clinic, may at its discretion, apply an interest charge of 4% per annum above the Bank of England base rate. Following a final demand, any remaining unpaid balances will be referred to a debt collection agent or small claims court for recovery as they deem appropriate, which could include the application of additional collection charges and fees.
Where you request that we seek payment from, or submit a claim to, your insurer, you acknowledge that your insurer may require relevant medical information in order to assess, administer, verify, process, approve, or settle your claim. We will only disclose information that is relevant and reasonably required for the claim, unless otherwise required by law or separately authorised by you. If you do not provide, or subsequently withdraw, such consent, you acknowledge that your insurer may be unable or unwilling to process, approve, or pay your claim. In such circumstances, and to the extent that payment is not made by your insurer, you shall remain personally responsible and liable for all fees, charges, and costs incurred in respect of services provided to you.
Cancellation, Rescheduling and Refund Policy
We operate a cancellation and rescheduling policy to reflect the difficulty of reallocating clinical appointment time and recovering associated clinic and administrative costs when changes are made at short notice.
The Cancellation, Rescheduling and Refund Policy applies from the time your appointment is reserved, provided that the applicable cancellation terms have been brought to your attention before or at the time of reservation and you have agreed to proceed with the booking.
- For appointments arranged by telephone, the key cancellation terms will be explained to you before the appointment is reserved. By asking us to proceed with the reservation after those terms have been explained to you, you agree that this Cancellation, Rescheduling and Refund Policy applies from the time the appointment is reserved.
- For appointments arranged by email, the applicable cancellation terms will be provided to you before or as part of the booking process. By proceeding with the reservation after those terms have been brought to your attention, you agree that this Cancellation, Rescheduling and Refund Policy applies from the time the appointment is reserved.
- For appointments booked directly online through Carebit, you will be required to review and accept these Terms and Conditions, including this Cancellation, Rescheduling and Refund Policy, as part of the online booking process.
The following cancellation and rescheduling terms apply:
- More than 24 hours’ notice: You may cancel or reschedule your appointment without a cancellation charge. If you cancel an appointment for which you have paid a self-pay consultation fee in advance, the fee will be refunded to your original payment method, less a £10.00 Cancellation Administration Fee. This fee contributes towards the administrative costs associated with processing the cancellation, updating scheduling records and amending clinic diaries.
- Less than 24 hours’ notice or non-attendance: If you cancel or reschedule your appointment with less than 24 hours’ notice, or fail to attend your appointment, a cancellation charge equal to 100% of the relevant self-pay consultation fee will apply. Where the appointment has been paid for in advance, no refund will be issued.
For appointments scheduled on a Monday, cancellation or rescheduling requests must be received by 13:00 on the preceding Friday. Requests received after 13:00 on the preceding Friday will be treated as short-notice cancellations or rescheduling requests and will incur a charge equal to 100% of the relevant self-pay consultation fee. This reflects the reduced opportunity to reallocate a Monday appointment.
Cancellation charges are calculated by reference to the relevant self-pay consultation fee, including where an appointment would otherwise be funded by an insurer or sponsor. Insurers and sponsors do not cover cancellation charges, and you will therefore be responsible for paying any applicable cancellation fee directly.
This policy enables us to offer cancelled appointment times to other patients wherever reasonably possible and helps us manage clinical and facility costs associated with reserved appointment time.
Eligible refunds will normally be processed within 14 days of receipt of a valid refund request and will be made using the same payment method originally used, unless an alternative method is agreed with you.
Video and Telephone Consultations (remote consultations)
For remote consultations conducted via video or telephone, acceptance of these terms and conditions constitutes acceptance of the Remote Consultation Terms and Conditions available at:
https://londonchestspecialist.co.uk/remote-consultation-terms-and-conditions/
If you receive a separate digital form requesting that you sign a consent form confirming that you agree to the remote consultation terms and conditions, this must be completed within 24 hours of receipt and prior to your consultation. The consent form will be sent to you by email, and the consultation will proceed only once the completed and signed form has been received and the applicable consultation fee has been paid, unless you are insured and the appropriate authorisation has been obtained.
Follow-up Consultations
Failure to arrange or attend a follow-up appointment when advised may delay diagnosis, treatment or review of investigation results. You are responsible for arranging and attending recommended follow-up appointments.
Audio Recording and Transcription
To assist with the preparation of an accurate clinical record and consultation correspondence, including your clinic letter, consultations may be audio recorded and transcribed using the Carebit patient management system.
By accepting these Terms and Conditions, you consent to your consultations being audio recorded and transcribed for these purposes. Recordings and transcripts are treated as confidential medical information and are processed and stored securely in accordance with applicable data protection legislation and our Privacy Policy.
You are not required to agree to audio recording. You may opt out of recording before your consultation, or ask for the recording to be stopped at any time during the consultation, by informing Dr Ricardo Jose or the practice team. Choosing not to be audio recorded, or withdrawing your consent, will not affect the care or treatment you receive.
Privacy and Confidentiality
Dr Ricardo Jose, LDN Medical Specialists Ltd, is committed to protecting your privacy and confidentiality. We comply with all relevant privacy laws and regulations, including the UK General Data Protection Regulation (UK GDPR). Please refer to our Privacy Policy <https://londonchestspecialist.co.uk/privacy/> for more information on how we collect, use, disclose, and protect your personal information. Your information will be shared with the hospital where your consultation is booked to allow your registration with the hospital or clinic.
Sharing of Clinical Correspondence with Your NHS General Practitioner
Unless you expressly direct otherwise, it is our standard practice to share clinical correspondence relevant to your care with your National Health Service (NHS) General Practitioner (GP). This sharing of information is based on the availability of your NHS GP’s contact details to me, hospital, or clinic responsible for your care at the time the correspondence is generated.
- Automatic Sharing: If your NHS GP details are known to us, the clinic, or hospital, we will, in the absence of explicit instructions from you to the contrary, share clinical correspondence with your NHS GP to ensure a coordinated approach to your healthcare.
- Responsibility to Provide GP Details: In circumstances where we do not have your NHS GP’s contact details and you wish for your clinical correspondence to be shared with your GP, you are required to provide these details either before or at the time of your consultation. Failure to do so may impede my ability to share important clinical information with your NHS GP. You may also share the correspondence sent to you directly with your GP.
- Your Directive: You retain the right to instruct us not to share clinical correspondence with your NHS GP. Such directives must be explicitly communicated to me in writing. Once received, we will comply with your wishes and refrain from sharing clinical correspondence, unless required by law or in circumstances where there is an overriding public or patient safety interest.
Limitation of Liability
Dr Ricardo Jose and LDN Medical Specialists Ltd are committed to providing the highest standard of care in accordance with the guidelines set by the General Medical Council. While our team strives to deliver the best possible outcomes, we cannot guarantee specific results or outcomes for each individual patient due to the inherent variability and complexity of medical conditions and treatments. If you have concerns about the care provided, please contact us immediately to discuss the matter, and we will work to address your concerns. Each hospital or clinic where the practice carries out its services has its own complaints policy and procedure that will be followed.
Governing Law
These Terms are governed by the law of England and Wales. Nothing in this clause affects any mandatory rights you may have to bring proceedings in another jurisdiction under applicable UK consumer law.
Financial Interests
LDN Medical Specialists Ltd and Dr Ricardo Jose are legally obliged to inform you that they don’t have any financial interests in The London Clinic or Royal Brompton Hospital and 77 Wimpole Street, or in the equipment used at these facilities.
Quality Information
You can compare independent information about the quality of private treatment offered by hospital and other private healthcare providers from the Private Healthcare Information Network (PHIN) website: www.phin.org.uk.
Amendments
We may amend these Terms and Conditions from time to time, including to reflect changes in our services, fees, administrative arrangements, professional requirements, clinical practice, or applicable law or regulation. The current version of these Terms and Conditions will be made available on our website and will state the date on which it was last updated. You are encouraged to review the current version when making a new booking. Unless otherwise required by law or regulation, any revised Terms and Conditions will apply to appointments and services booked after the revised Terms take effect.
The Terms and Conditions applicable to an existing confirmed appointment will normally be those in force at the time that appointment was booked. We may make minor administrative, technical, procedural or regulatory changes that do not materially disadvantage you without providing individual notice. Where a proposed change would materially affect an existing confirmed appointment or materially alter your rights or obligations in relation to that appointment, we will bring the change to your attention where reasonably required and, where appropriate, seek your agreement before applying it.
Please contact email info@londonchestspecialist.co.uk or call +44(0)20 8068 4415 if you have any questions or concerns regarding these terms and conditions.
We look forward to welcoming you to the practice of Dr Ricardo Jose
Yours sincerely,
The Practice Management of Dr Ricardo Jose, LDN Medical Specialists LTD
