Your immune system is speaking.
We translate.
Specialist rheumatology care for the symptoms that have been dismissed, misread, or quietly endured. Precise diagnosis. A named condition. A plan.
autoimmune patients wait over 3 years for a correct diagnosis.
The conditions below are frequently misread as fibromyalgia, anxiety, or "unexplained fatigue." Each has a name, a mechanism, and a treatment pathway. The first step is getting the right specialist in the room.
Book a diagnostic consultationRheumatoid Arthritis
The immune system attacks the joint lining. Morning stiffness lasting over an hour is the telling signal — not "just getting older."
Lupus (SLE)
A condition of disguises — fatigue, rashes, joint pain, and organ involvement that mimics a dozen other diagnoses.
Psoriatic Arthritis
Skin and joints speaking the same inflammatory language. Often present years before the skin findings appear.
Axial Spondyloarthritis
The back pain that wakes you at 3am and improves only with movement. Not a disc. Not posture. Inflammation.
Gout & Crystal Arthritis
The most treatable of all arthritides — if diagnosed correctly. Uric acid levels alone do not tell the story.
Sjögren's Syndrome
Dry eyes, dry mouth, and a fatigue so profound it redefines the word. Frequently misattributed to anxiety or menopause.
Vasculitis
Inflammation of blood vessel walls — from skin rashes to kidney involvement. Rare, serious, and requires specialist eyes.
Inflammatory Myopathy
Proximal muscle weakness — difficulty climbing stairs, lifting arms — combined with raised muscle enzymes. Not fatigue. Inflammation.
Medicine that earns its conclusions.
Three appointments. Three distinct phases. Each one designed to eliminate ambiguity and arrive at a diagnosis that will hold.
The Diagnostic Consultation
The first appointment is not a triage. It is a full clinical history — from the first symptom to now. Every dismissed test result, every "normal" blood panel, every GP note reviewed. Patterns emerge when given time.
- Full rheumatological history from symptom onset
- Review of all prior investigations and imaging
- Targeted examination of affected joints and systems
- Same-day provisional assessment with next steps
Precision Investigation
Not every autoimmune marker is in a standard blood panel. We order the specific serology, imaging, and sometimes tissue analysis that confirms — or confidently rules out — each differential.
- Specialist serology: ANA, ANCA, anti-CCP, complement levels
- Musculoskeletal ultrasound for synovitis and enthesitis
- MRI referrals with rheumatology-specific protocols
- Same-laboratory consistency for reliable trending
A Named Diagnosis
The result of this process is not a management plan for "inflammatory arthropathy." It is a named condition, an explained mechanism, and a prognosis that accounts for your specific disease profile — not the average patient's.
- Written diagnosis with ICD-10 coding for insurance and GP records
- Disease activity scoring at baseline (DAS28, SLEDAI, BASDAI)
- Personalised treatment pathway with evidence base explained
- Shared decision-making — you understand every option
Numbers that come from patients, not brochures.
Outcome data collected from patients seen in this practice. Anonymised, audited, and published without editorial selection.
of patients report measurable symptom improvement within 8 weeks of starting treatment
median time from first appointment to confirmed diagnosis — versus a national average of 3+ years
of patients who presented with "unexplained" symptoms received a specific named diagnosis
What the first 8 weeks look like.
First consultation
Full history, clinical examination, and provisional assessment. Investigation plan agreed.
Investigation phase
Specialist blood panels, ultrasound, and imaging completed. Results reviewed as they arrive.
Diagnosis appointment
Named diagnosis delivered in writing. Treatment options presented with evidence base.
Treatment initiation
First-line therapy started. Monitoring protocol established. GP letter sent same day.
First review
Disease activity scored against baseline. Treatment adjusted if needed. Most patients notice change.
In their own words.
“Three GPs, two years, and a referral to a psychiatrist. Flare gave me a diagnosis in three weeks. Rheumatoid arthritis — something with a name, a mechanism, and a treatment.”
“My hands had been stiffening for eight months. I was told it was stress. Within four weeks of my first appointment here, I was on a biologic. Within eight, I was back at the piano.”
“The fatigue was the worst part — that wet concrete feeling. Nobody took it seriously. Here, it was the first thing they asked about.”
Credentials first. Warmth follows.
This practice was built on a specific frustration: the diagnostic gap between when autoimmune disease starts and when it is named.
I trained at University College London and completed my rheumatology fellowship at the Hammersmith Hospital. For the past nine years I have held an NHS consultant post, where I see the full complexity of inflammatory and autoimmune disease — including cases referred from across the country after years without diagnosis.
I opened this private practice because the NHS waiting list means that early inflammatory arthritis — the window where treatment changes outcomes permanently — is consistently missed. A patient who waits 18 months for a rheumatology appointment has often already developed joint damage that is irreversible.
I do not offer wellness consultations or lifestyle advice. I offer diagnostic rigour, evidence-based treatment, and the time that a 12-minute GP appointment cannot provide.
Credentials & Training
- Fellowship
- MRCP (UK), 2012
- CCT
- Rheumatology, 2016
- NHS Post
- Consultant Rheumatologist, University Hospital
- Private Practice
- Est. 2018
- Special Interest
- Early inflammatory arthritis, Connective tissue disease
- Research
- 24 peer-reviewed publications in rheumatology
Wait time, compared.
The first appointment is the hardest step.We make it easy.
Click below to be taken to our booking system, pre-filtered for new-patient rheumatology consultations. You will see available appointments in the next 48 hours.
What to expect when you book.
75-minute appointment
Not 12 minutes. The first consultation is protected time.
Bring everything
GP letters, blood results, imaging reports — all of it. We will review it all.
Central London clinic
Harley Street, W1G. Direct access by tube and Marylebone station.
Self-pay or insured
We accept all major insurers. Self-pay rates published on the booking page.