Consultations

Consultations and fees

Initial consultation £450. Follow-up consultation £245. Extensive written plan. Tests are charged separately, if needed. Payment plans are available.

Who I see

Whatever brings you here, lifestyle medicine is a powerful place to start, and the foundation every other treatment builds on.

£450

Initial consultation, 45–60 minutes

Consultation 1

  • Pre-appointment medical symptom questionnaire
  • Full obstetric and gynaecological history with lifestyle focus
  • Personalised lifestyle and Precision Health written plan
  • Access to the online patient portal
  • Educational documents tailored to you
  • Personalised nutrition and lifestyle guidance in your written plan

£245

Follow-up consultation, 30–45 minutes

Consultation 2, usually 8–16 weeks later

  • What changed
  • Plan rewritten following the consultation
  • Nutrition and lifestyle guidance updated in your plan
  • Onward referral if needed
  • Further investigations if suitable
  • Problems with executing or maintaining your plan addressed and refocused

Both consultations include: personalised nutrition and lifestyle guidance in your written plan; patient portal for your documents.

Tests are charged separately, if needed.

Payment plans are available. Ask the clinic when you book.

Book a consultation at The Richmond House Clinic (opens in a new tab)Enquire about a consultation

Dr Amy Shacaluga, MBBCh FRCOG DFSRH Dip Lifestyle Medicine. GMC number 6144260 on the GMC register (opens in a new tab).

What this private service is

This private service focuses on lifestyle medicine and Precision Health within consultant obstetric and gynaecological care. I do not offer operative gynaecology here. If surgery or another in-clinic procedure is needed, I will discuss onward referral to an appropriate colleague.

How the fees are used

Tests are chosen for you after your consultation, not ordered as routine. Often we start with your lifestyle medicine plan, and if we're still looking for a specific root cause once you've followed it for a while, we test then. Testing is done at the clinic and charged separately. Depending on what we're looking for, it can include extensive blood panels, DUTCH hormone testing and gut microbiome testing.

Supplements are included in the written plan only when there is a reason that can be written down. The plan also says what not to add.

Face-to-face at The Richmond House Clinic, Penarth, and video consultations for the UK. Bookings are through the clinic.

Payment plans are available. Ask the clinic when you book.

Frequently asked questions

Do you operate?

No. I do not offer operative gynaecology in this private service. If surgery or another in-clinic procedure is needed, I will discuss onward referral to an appropriate colleague.

Do you accept insurance?

No. I do not accept insurance; consultations are self-pay. Payment plans are available. Ask the clinic when you book.

Can you write to my GP?

Yes. A letter to your GP is available if you would like one. I also write referral letters where they are needed.

What do I need to do before my appointment?

Please upload any scans or results to the secure patient portal at least one week before your appointment, together with your medical symptom questionnaire.

Do I need tests?

Not always. Tests are chosen for you after your consultation, not ordered as routine. Often we start with your lifestyle medicine plan, and if we're still looking for a specific root cause once you've followed it for a while, we test then. Testing is done at the clinic and charged separately. Depending on what we're looking for, it can include extensive blood panels, DUTCH hormone testing and gut microbiome testing.

When will I receive my written plan?

Your written plan is ready within a fortnight of your consultation. You receive it through the secure online patient portal.

What if I have questions between appointments?

Please contact the clinic with any questions about your plan. Clarification will be sent to you by email.

What do further appointments cost?

Further appointments within the first year for the same concerns are charged at the follow-up fee of £245.

What if I need to cancel?

Cancellations are handled by The Richmond House Clinic (opens in a new tab) under its own policy. Please check the clinic's cancellation policy when you book.

Patient enquiry

Enquire about a consultation

If you would like to book, please send a short enquiry on the form below. If you wish to book directly, use this link: The Richmond House Clinic (opens in a new tab).

This form is an enquiry only. It is not for urgent symptoms or test results.

Appointment preference

Consultant obstetric and gynaecological care led with lifestyle medicine and Precision Health. Face-to-face at The Richmond House Clinic, Penarth, and video consultations for the UK.