How to see a paediatrician in London when a GP problem remains unresolved

Katerina Galkina · EN · 07/10/2026

Routine child healthcare usually starts with a GP. If a problem remains unresolved, request reassessment and a clear plan: the working explanation, review timing and whether paediatric referral is needed. Record changes since the previous appointment.

Prepare specific observations

Summarise symptoms, duration and effects on sleep, food, growth, school and daily life. Bring medication lists, results and letters, plus the red book for an infant. A large collection of unverified online diagnoses should not replace the history.

Ask why referral is or is not indicated, what alternatives are offered and which changes require earlier help. You can request another GP within the practice for a fresh assessment.

Establish the NHS route

A GP refers to an appropriate service based on clinical need. This may be general paediatrics, community paediatrics or a specialist children's service; the referral's purpose matters. Obtain the service name and how to confirm receipt. NHS: specialist referrals ↗.

Ask about waiting, interim care and deterioration contacts. If a referral is returned, establish the reason and next action rather than restarting the search without that information.

Choosing a private paediatrician

Check the doctor in the GMC register ↗, including specialist registration and relevant age/problem experience. Check the English clinic's appropriate registration and CQC report ↗.

Before paying, confirm referral requirements and fees for consultation, investigations, GP letters and follow-up. Obtain insurance authorisation first where needed. Private advice does not guarantee NHS provision of its recommended investigations or treatment; agree responsibility and results sharing.

Do not wait for a specialist during acute deterioration

Call 111 for urgent assessment; use the telephone route for children under five. For severe breathing difficulty, inability to wake or another life-threatening emergency, call 999. NHS specifically advises urgent help for a temperature of at least 38°C in a baby under three months. NHS: fever in children ↗.

After consultation, obtain a written plan, results and named follow-up responsibility, particularly when private care and the GP both remain involved.