For confidential advice call 020 3049 4505

What is PHP?

PLEASE NOTE: We are sorry that we are unable to accept new referrals for London residents at this time due to unprecedented demand for services. This has no impact on current practitioner-patients who will continue their treatment and care plans as normal. If you do have any concerns about yourself or an individual please speak to your/their GP in the first instance. Our website offers advice and signposting to possible sources of help: (please click the box labelled “Other sources of help” on the homepage for more details). We hope we will be in a position to start accepting new referrals again very soon.

The Practitioner Health Programme (PHP) is a confidential, NHS treatment service for doctors, dentists who are unable to access confidential care through mainstream NHS routes due to the nature of their role and/or health condition.

In 2008 Dr Gerada FRCP FRCGP FRCPsych was awarded the contract to deliver the NHS Practitioner Health Programme (PHP) service. The service operates in central London, led by Dr Gerada, and both she and the PHP team have expertise in treating health professionals with addiction and mental health problems. To date the service has seen  and treated more than 1600 practitioner patients from across the UK.

PHP are aware that doctors and dentists often find it difficult to access mainstream mental health or addictions services due to fears that they will not receive a truly confidential service. As a patient of PHP you have the right to request that your status as a practitioner patient of the service is known only to you and PHP.

If on presentation your mental health or addiction problem is already being treated elsewhere, you will not normally be able to be seen at PHP as well. Occasionally, PHP do treat patients alongside another clinical team, and the patient’s case will always need to be discussed with the other service before PHP treatment is started.

Unfortunately, we are not funded to be a fast track service to psychological support even if this means that you have to wait for treatment for NHS care.

The NHS Practitioner Health Programme is primarily funded by all London CCGs to treat London residents with GMC/GDC registrations, who for whatever reason cannot access mainstream NHS services. Click the Live in London? link for details.

For practitioner patients who live outside of London we cannot accept direct self-referrals, however, NHS referrals can be accepted on a cost per case basis. Click the Live Outside London? link, or contact the PHP team us for details.


The PHP team can provide the following service-


Telephone Advice:

The PHP service will provide telephone advice during the working day (Monday-Friday, 9am-5pm).Confidential telephone advice is available to practitioner-patients, family members, friends or colleagues, occupational health services or employers.

Web Advice:

Practitioner-patients can request appointments or ask for advice via the website. We aim to answer your query within one working day wherever possible.

Initial Assessments:

London resident doctors and dentists will be invited to take part in a telephone triage assessment lasting up to 30 minutes. The call will be with a clinical member of the PHP team and its purpose is to firstly assess your suitability for PHP, and then to conduct an initial assessment of your presenting problems. At the end of this call we may have enough information to ‘fast track’ you into appropriate treatment, or we may ask you to come to Riverside Medical Centre for a further face to face assessment which may take up to two hours. If PHP is unable to provide the care that you require we will not register you with our service but will provide you with information on services more appropriate for your need.  All decisions will be made in the weekly PHP multi—disciplinary team meeting.

The initial assessment will be carried out by an experienced member of our multidisciplinary clinical team.

We aim to offer telephone and face to face appointments promptly, Monday-Friday, 9am – 5pm.  Saturday morning appointments can also be booked in advance for CBT for registered PHP patients.

Psychological Treatments:

PHP can offer a range of psychological therapies including cognitive behaviour therapy and psychodynamic psychotherapy. We run a number of groups for specific patient issues or cohorts which focus on both treatment and support for prevention/relapse.