Part of the Harley Street Mental Health Group10 Harley Street, London W1G 9PF
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Home  /  How it works

How it works

A clear pathway, start to finish

From the first referral to a report your team can act on, usually within 5–7 working days.

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I am the patient

The process

From referral to report in three steps

A simple pathway for referrers, and a calm experience for patients.

i

Submit a referral

Use the online form or email us. We confirm receipt within one working day and schedule the appointment.

≤ 1 working day

ii

Patient assessment

A 60–90 minute consultation covering mental state, validated screening tools, insight and risk.

60–90 minutes

iii

Written report

Diagnosis, severity ratings, a recommendation on surgical suitability and any conditions before proceeding.

5–7 working days

A consultation in progress

The consultation

What happens on the day

The assessment is a private conversation with a consultant psychiatrist, in person at 10 Harley Street or by secure video.

  • A conversation, not a test. We talk about your reasons for the procedure, your history and how you are feeling.
  • Short questionnaires. Validated screening tools such as the BDDQ, PHQ-9 and GAD-7.
  • Mental state examination. A standard part of any psychiatric assessment.
  • Time for your questions. You will know what happens next before you leave.
Psychiatric Assessment ReportCONFIDENTIAL
3–5 pages · sample layout
DIAGNOSISDSM-5 diagnosis where applicable
BDDQScreening result
Y-BOCS-BDDSeverity rating
PHQ-9 · GAD-7Mood and anxiety scores
CAPACITYStatement included if requested
RECOMMENDATIONProceed · Defer · Contraindicated, with any conditions
REVIEWED

What the report includes

A report your team can act on.

Written for clinicians, in plain clinical language, with a recommendation you can put straight into the patient’s record.

  • Diagnosis and severity. DSM-5 criteria where applicable and validated screening scores, clearly reported.
  • A clear recommendation. Proceed, defer or contraindicated, with the reasons behind it.
  • Conditions before proceeding. What should happen first, if surgery should wait.
  • Capacity statement. Included when you request it.
1day

Referral confirmed

48–72hrs

Rapid appointment

60–90min

Consultation

5–7days

Written report

Questions

Good to know

More answers on our FAQs page.

All FAQs

Do patients need a GP referral?

No. Referrals usually come from the surgeon or aesthetic practitioner. Patients can also self-refer if their surgeon has asked them to obtain an assessment.

Who can make a referral?

Plastic and cosmetic surgeons, dermatologists, aesthetic practitioners and clinics. Clinics expecting regular referrals can discuss a practice arrangement.

How quickly will the report arrive?

The written report is sent to the referrer within 5–7 working days. The rapid pathway offers an appointment within 48–72 hours and a report within 3 working days.

Can the assessment be done by video?

Yes. Secure video consultations are available anywhere in the UK, as well as in person at 10 Harley Street, London.

Cosmetic Surgery Psychiatry

Protecting patients.
Protecting practice.

+44 (0)20 3488 3655

Refer a patient
I am the patient