It is generally not possible to book a specialist appointment directly with a specialist without a referral letter from a GP.  As we are a general practice, we do not have resident specialists working at our practices, but we can refer you to one should it be required.  The cost of this includes the cost of a standard consultation with our GP plus the referral letter that we would write to the required specialist.  The specialist will then contact to agree an appointment slot upon receipt of our referral letter.