Not an emergency service

Our walk-in GP clinic treats minor illnesses and injuries. If symptoms may be serious or life-threatening (for example: sudden chest pain or tightness, severe shortness of breath, signs of stroke such as facial droop/speech difficulty/weakness, severe abdominal pain, heavy bleeding, seizures that do not stop, loss of consciousness, major trauma, or severe allergic reaction), call 112/999 or attend the nearest Emergency Department (ED) immediately.

Pregnancy-related concerns

If you are pregnant and have heavy bleeding, worsening tummy pain, reduced baby movements, waters broken, or possible ectopic pregnancy symptoms (sudden sharp tummy pain, feeling very faint/unwell), please go directly to your Maternity Emergency/Assessment Unit or call 112/999 if seriously unwell.

Mental health crisis

If you or someone else is at immediate risk of harm (suicidal crisis or risk to others), phone 112/999 or attend the nearest ED. You can also access 24/7 supports such as Samaritans (116 123), Pieta (1800 247 247) or Text About It (text HELLO to 50808).

What we do not provide in the walk-in clinic

To protect patient safety and follow national guidance, the walk-in service does not:

• Manage emergencies (see above) or conditions needing hospital admission/imaging without delay (e.g., suspected stroke/heart attack, major fractures).
• Routinely Prescribe or initiate controlled/sedative medicines such as benzodiazepines, z-drugs, pregabalin, or strong opioids for new or walk-in consultations. Where clinically appropriate, longer-term management is coordinated with your regular GP or specialist.
• Issue repeat prescriptions for patients not known to the practice without a clinical review.

Suitable problems for the walk-in GP

We can assess and treat many minor issues (for example: ear/eye/throat infections, simple urinary infections, rashes/skin conditions, simple sprains or minor wounds). If we feel you need ED, a Maternity Unit, or an HSE Injury Unit (for certain recent injuries), we’ll advise the best place to go.

Patient Fee Information

• Consultation fee: €99
• Follow-up consultation (same condition): €60
• Referral letter fee: €20 (applies if a referral is needed for blood tests, scans, ED referral, or another specialist; this is in addition to the consultation fee)

Inclusion & Exclusion Criteria

Inclusion Criteria (suitable for online consultation)

You may be a suitable candidate for online endocrine consultation if you:

• Are relatively stable or early in the diagnostic pathway (first review, weight/metabolic concerns, thyroid monitoring, hormone symptoms) and do not require immediate emergency physical assessment.
• Have access to required technology: stable internet connection, ability to use video call, access to past lab results or willingness to obtain them.
• Are comfortable with remote care and able to attend local facilities when needed to have tests (blood-tests, imaging) arranged.
• Have a GP or local healthcare team who can act as liaison/referral partner if required.
• Are able to communicate your history, symptoms and to provide relevant data (e.g., glucose logs, weight trends, medication list).

Exclusion Criteria (will require in-person assessment)

You may be unsuitable for remote-only consultation if any of the following apply:

• You present with an acute endocrine emergency (e.g., suspected adrenal crisis, acute severe hyperglycaemia with ketosis, pituitary apoplexy, severe hypercalcaemia, thyrotoxic storm).
• You require urgent physical examination (e.g., new thyroid nodule with suspicion of cancer, large adrenal mass on imaging, suspected malignancy) and immediate referral.
• You do not have access to internet/ video call capability or cannot reliably provide information remotely.
• You are unable or unwilling to access local investigations or follow-up as required.
• You have multiple complex comorbidities that require face-to-face multidisciplinary assessment (for instance uncontrolled multiple endocrine tumours, advanced organ failure, very complex diabetes with frequent hospitalisations).
• You require immediate hospital-based therapy (e.g., initiation of insulin pump, in-hospital endocrine surgery assessment) that cannot be remotely managed.

If you fall under any of the exclusion criteria, you will still benefit from our consultation — we will direct you to appropriate local services and coordinate as needed.

Investigation & Referral Pathway

During the course of our consultation we may advise:

• Blood tests: e.g., full thyroid panel (TSH, free T4, free T3), thyroid antibodies, cortisol/ACTH, adrenal or pituitary hormone panels, testosterone/estradiol, IGF-1/growth hormone, calcium/phosphate/magnesia, renal/liver/metabolic panel, HbA1c, lipids, insulin/ C-peptide/GLP-1, etc.
• Imaging/Scans: thyroid ultrasound, adrenal/renal ultrasound, pituitary MRI, CT scanning where indicated, bone densitometry (DXA), liver transient elastography (for fatty liver), vascular imaging for hypertension evaluation.
• Continuous monitoring/technology: For diabetes, use of continuous glucose monitoring (CGM) data review; for obesity/metabolic health, body composition/device-assisted monitoring.
• Local referral or physical assessment: If we identify findings that require face-to-face evaluation (e.g., suspicious thyroid nodule, adrenal mass, endocrine tumour, advanced diabetic complications). In such cases we will liaise with your GP/local specialist centre, and you may be referred through your GP for in-person endocrine specialist review.

We ensure that the online consultation does not compromise safety or quality — when in-person care is required, we will clearly advise it, following the guideline principle of “choosing telehealth when appropriate and escalating to in-person when needed”.