For many patients, seeing a private cardiologist is worth it primarily because of speed. NHS waiting times for a first cardiology appointment currently average 18 to 52 weeks in many parts of England. Private appointments are typically available within one to two weeks, with test results the same day.
The NHS remains the right long-term pathway for managing established heart conditions — but the gap between symptoms and diagnosis is where private care makes the most practical difference.
What the Wait Actually Looks Like
NHS cardiology waiting times have lengthened significantly over the past few years. In many areas, a GP referral to a first outpatient appointment now takes 18 to 52 weeks. Tests such as an echocardiogram typically add further months on top.
That means the time from noticing a symptom to receiving a diagnosis can exceed a year.
Source: NHS My Planned Care — North East & Yorkshire
What Private Cardiology Offers
Private cardiology doesn't solve the underlying system problem. But it does offer a different pathway for people who can't — or don't want to — wait.
The practical differences are significant:
- A first appointment is usually available within one to two weeks
- An echocardiogram can often be performed at the same visit
- You see the same consultant each time
- Results are discussed with you before you leave
Whether that matters depends on your clinical situation, your level of concern, and whether waiting is manageable.
When the Wait Is Fine
Not every cardiac referral needs to be seen urgently. If your GP has reviewed your symptoms, your ECG is normal, and your condition appears stable, waiting on the NHS list is entirely appropriate.
The NHS also remains the right pathway for:
- Emergency or urgent symptoms — severe chest pain, collapse, or breathlessness at rest should go to A&E or 999, not private outpatients
- Ongoing management of known, stable conditions already under NHS cardiology
- Situations where cost makes private care inaccessible
When the Wait Becomes the Problem
The harder question is what happens when waiting generates real uncertainty, anxiety or delays important life choices or events?
Symptoms like palpitations, breathlessness, a heart murmur, or unexplained chest tightness can be highly anxiety-provoking when left unexplained. For some patients, that uncertainty has a direct effect on how they work, exercise, or travel.
In those situations, a rapid private assessment — with results the same day — can matter beyond just the speed.
What Does It Cost?
A private cardiology consultation typically costs £150–£250. An echocardiogram adds £300–£450. A full one-stop assessment including consultation, ECG, and echo is typically in the range of £500–£700.
Many patients fund this through private medical insurance. Bupa, AXA, Aviva, Vitality, WPA, and Cigna all cover cardiology. A GP referral letter is usually required to activate cover.
Using Both Systems Together
Seeing a private cardiologist does not affect your NHS care or your place on any waiting list. Many patients choose a private initial assessment for a quicker diagnosis, then return to NHS care for ongoing management.
If something significant is found privately, referral into the NHS pathway for further investigation or treatment is straightforward.
About This Service
Dr Matthew Balerdi is a Consultant Imaging Cardiologist offering private appointments across Hull, Scunthorpe, and Grimsby. Appointments are typically available within one to two weeks. An echocardiogram can usually be performed at the same visit.
Frequently Asked Questions
Does seeing a private cardiologist affect my NHS care?
No. Seeing a private cardiologist does not affect your NHS position or your place on any waiting list. According to Dr. Matt Balerdi, Consultant Cardiologist, many patients use private care for initial assessment and then return to the NHS for ongoing management.
How long is the wait for a private cardiologist?
A first appointment with Dr. Balerdi is typically available within one to two weeks. An echocardiogram can usually be performed at the same visit, with results discussed before you leave.
What does a private cardiology appointment cost?
A private consultation typically costs £150–£300. An echocardiogram costs £300–£450. Many patients fund this through private medical insurance, which typically covers cardiology.
When should I go to A&E instead?
Severe chest pain, collapse, sudden breathlessness at rest, or symptoms suggesting a heart attack require A&E or a 999 call immediately — not an outpatient appointment, private or NHS.
Written by Dr Matthew Balerdi FRCP, Consultant Imaging Cardiologist. GMC: 6077164. Last reviewed: April 2026.
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