No referral is needed. 

You can book directly with Professor Sivan without needing to see a GP first. 

For many patients attending our Pain and Fatigue clinic, the journey to this point has already involved multiple appointments and referrals. 

The clinic is led by Professor Sivan who has specialist expertise in chronic pain, fatigue and complex multi-system conditions. 

Professor-level clinical experience means your assessment is conducted by one of the most highly qualified specialists in this field — someone who understands the complexity of these conditions and takes them seriously.

Our clinic is situated on the first floor and is currently accessible via stairs only — there is no lift available. 

We are very aware that many patients attending our Pain and Fatigue clinic may have limited mobility or energy, and we do not want access to be a barrier to care.

 Virtual consultations are available for all Pain and Fatigue appointments and are equally thorough — your specialist will conduct a full clinical assessment remotely, review any investigations and provide a written management plan. 

Please contact us before booking on 0113 388 6399 and we will ensure the right format is arranged for you.

Yes. 

Long COVID is one of the conditions we see regularly in our Pain and Fatigue clinic. 

The symptoms — including persistent fatigue, brain fog, breathlessness, joint pain and post-exertional malaise — can be complex and overlapping. 

Our specialist will conduct a thorough assessment, arrange appropriate investigations and develop a management plan tailored to your specific symptom profile.

Yes. 

ME/CFS is a condition that requires specialist understanding and a careful, pacing-aware approach to management. 

Many patients with ME/CFS have experienced long delays to diagnosis and have felt dismissed by healthcare systems.

Our professor-led clinic takes ME/CFS seriously — providing a thorough diagnostic assessment, appropriate investigations to exclude other causes, and an evidence-based management plan. 

Virtual consultations are strongly recommended for patients with significant fatigue or post-exertional malaise.

Postural Tachycardia Syndrome (PoTS) is a condition affecting the autonomic nervous system, causing an abnormal increase in heart rate on standing. 

Symptoms include dizziness, palpitations, fatigue, brain fog and fainting or near-fainting. 

PoTS is frequently under-diagnosed and often co-exists with ME/CFS, Long COVID and hypermobility conditions. 

Our specialist is experienced in assessing and managing PoTS and will arrange appropriate investigations including tilt-table assessment where indicated.

Investigations are tailored to your individual presentation. 

These may include comprehensive blood analysis covering inflammatory markers, thyroid function, nutritional status, autoimmune screening and hormonal analysis. 

Where appropriate, further investigations such as nerve conduction studies, autonomic function testing, imaging or specialist referral may be arranged. 

All investigations are explained clearly before they are ordered.

A new Pain and Fatigue consultation is £395. Follow-up consultations are £295.

Blood tests and further investigations are charged separately and fees will be confirmed in advance. 

All consultation fees include a written report. 

Virtual and in-person appointments are charged at the same rate.