Terms and Conditions of Service

EMpaediatrics – Dr Emanuela Manea

These Terms and Conditions govern the private paediatric services provided by Dr Emanuela Manea. They set out how the services are delivered, your responsibilities, and other important information regarding appointments, payment, and care.

1. Not an Emergency Service

Dr. Emanuela Manea  does not provide emergency medical care.

If your child requires urgent or life-saving treatment, you must seek immediate NHS emergency care. Call 999 or 111, or attend your nearest Emergency Department, particularly if your child has:

• Difficulty breathing (your child is struggling to breathe with skin sucking in around ribs with each breath or too breathless to talk, eat or drink)
• Fever and unwell babies under 5 months of age
• Persistent high fever with your child becoming increasingly unwell
• A non-blanching rash (a rash that does not fade when pressed)
• A severe allergic reaction (e.g. anaphylaxis)
• Bleeding that does not stop
• Confusion or disorientation
• Ongoing seizures
• Collapse, is unresponsive or cannot be woken
• Burns and injuries
• Witnessed or suspected to have ingested a substance or taken a medication overdose
• Thoughts of self-harm or suicide  

2. Scope of Services

We provide private paediatric consultations for babies, children, and adolescents up to 18 years old.

The service does not include:

All assessments, investigations, and prescriptions are issued based on clinical judgement, evidence-based guidance, and the best interests of the child.

3. Online Consultation Limitations

3.1 Limitations

Online consultations may limit physical examination, measurement of vital signs, or certain assessments, reducing diagnostic certainty.

3.2 Suitable for

3.3 Unsuitable for

4. Children and Consent

Children under 16 must be accompanied by a person with parental responsibility. Appointments must not be booked unless the responsible adult can attend.

For children aged 14–17, parental attendance is encouraged to support history-taking, shared decision-making and treatment planning. However, where appropriate, part of the consultation may take place privately with the young person in line with professional guidance.

Parental responsibility cannot be transferred to others involved in the child’s care (including nannies, grandparents, siblings, aunts, and personal assistants) without a court order. Such individuals may attend alongside the person with parental responsibility.

Documentary evidence confirming parental responsibility must be provided at registration (electronic copies of birth certificate, valid ID, legal documents are accepted). Failure to provide documentation may result in the appointment being rescheduled.

5. Interpreting and Translation

Consultations are conducted in English.
If you require translation, you must arrange for an adult interpreter (18+). You are responsible for the accuracy of the translation.
If communication barriers prevent safe consultation, the appointment may be rescheduled.

6. How We Accept Your Booking

You may request a service via telephone, email, or online booking.  A contract is formed when we confirm your appointment.
If we cannot accept your request, we will notify you and no charge will be made.

7. Appointment Duration

Late arrival may reduce consultation time.

8. Fees and Payment

8.1 Consultation Fees

Fees are communicated at the time of booking:

8.2 Payment Terms

8.3 Failure to Pay the Invoice

If payment is not received within 48 hours of the invoice being issued, the following actions may be taken:

  1. Reminder Notice: You will receive a written reminder requesting immediate payment.
  2. Suspension of Services: Any upcoming or ongoing services may be suspended until the outstanding balance is settled.
  3. Recovery of Costs: Additional reasonable costs incurred in recovering the debt may be charged.
  4. Termination of Contract: Continued non-payment may result in termination of the contract for services not yet provided, with any previously paid fees for future services being withheld to cover costs.

9. Cancellation and Non-Attendance

10. Our Duty of Care and Clinical Decision-Making

We provide paediatric medical services in line with professional and ethical UK and international standards, current evidence-based practice, and the best interests of the child.

It may not always be possible to reach a final diagnosis at the first appointment. This may be due to evolving symptoms, the need for further observation, additional investigations or specialist input.

We recognise the emotional impact of illness on families and provide space for concerns, expectations and questions. If your views differ from the clinician’s professional opinion, this should be discussed openly.

11. Post-Consultation Queries

You may contact the practice by email regarding matters discussed in your consultation for up to 7 days after your appointment.

Beyond this period, further clinical advice requires a follow-up appointment.

Email is not suitable for urgent or emergency medical advice.

12. Safeguarding

We are committed to safeguarding children in accordance with statutory and professional guidance. Relevant information may be shared with authorities when required by law.

13. Data Protection and Confidentiality

All personal and medical information is handled in accordance with UK GDPR, the Data Protection Act 2018 and professional confidentiality standards.

• Personal data are stored securely
• Electronic systems are encrypted
• Information is shared with your GP or other specialist upon consent
• Medical records are retained and stored securely in accordance with professional record retention guidance

Consultations are not audio or video recorded.

Recording consultations without consent is not permitted.

Full details are provided in the Privacy Policy.

14. Feedback and Complaints

We welcome feedback and aim to provide respectful, high-quality care.

If you wish to raise a concern or complaint, please submit this in writing to [email protected]

Complaints will be reviewed in accordance with our internal procedures, and a written response will be provided within 20 working days. .

15. Acceptance of Terms

By booking or attending an appointment, you confirm that you have read, understood, and agreed to these Terms and Conditions.

Doctify Review