SynomicsOngoing Care
Ongoing Care · Chronic Illness Support

Ongoing support for long‑term, multi‑system illness.

A plan written for you. Regular reviews. Patterns followed over months, not moments.

Some conditions do not resolve after a single appointment. Living with them well takes steady, informed attention over time.

Ongoing Care is a functional and integrative programme. We track your symptoms, what you eat and drink, and the medications and supplements you take, review them with you regularly, and keep a written plan that changes as you do.

Illustrative. Everyone’s pattern is different. Infection Review Extra review Blood test
At a glance

What it includes

  • A written plan, updated after each review
  • Tracking of symptoms, food and medications
  • A planned blood test schedule
  • Regular reviews
  • Nutrition and supplement suggestions
  • Documents for your clinicians

Who it is for

  • Long-term, multi-system illness
  • Support between NHS or private appointments
  • Acting on a Medical History Review or Medical Investigation with us

What it is not

  • Prescribing, reducing or advising on prescription medications
  • Contact with your clinicians on your behalf
  • A replacement of your primary doctor

We take on a small number of Ongoing Care clients at a time, so that each one has the time they need.

Your care, step by step

Everything starts with a phone call.

From there, your care widens one cycle at a time: tracking, tests, reviews and your plan, turn by turn, until you are ready to carry on with confidence.

Illustrative. The rhythm of your care is agreed with you.
Built around you

    Why tracking matters

    A fuller picture, over time.

    Illustrative. Everyone’s pattern is different.
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    An appointment is a snapshot.

    On the day you see a clinician, you might feel fairly well, or unusually unwell. Either way, one day cannot show what has been happening.

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    Your symptoms carry on between appointments.

    Tracking follows them day by day, so the ups and downs between appointments are not lost.

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    Other things go on the same timeline.

    What you eat and drink, the medications and supplements you take, alcohol, exertion, blood tests and your reviews, recorded side by side.

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    Over weeks, a pattern can appear.

    In this example, flares tend to come a few days after the same things: a particular food, a change in medications, or alcohol and exertion together. Seen one day at a time, the link would be easy to miss.

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    Something to look at, not a conclusion.

    We note what we see and raise it with you, and with your clinicians if you choose, so that it can be looked at properly.

    Some details only matter in combination. What you eat and drink, the supplements you take and the medications you have been prescribed can affect one another: some foods can change how the body handles certain medications. When each is recorded in a different place, by a different clinician, these connections are easy to miss. Tracking them together, and reading them against your whole history, means they can be noticed and raised with the clinicians who prescribed them.

    How it works

    The shape of Ongoing Care

    Support is steady and unhurried. The first three months set a clear baseline; after that, the rhythm settles. How often we check in is shaped around you: weekly, fortnightly or monthly, and on weekly you can spread your hours across the week, even daily when you need it. The rhythm can change as your needs do.

    Whichever rhythm you choose, reviews (the rings) are monthly for the first three months, then every quarter, or sooner if new symptoms or results appear. Your hours are our time on your care each month: check-ins, reviews and the work between them. We agree the rhythm with you at the start, and it can change as your needs do.

    Our measure of success

    Success, for us, means that in time,
    you need us less, and
    one day not at all.

    Illustrative. How long this takes is different for everyone.
    Fees

    Fees for this service

    Clear fees, agreed before we begin. Prices are fixed once agreed, and cover our time, not laboratory or testing costs.

    Every service starts with a one-hour Introductory consultation, £250, credited in full if you go ahead.

    Months 1 to 3£9506 hours a month
    From month 4£5003 hours a month
    A check-in every month Every rhythm includes
    • Your personalised plan, updated after each review
    • Symptom and intake tracking, and a blood test schedule
    • Monthly reviews while we set your baseline, then quarterly
    • Nutrition and supplement suggestions, with the reasoning behind each
    Before you begin
    • Starter AssessmentIf you have not had a Medical History Review or Medical Investigation with us: the Introductory consultation, a consultation on your symptoms and a brief medical history in your own words, and a review of your blood test results from the last 12 months.£2,100
    Optional additions
    • Personalised nutrition packagesAvailable with Ongoing Care. Ask us about what would suit you.Ask us

    Hours are our time on your care each month, including check-ins, reviews and the work between them. The minimum term is three months. Laboratory and testing costs are paid by you.

    Questions

    What people often ask

    Do I need a Medical History Review first?

    You need a Medical History Review or Medical Investigation with us, or a Starter Assessment. A Medical Investigation already includes a Complex Medical History Review. Both give us the full picture that Ongoing Care is built on.

    How often will we speak?

    As often as you need. Ongoing Care is shaped entirely around you and your health, and so is the rhythm of our check-ins. Each rhythm, monthly, fortnightly or weekly, comes with a set number of hours a month. On weekly, you decide how to divide those hours across the week, including daily check-ins if that is what you need, for example through a difficult spell or while a new change to your plan settles in.

    We agree the rhythm with you at the start, and it can change as your needs do: closer support when things are hard, more space as you grow more confident. In the first three months we also hold a monthly review while we set your baseline.

    Will you change my medication?

    No. We do not advise on prescription medications and we do not prescribe. Anything to do with medication is for your own clinicians.

    Who pays for blood tests?

    Laboratory and testing costs are paid by you, separately from our fees.

    Is there a minimum term?

    Yes, three months. That covers the first stage, while we set your baseline, and gives your tracking time to show how things are changing.

    Getting started

    Every client begins with a conversation.

    Ongoing Care starts with a one-hour Introductory consultation, credited in full if you go ahead with one of our services.

    Next availability · January 2027

    1. Introductory consultationOne hour · £250, credited if you go ahead
    2. Starter AssessmentA brief history in your own words, a list of your symptoms and a review of your blood test results from the last 12 months, unless you have already had a Medical History Review or Medical Investigation with us
    3. Your personalised trackersDeveloped for you, to follow your symptoms, intake and results together
    4. Your personalised planTailored to you and your goals, and updated as things change