Frequently Asked Questions

The Chiltern Hills Heart Clinic provides you with:

  • an expert opinion from Dr Punit Ramrakha, an eminent Consultant Cardiologist

  • a rapid and thorough service in comfortable surroundings with experienced staff on hand to put you at ease

  • comprehensive screening for heart disease and stroke with state-of-the-art equipment offering a wide repertoire of non-invasive testing

  • tests booked together, wherever possible, to reduce the need for repeat visits

We aim to provide an excellent clinical service which is centred on patient needs and accessible to everyone who wishes to attend. We offer a choice of treatments wherever possible and involve patients in decisions regarding their care. Our team respect people's choices and treat everyone with dignity and respect. Privacy and confidentiality is assured.

The clinic is CQC registered and meets the Care Quality Commission's Essential Standards of Quality and Safety.  The CQC is an independent healthcare regulator responsible for inspecting the quality of healthcare in the UK.  The results of their latest inspection can be seen here.

  • The Clinic is accessible to patients using a wheelchair.

  • Reserved disabled parking spaces are available near the main entrance. There is a gentle slope down from the car park to wide automatic doors into Reception.

  • Staff are available to help disabled patients access the building or its services if required. Clinical staff will escort patients from the waiting room to the consulting room.

  • Guide or other assistance dogs are allowed into the building.

  • An Induction Loop system is available for use if required.

  • A copy of any of our information in an alternative format, such as large print or audio version, can be provided upon request.

  • If you have any other specific requirements or queries, please contact the Practice Secretary who will be happy to help you

Dr Punit Ramrakha will see you without a referral, however, it is always preferable to obtain a referral from your GP if at all possible. This will ensure the Consultant has up-to-date information on your medical condition, medication and medical history. It is also a requirement of many Insurance companies and may affect your claim if you were not referred by your GP.

Consultations can be booked at the BMI Chiltern Hospital at Great Missenden by ringing Appointments on 01494 890890.

Consultations at the Hammersmith Hospital, London, are by arrangement only via the Practice Secretary on 01494 867616.

Tests and procedures can often be booked without a consultation, please contact the Practice Secretary on 01494 867616 to discuss your requirements.

Patients can also use the enquiry form on this website to request an appointment - please click on Contact Us. You will then be contacted to agree a convenient date and time.

Usually one to two weeks but if you need to see the Consultant urgently, we will always try to arrange this.

Yes. Many tests can be done without the need to have a consultation. These can be booked via the Practice Secretary on 01494 867616. Please call to discuss your requirements.

All test results will be reported by Dr Punit Ramrakha, Consultant Cardiologist, and the results sent to you and your GP.

All tests are reviewed by a Consultant Cardiologist and the results sent to you and your GP as soon as possible.

There is a charge for the Consultation and for each test carried out. Please contact the Practice Secretary on 01494 867616 to discuss your requirements and she will be able to give you an estimate.

This will vary depending on the insurer, the type of policy and its limitations. It is important that you always ring your insurance company in advance of each appointment to keep them informed. Some insurers insist on pre-authorising each of your consultations and tests, others issue a claim number for the duration of your treatment. Pre-authorisation and claim numbers should be given to the hospital or clinic carrying out your treatment.

The Chiltern Hills Heart Clinic is an independent clinic and will invoice you or your Insurance company for Dr Ramrakha's consultation, reporting and procedure fees plus the facilities fees on any tests carried out at the clinic only. If you have had blood tests, radiology, inpatient treatment or any other investigations via our Hospital partners, they will invoice their fees separately.

Yes, many of our patients pay for their own treatment. The Chiltern Hills Heart Clinic will invoice you after your treatment giving details of how to pay. We accept payment by cheque or direct bank transfer. When you come for your appointment, please ensure you tell the doctor on arrival if you wish to limit your treatment to a consultation or a test only.

We can accept payment of the Consultant and Clinic Fees by either cheque or direct bank transfer. We do not accept credit or debit card payments.

Some of our Hospital partners do offer credit card or pre-payment card options and do ask for your card details on your first visit to their Hospital. As we are an independent company, they cannot accept credit card payments on our behalf.

Yes, please contact the Practice Secretary on 01494 867616 to discuss your requirements. In many cases, it is not necessary for you to have a repeat consultation prior to your test or procedure.

Any patient seen privately is entitled to subsequently change their status and seek treatment as an NHS patient, on exactly the same basis of clinical need as any other patient. Please speak to your GP to discuss your options.

Your treatment with us will be on a private basis, including the cost of your medication, until your GP takes over your care. This is usually upon receipt of the consultant's letter following your consultation. An initial private prescription cannot be converted to an NHS prescription but your GP may agree to prescribe repeat medication if the drug is available on the NHS.

We are always pleased to receive feedback on our services and use all the comments we receive to improve our service to better suit you. If you have any suggestions relating to our service or experience any problems relating to your care please contact us or complete our Patient Satisfaction Survey form. If the member of staff you speak to is unable to deal with the problem, they will refer the matter to the Consultant. We hope to resolve any problems quickly and informally but if you are still unhappy, we have a formal procedure for dealing with complaints and would be happy to provide you with further information and brochure if required.

Chiltern Hill Heart Clinic respects your privacy and is committed to protecting your personal data. This privacy notice will inform you as to how we look after your personal data when and after you are a patient with us and tell you about your privacy rights and how the law protects you.

Please also use the Glossary to understand the meaning of some of the terms used in this privacy notice.

Important information and who we are

Purpose of this privacy notice

This privacy notice aims to give you information on how Chiltern Hill Heart Clinic collects and processes your personal data through your use of this website, including any data you may provide through this website.

This website is not intended for children and we do not knowingly collect data relating to children without liaising with their parents or guardians.

It is important that you read this privacy notice together with any other privacy notice or fair processing notice we may provide on specific occasions when we are collecting or processing personal data about you so that you are fully aware of how and why we are using your data. This privacy notice supplements the other notices and is not intended to override them.


 Chiltern Hills Heart Clinic is made up of different legal entities:

  • Dr P Ramrakha Limited; and
  • Chiltern Hills Heart Clinic Limited

This privacy notice is issued on behalf of Chiltern Hills Heart Clinic so when we mention "CHHC", "we", "us" or "our" in this privacy notice, we are referring to the part of Chiltern Hills Heart Clinic responsible for processing your data. CHHC is the controller and responsible for this website.

We have appointed a data protection officer (DPO) who is responsible for overseeing questions in relation to this privacy notice. If you have any questions about this privacy notice, including any requests to exercise your legal rights, please contact the DPO using the details set out below.

Contact details

Our full details are:

Full name of legal entity:  Chiltern Hills Heart Clinic Ltd

Name or title of DPO: Dr Punit Ramrakha

Email address:

Postal address: BMI The Chiltern Hospital, London Road, Great Missenden, Buckinghamshire, HP16 OEN.

Telephone number: +44(0) 1494 867616

You have the right to make a complaint at any time to the Information Commissioner's Office (ICO), the UK supervisory authority for data protection issues ( We would, however, appreciate the chance to deal with your concerns before you approach the ICO so please contact us in the first instance.

Changes to the privacy notice and your duty to inform us of changes

This version was last updated on 23 May 2018.

It is important that the personal data we hold about you is accurate and current. Please keep us informed if your personal data changes during your relationship with us.

Third-party links

This website may include links to third-party websites, plug-ins and applications. Clicking on those links or enabling those connections may allow third parties to collect or share data about you. We do not control these third-party websites and are not responsible for their privacy statements. When you leave our website, we encourage you to read the privacy notice of every website you visit.

The data we collect about you

Personal data, or personal information, means any information about an individual from which that person can be identified. It does not include data where the identity has been removed (anonymous data).

We may collect, use, store and transfer different kinds of personal data about you which we have grouped together follows:

  • Identity Data includes first name, maiden name, last name, username or similar identifier, marital status, title, date of birth and gender.
  • Contact Data includes billing address, delivery address, email address and telephone numbers.
  • Financial Data includes bank account and payment card details.
  • Transaction Data includes details about payments to and from you and other services you have received from us.
  • Technical Data includes internet protocol (IP) address, your login data, browser type and version, time zone setting and location, browser plug-in types and versions, operating system and platform and other technology on the devices you use to access this website.
  • Profile Data includes your username and password, services requested by you, your interests, preferences, feedback and survey responses.
  • Usage Data includes information about how you use our website.
  • Marketing and Communications Data includes your preferences in receiving marketing from us and our third parties and your communication preferences.
  • Special Category Data includes your medical records, and information about your health and medical conditions and treatments.

We also collect, use and share Aggregated Data such as statistical or demographic data for any purpose. Aggregated Data may be derived from your personal data but is not considered personal data in law as this data does not directly or indirectly reveal your identity. For example, we may aggregate your Usage Data to calculate the percentage of users accessing a specific website feature. However, if we combine or connect Aggregated Data with your personal data so that it can directly or indirectly identify you, we treat the combined data as personal data which will be used in accordance with this privacy notice.

Medical and health data amounts to Special Category Data for the purposes of the General Data Protection Regulation. We will not use your Special Category Data for any purpose that is not necessary for providing treatment to you.

If you fail to provide personal data

Where we need to collect personal data by law, or under the terms of a contract we have with you and you fail to provide that data when requested, we may not be able to perform the contract we have or are trying to enter into with you (for example, to provide you with services). In this case, we may have to cancel a service you have with us but we will notify you if this is the case at the time.

How is your personal data collected?

We use different methods to collect data from and about you including through:

  • Direct interactions. You may give us your Identity, Contact and Financial Data, and Special Category (Medical) Data, by filling in forms, in person during consultations in clinic, or by corresponding with us by post, phone, email or otherwise.
  • Automated technologies or interactions. As you interact with our website, we may automatically collect Technical Data about your equipment, browsing actions and patterns.
  • Third parties or publicly available sources. We may receive personal data about you from various third parties and public sources as set out below:
  • We receive Identity and Contact Data, and Special Category Data relating to your health from other health practitioners, including but not limited to general practitioners, clinics, and hospitals in the public and private sector.
  • Technical Data from the following parties:

 (a)  analytics providers;

 (b)  advertising networks; and

 (c)   search information providers.

    • Contact, Financial and Transaction Data from providers of technical, payment and delivery services.
    • Identity and Contact Data from data brokers or.
    • Identity and Contact Data from publicly availably sources.

How we use your personal data

We will only use your personal data when the law allows us to. Most commonly, we will use your personal data in the following circumstances:

  • Where we need to perform the contract we are about to enter into or have entered into with you.
  • Where it is necessary for our legitimate interests (or those of a third party) and your interests and fundamental rights do not override those interests.
  • Where we need to comply with a legal or regulatory obligation.
  • Where we have obtained consent from in respect of a specific activity.

Where we rely on consent as a legal basis for processing your personal data you have the right to withdraw consent to marketing at any time by contacting us at the address given in clause 1.

Purposes for which we will use your personal data

We have set out below, in a table format, a description of all the ways we plan to use your personal data, and which of the legal bases we rely on to do so. We have also identified what our legitimate interests are where appropriate.

Note that we may process your personal data for more than one lawful ground depending on the specific purpose for which we are using your data.


Type of data

Lawful basis for processing including basis of legitimate interest

To register you as a new patient

(a) Identity

(b) Contact

(C) Special Category

(a) Performance of a contract with you

(b) Consent

To perform clinical and diagnostic services, and give related advice and perform treatments and provide care, or make treatment referrals

(a) Special Category

(b) Identity

(a) Performance of a contract with you

(b) Consent

(c) Vital Interest

To process your account and:

(a) Manage payments, fees and charges

(b) Collect and recover money owed to us

(a) Identity

(b) Contact

(c) Financial

(d) Transaction

(e) Marketing and Communications

(a) Performance of a contract with you

(b) Necessary for our legitimate interests (to recover debts due to us)

To manage our relationship with you which will include:

(a) Notifying you about changes to our terms or privacy policy

(b) Asking you to leave a review or take a survey

(c) Responding to complaints

(a) Identity

(b) Contact

(c) Profile

(d) Marketing and Communications

(a) Performance of a contract with you

(b) Necessary to comply with a legal obligation

(c) Necessary for our legitimate interests (to keep our records updated and to study how patients use our services)

(d) Consent

To administer and protect our business and this website (including troubleshooting, data analysis, testing, system maintenance, support, reporting and hosting of data)

(a) Identity

(b) Contact

(c) Technical

(a) Necessary for our legitimate interests (for running our business, provision of administration and IT services, network security, to prevent fraud and in the context of a business reorganisation or group restructuring exercise)

(b) Necessary to comply with a legal obligation

To deliver relevant website content and advertisements to you and measure or understand the effectiveness of the advertising we serve to you

(a) Identity

(b) Contact

(c) Profile

(d) Usage

(e) Marketing and Communications

(f) Technical

Necessary for our legitimate interests (to study how patients use our services, to develop them, to grow our business and to inform our marketing strategy)

To use data analytics to improve our website, services, marketing, patient relationships and experiences

(a) Technical

(b) Usage

Necessary for our legitimate interests (to keep our website updated and relevant, to develop our business and to inform our marketing strategy)

To make suggestions and recommendations to you about services that may be of interest to you

(a) Identity

(b) Contact

(c) Technical

(d) Usage

(e) Profile

Necessary for our legitimate interests (to develop our services and grow our business)

To operate our CCTV system

(a) Identity


(a) Necessary for our legitimate interests to ensure the safety of our patients and staff

(b) Vital Interest


We strive to provide you with choices regarding certain personal data uses, particularly around marketing and advertising.

Promotional offers from us

We may use your Identity, Contact, Technical, Usage and Profile Data to form a view on what we think you may want or need, or what may be of interest to you. This is how we decide which services and offers may be relevant for you (we call this marketing).

You will receive marketing communications from us if you have requested information from us or purchased services from us and provided your express consent you have not opted out of receiving that marketing.

Third-party marketing

We will get your express opt-in consent before we share your personal data with any company outside of CHHC.

Opting out

You can ask us or third parties to stop sending you marketing messages at any time by contacting us on the details given in clause 1.


You can set your browser to refuse all or some browser cookies, or to alert you when websites set or access cookies. If you disable or refuse cookies, please note that some parts of this website may become inaccessible or not function properly. For more information about the cookies we use, please see Terms of Use

Change of purpose

We will only use your personal data for the purposes for which we collected it, unless we reasonably consider that we need to use it for another reason and that reason is compatible with the original purpose.

If we need to use your personal data for an unrelated purpose, we will notify you and we will explain the legal basis which allows us to do so.

Please note that we may process your personal data without your knowledge or consent, in compliance with the above rules, where this is required or permitted by law.

Disclosures of your personal data

We may have to share your personal data with the parties set out below for the purposes set out in the table in paragraph 4 above.

  • External Third Parties as set out in the Glossary.
  • Third parties to whom we may choose to sell, transfer, or merge parts of our business or our assets. Alternatively, we may seek to acquire other businesses or merge with them. If a change happens to our business, then the new owners may use your personal data in the same way as set out in this privacy notice.

We require all third parties to respect the security of your personal data and to treat it in accordance with the law. We do not allow our third-party service providers to use your personal data for their own purposes and only permit them to process your personal data for specified purposes and in accordance with our instructions.

International transfers

We do not transfer your personal data outside the European Economic Area (EEA). If we are of the opinion that a transfer of your personal data outside the EEA is necessary we will not make such a transfer without notifying you and obtaining your consent.  

Data security

We have put in place appropriate security measures to prevent your personal data from being accidentally lost, used or accessed in an unauthorised way, altered or disclosed. In addition, we limit access to your personal data to those employees, agents, contractors and other third parties who have a business need to know. They will only process your personal data on our instructions and they are subject to a duty of confidentiality.

We have put in place procedures to deal with any suspected personal data breach and will notify you and any applicable regulator of a breach where we are legally required to do so.

Data retention

How long will you use my personal data for?

By law we have to keep basic information about our patients (including Contact, Identity, and Special Category Data) for ten years after the performance of services in order to comply with our regulatory body, the General Medical Council.

In some circumstances you can ask us to delete your data: see Request erasure below for further information.

In some circumstances we may anonymise your personal data (so that it can no longer be associated with you) for research or statistical purposes in which case we may use this information indefinitely without further notice to you.


Your legal rights

Under certain circumstances, you have rights under data protection laws in relation to your personal data. Please click on the links below to find out more about these rights:

  • Request access to your personal data.
  • Request correction of your personal data.
  • Request erasure of your personal data.
  • Object to processing of your personal data.
  • Request restriction of processing your personal data.
  • Request transfer of your personal data.
  • Right to withdraw consent.

If you wish to exercise any of the rights set out above, please contact us via the details provided in clause 1.

No fee usually required

You will not have to pay a fee to access your personal data (or to exercise any of the other rights). However, we may charge a reasonable fee if your request is clearly unfounded, repetitive or excessive. Alternatively, we may refuse to comply with your request in these circumstances.

What we may need from you

We may need to request specific information from you to help us confirm your identity and ensure your right to access your personal data (or to exercise any of your other rights). This is a security measure to ensure that personal data is not disclosed to any person who has no right to receive it. We may also contact you to ask you for further information in relation to your request to speed up our response.

Time limit to respond

We try to respond to all legitimate requests within one month. Occasionally it may take us longer than a month if your request is particularly complex or you have made a number of requests. In this case, we will notify you and keep you updated.



Legitimate Interest means the interest of our business in conducting and managing our business to enable us to give you the best service and the best and most secure experience. We make sure we consider and balance any potential impact on you (both positive and negative) and your rights before we process your personal data for our legitimate interests. We do not use your personal data for activities where our interests are overridden by the impact on you (unless we have your consent or are otherwise required or permitted to by law).

Performance of Contract means processing your data where it is necessary for the performance of a contract to which you are a party or to take steps at your request before entering into such a contract.

Comply with a legal or regulatory obligation means processing your personal data where it is necessary for compliance with a legal or regulatory obligation that we are subject to.


External Third Parties

  • Service providers acting as data processors who provide IT and system administration services for example.
  • Service providers who provide an electronic booking and referral system.
  • Other clinical practitioners or health care providers to whom we make a treatment referral.
  • Medical record storage and viewing platforms a systems including but not limited to Heart Health.
  • Professional advisers acting as processors or joint controllers including lawyers, bankers, auditors and insurers who provide consultancy, banking, legal, insurance and accounting services.
  • HM Revenue & Customs, regulators and other authorities acting as processors or joint controllers based in the United Kingdom who require reporting of processing activities in certain circumstances.


You have the right to:

Request access to your personal data (commonly known as a "data subject access request"). This enables you to receive a copy of the personal data we hold about you and to check that we are lawfully processing it.

Request correction of the personal data that we hold about you. This enables you to have any incomplete or inaccurate data we hold about you corrected, though we may need to verify the accuracy of the new data you provide to us.

Request erasure of your personal data. This enables you to ask us to delete or remove personal data where there is no good reason for us continuing to process it. You also have the right to ask us to delete or remove your personal data where you have successfully exercised your right to object to processing (see below), where we may have processed your information unlawfully or where we are required to erase your personal data to comply with local law. Note, however, that we may not always be able to comply with your request of erasure for specific legal reasons which will be notified to you, if applicable, at the time of your request.

Object to processing of your personal data where we are relying on a legitimate interest (or those of a third party) and there is something about your particular situation which makes you want to object to processing on this ground as you feel it impacts on your fundamental rights and freedoms. You also have the right to object where we are processing your personal data for direct marketing purposes. In some cases, we may demonstrate that we have compelling legitimate grounds to process your information which override your rights and freedoms.

Request restriction of processing of your personal data. This enables you to ask us to suspend the processing of your personal data in the following scenarios: (a) if you want us to establish the data's accuracy; (b) where our use of the data is unlawful but you do not want us to erase it; (c) where you need us to hold the data even if we no longer require it as you need it to establish, exercise or defend legal claims; or (d) you have objected to our use of your data but we need to verify whether we have overriding legitimate grounds to use it.

Request the transfer of your personal data to you or to a third party. We will provide to you, or a third party you have chosen, your personal data in a structured, commonly used, machine-readable format. Note that this right only applies to automated information which you initially provided consent for us to use or where we used the information to perform a contract with you.

Withdraw consent at any time where we are relying on consent to process your personal data. However, this will not affect the lawfulness of any processing carried out before you withdraw your consent. If you withdraw your consent, we may not be able to provide certain services to you. We will advise you if this is the case at the time you withdraw your consent.

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