About Us


We provide a fully comprehensive family GP service in a relaxed environment.

How can we help?

We provide a comprehensive range of General Practice and Occupational Health Services in a calm and comfortable environment with rapid access to a wide range of diagnostic tests and specialists at local private hospitals.

We are located at…

GP at London W1
25 Harley Street


Appointments are available between 8.30am and 5.30pm Monday to Friday at the practice or via GPatHome and it is usually possible to accommodate same day appointment requests.

Dr Fiona Payne

Dr Fiona Payne qualified from St. Thomas’ Hospital Medical School in 1989, having won the BMA Student Journalism award in 1987. After pursuing a career in medical writing for three years, as the medical editor for Dorling Kindersley, advising on numerous health books for adults and children, she resumed her medical training. Returning to clinical medicine in 1992 she completed her post-graduate specialist training in Surgery, Obstetrics and Gynaecology (Part 1 MRCOG) and Oncology, before completing her GP training in South West London.

Dr Payne then worked as a full time GP partner in a large NHS practice in Putney for 13 years, with a special interest in Women’s Heath, gaining extra qualifications in sexual health and contraception (DFFP) and a Diploma of Psychosexual Medicine (DIPM).

In October 2010, Dr Payne moved into the independent medical sector with a GP colleague, Dr Justine Setchell, establishing a Private GP practice – GPatLondonW1, initially based in Harley Street, then at King Edward VII’s Hospital.

In 2012, after developing a thriving private practice, Dr Payne and Setchell set up an innovative online private medical consultation software called “GPatHome” which was part of the 2015 cohort of the City of London Entrepreneur Acadame and is still used by the patients of the practice on a daily basis.

Dr Payne has gained extra qualifications in Menopause management and in 2019 she obtained her qualifications in Occupational Health Medicine (DipOccMed), as the practice also undertakes Occupational Health. She still undertakes NHS locum sessions in her training practice and has retained her NHS roles as a GP Appraiser and Specialist Advisor for the Care Quality Commission.

Dr Payne has taken an active role in the Independent Doctors Federation, serving on the council since 2011 and being GP chair from 2012 until 2015, helping other private GPs to embrace Mandatory Training and CQC advice and is also an Appraiser for the IDF.

In 2015 Dr Payne was elected Honorary Secretary of the Chelsea Clinical Society, organising medical dinners and speakers and is also a Member of the St Albans Medical Club.


Dr Payne and Dr Setchell are experienced private practitioners who provide bespoke personalised care for all their patients.


In addition to face to face consultations they have developed an innovative secure online service called GPatHome which allows members of the practice to communicate remotely with them 7am until 7pm, 365 days a year.


Dr Setchell and Dr Payne have practiced medicine for many years in London and have built up an extensive network of consultant colleagues in all specialities, many of whom are leaders in their field.

Dr Justine Setchell

Dr Setchell qualified from St. Mary’s Hospital Medical School in 1990, completing post-graduate specialist training in general and emergency medicine, obstetrics and gynaecology and psychiatry and was an NHS GP in South West London until 2007 during which period she studied for and obtained DRCOG and MRCGP. She was also a school medical officer for 10 years at a girls independent day school, gaining valuable experience in managing the issues faced by teenagers today.

During this time, she developed an interest in Occupational Medicine, working for Dr. Paul Simpkin in Upper Wimpole Street, gaining her Diploma in Occupational Medicine in 2007. She was the Occupational Health Physician for John Lewis Oxford Street between 2008 and 2017. Her practice, GP at London W1, carries out occupational work for a wide range of companies.

From September 2009 until October 2010, she worked as a private GP in Notting Hill, Chelsea and Chiswick, before moving, in October 2010, to form a partnership at GP London W1 with Dr. Fiona Payne, initially based in Harley Street then at King Edward VII’s Hospital. They cover all aspects of family practice and offer both well woman and well man checks and they both have further qualifications in menopause management. Dr Setchell also works as an Associate in Mr Nick Panay’s clinic, Hormone Health, in Harley Street. Their referral network is comprehensive and they work closely with their consultant colleagues in the care of each patient.

As well as developing a successful private practice, they are also the founding partners of GPatHome, innovative online software enabling GP practices to communicate securely with their patients. They were part of the 2015 cohort of the City of London Entrepreneur Acadame.

Dr Setchell is an active member of the Independent Doctors Federation and Chelsea Clinical Society, currently sitting on the IDF GP committee and is a Chelsea Clinical Council member.

Dr Caroline Wall

Dr Caroline Wall qualified from Imperial College School of Medicine in 2007, undertaking post-graduate training in acute medicine, ENT, trauma and orthopaedics and urology. During her time at Imperial, she also completed a BSc degree with Honours in Healthcare Management. She then pursued specialist training in Anaesthetics and Intensive Care Medicine for 3 years, completing rotations in general anaesthetics, obstetric and regional anaesthesia, pain management and intensive care, finishing with a 6 month research fellowship on the burns unit at Chelsea and Westminster Hospital. She then chose to re-train in general practice with further post-graduate training in obstetrics and gynaecology, paediatrics and general medicine, with a specialist interest in cardiology. Her extensive background in hospital medicine means that she is adept at facing the complex challenges that General Practice can often generate.

She completed her training in 2016 and worked as an NHS GP in Twickenham until the end of 2019. From the time of her qualification as a GP, Dr Wall has also worked as a private GP at Moore Medical Practice in Chelsea and since 2018 has worked at King Edward VII Hospital with GP at W1, working closely with Dr Fiona Payne and Dr Justine Setchell to gain an understanding of their practice so that she can best serve the needs of their patients. Through the experience she has gained at both practices, she has access to an extensive network of consultant colleagues to provide the best quality of care for each and every patient.

Dr Wall covers all aspects of general medical practice from paediatrics, women’s health and maternity checks to men’s health and mental health. She also does well woman and well man checks and is experienced in executive health and wellbeing check ups. She uses an holistic approach to try and gain a better understanding of the individual and their situation to be able to provide tailored care for both patients and their families.

Dr Wall is married to an Army GP and is an active participant in Army life. She has 3 small children – a girl and twin boys and so understands the demands that being a working mother can bring! In her spare time she likes to keep fit and active and spends time with her young family.

General Enquiries





T: +44 (0)20 4580 1152

GP at London W1
25 Harley Street




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