Concierge hyperbaric medicine · UK
Hyperbaric oxygen therapy in the UK, in a proper medical chamber.
A BHA-affiliated hyperbaric unit, a hyperbaric physician on site, and an honest scoping call before you commit to a course. If the evidence for your indication is thin, we say so.
Why patients choose us
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A proper hyperbaric unit, not a wellness pod
BHA-affiliated multiplace or medical monoplace chambers, staffed by trained hyperbaric physicians and technicians — not a spa membership.
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Honest about what HBOT actually treats
UHMS-approved indications only. If your problem is autism, ADHD, chronic fatigue or "anti-ageing", we say so — the evidence is not there.
- 03
Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Indicative pricing
What private HBOT costs in the UK.
Indicative ranges across our partner units. Send the indication and we quote firm figures across two or three options.
In short
A single HBOT session in our network: £150–£400, a full course of twenty from £3,500.
| Session or course | Indicative range | Typical duration | Review |
|---|---|---|---|
| Single HBOT session (private, monoplace) | £150–£300 | 90–120 min | Same visit |
| Single HBOT session (multiplace, medical) | £250–£400 | 2 hours | Same visit |
| Course of 20 sessions (radiation injury) | £3,500–£6,000 | Daily × 4 weeks | Weekly review |
| Course of 30–40 sessions (diabetic foot ulcer) | £5,000–£8,000 | Daily × 6–8 weeks | Weekly review |
| Emergency DCI / CO / air embolism | NHS-funded (urgent transfer) | 4–8 hours | Same day |
| Hyperbaric physician consultation | £250–£450 | 45 min | 1–3 days |
Prices vary by unit, by chamber type (monoplace or multiplace), by the indication and by whether ENT grommets or audiology are included in the course. Emergency indications are NHS-funded via urgent transfer. We come back with a firm quote within one working day.
The problem
The right chamber, the right indication, the right course length.
HBOT is one of the most over-marketed treatments in private medicine. Wellness pods, unlicensed pressures, and courses sold for conditions the evidence does not support. We fix all three before you commit.
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Not sure it is indicated?
Radiation injury, diabetic foot, SSNHL — yes. Autism, chronic fatigue, "anti-ageing" — no. We say so before you spend anything.
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Worried about the chamber?
Monoplace, multiplace, medical-grade only. Trained hyperbaric physicians on site — not a spa membership with a pressure sticker.
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Want it delivered properly?
BHA-affiliated units, UHMS-standard protocols, objective response measurement — including audiology, wound photography and imaging.
The journey
From enquiry to review — what happens, in order.
One clinician from first message to end-of-course review — including the objective response measurement.
Phase 1 · Before your course
Concierge, off-stage for you
Phase 2 · On the day
A few hours at the chamber unit
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. The indication, any prior imaging, radiotherapy records, wound photos, or the diving incident timeline.
- 02
Before
We come back with a recommendation
Within one working day: whether HBOT is genuinely indicated, how many sessions, urgent versus elective, and an indicative price. If the evidence is thin, we say so.
- 03
Before
We arrange the appointment
Emergency indications (DCI, CO poisoning, central retinal artery occlusion) are same-day to a chamber centre. Elective courses are booked to run consecutively.
- 04
On the day
Arrival at the chamber unit
No cosmetics, no synthetic clothing, no electronics. Ear-equalisation coaching, medical review, and a change into 100% cotton scrubs before compression.
- 05
On the day
The session itself
60 to 120 minutes at 2.0 to 2.4 ATA. Multiplace with staff and a mask, or monoplace with the whole chamber oxygenated. You can read, sleep or listen to audio.
- 06
On the day
Decompression and home
Slow decompression to protect the ears and lungs, a short observation, and home the same day. Driving is fine after elective sessions.
- 07
After
The course and review
Chronic indications typically run 20 to 40 daily sessions. Wound photography, symptom scores and audiology are repeated to measure response. A review is arranged.
Typical elective course: 4–8 weeks of daily sessions. Emergency indications: same day.
When it helps
When hyperbaric oxygen is the right step.
The UHMS-approved indications we see most, plus the one red flag that means an emergency rather than an appointment.
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Late radiation injury
Osteoradionecrosis of the jaw, radiation cystitis, proctitis or myelitis after head-and-neck, pelvic or CNS radiotherapy.
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Diabetic foot ulcer (Wagner 3–4)
Refractory ulcers with deep infection or exposed bone — HBOT as adjunct to standard wound care and vascular review.
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Decompression illness (DCI)
Divers with joint pain, neurological symptoms or skin bends — recompression is the definitive treatment and is time-critical.
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Carbon monoxide poisoning (severe)
Loss of consciousness, cardiac or cognitive impairment after CO exposure — NICE-relevant for severe cases within 24 hours.
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Sudden sensorineural hearing loss
Idiopathic hearing loss within 14 days of onset — NICE IPG675 supports HBOT alongside steroids.
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Compromised skin flap or graft
Failing reconstructive flaps or grafts where tissue oxygenation is the bottleneck to survival.
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Necrotising soft-tissue infection
Adjunct to surgical debridement and antibiotics in necrotising fasciitis and gas gangrene.
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Red flag: DCI or air embolism
Neurological symptoms after diving, or air embolism after a procedure, are an emergency — 999 or the UK Diving Emergency line, not a clinic booking.
Chamber options
Monoplace, multiplace, or emergency recompression.
What each type of session actually involves — and which fits which indication.
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Monoplace chamber
A single-person chamber filled with 100% oxygen. Quieter, more private — you breathe the chamber atmosphere directly.
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Multiplace chamber
A larger chamber pressurised with air, staff and other patients inside. You breathe 100% oxygen via a hood, mask or endotracheal tube.
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Emergency recompression (DCI / CO)
US Navy Treatment Table 6 or equivalent — a long, high-pressure session with air breaks, delivered urgently to a chamber centre.
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Elective course (chronic indication)
Typically 20 to 40 daily sessions at 2.0 to 2.4 ATA over four to eight weeks for radiation injury, non-healing wounds and osteomyelitis.
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Short course (SSNHL, CRAO)
A time-limited course of 10 to 20 sessions for sudden hearing loss or central retinal artery occlusion — earlier is better.
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Adjunct with surgical debridement
HBOT run alongside surgery and antibiotics for necrotising infection, refractory osteomyelitis or compromised flaps.
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Ear grommets before a long course
Where equalisation is difficult, ENT insertion of ventilation tubes prevents middle-ear barotrauma across the whole course.
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Hyperbaric consultation only
An honest discussion of whether HBOT is genuinely indicated for your problem, with no pressure to book a course.
Our vetted UK network
A small panel of hyperbaric units, we picked them.
NHS chamber centres in Aberdeen, Portsmouth, Plymouth, Great Yarmouth, Hull and Nottingham for emergencies and commissioned indications. Vetted private units in London and the Midlands for elective courses. Introductions are made privately, once we understand your case.
Selection criteria
How we choose every hyperbaric unit in our network.
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BHA (British Hyperbaric Association) affiliated or UHMS-standard units
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Hyperbaric physicians on site, not remote sign-off
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Multiplace and monoplace options depending on the indication
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Honest scoping — units that decline non-evidence-based indications
Safety and eligibility
What to expect, and where the limits are — honestly.
HBOT is safe and well tolerated for the indications that need it. The things worth planning are ear equalisation, the contraindication check, and knowing that a lot of what is marketed is not supported by the evidence.
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Middle-ear barotrauma is the commonest issue
Ten to fifteen per cent of patients get transient ear pain on descent. Valsalva and Toynbee coaching helps; grommets are used if it recurs.
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Oxygen-toxicity seizures are rare
About one in ten thousand sessions. The chamber team recognises the aura, drops the mask and the seizure settles without long-term harm.
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Temporary myopia during long courses
Vision may shift by up to one or two dioptres over a course of thirty or more sessions. It reverses over weeks after treatment stops.
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Untreated pneumothorax is an absolute no
A chest drain must be in place first. Any suspicion of an air leak is checked with imaging before compression.
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Bleomycin history within twelve months
Increased risk of pulmonary oxygen toxicity. We disclose to the hyperbaric team and, where possible, avoid or defer HBOT.
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Claustrophobia is manageable
Multiplace chambers are large and staffed. Monoplace chambers are clear acrylic with music, film and constant intercom — most anxious patients cope.
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Fire risk is real, protocols manage it
No cosmetics, no synthetics, no electronics inside. Units follow strict fire-prevention drills — this is not overkill, it is why the safety record is what it is.
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Not evidence-based despite marketing
Autism, ADHD, cerebral palsy, general MS, chronic fatigue, "anti-ageing" and sports performance — the evidence is weak or absent. NICE and UHMS both caution.
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Red flags
Chest pain, breathlessness, a new neurological deficit or a suspected pneumothorax during or after a session — chamber team review the same day.
Reading your hyperbaric report
Your hyperbaric report in four parts. Read the last one first.
Whichever indication was treated, the summary the hyperbaric physician sends you keeps to the same shape.
A quiet reminder
Hyperbaric language is precise and can read coldly — we translate it for you.
If you would like us to talk you through the summary before your review, just ask.
- 01 Header
Indication and pressure profile
Why HBOT was recommended, the target pressure (usually 2.0 to 2.4 ATA), session length and total course number.
- 02 Technique
Chamber type and breathing gas
Monoplace or multiplace, oxygen delivery (chamber atmosphere, hood, mask or endotracheal tube), and any air breaks used.
- 03 Findings
Response — wound, symptom, audiology
Objective response: wound area and depth, TCPO2 if measured, symptom scores, pure-tone audiometry for SSNHL, imaging for radiation injury.
- 04 Impression
Recommended course length and review
Read this first: how many more sessions, when to reassess, and whether the course should be extended, stopped or handed back to the referring team.
Recognised by major UK insurers
Cover for HBOT varies by insurer and by indication — usually funded for UHMS-approved indications with an oncology, ENT or vascular referral, self-pay for off-label courses. We confirm cover before booking.
Frequently asked
Everything we get asked about hyperbaric oxygen therapy.
Quick answers on indications, chamber type, cost, safety and what the evidence actually supports.
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What conditions does hyperbaric oxygen therapy actually treat?
The UHMS-approved list: decompression illness, arterial gas embolism, severe carbon monoxide poisoning, necrotising soft-tissue infection, compromised flaps and grafts, late radiation injury (osteoradionecrosis, cystitis, proctitis), refractory diabetic foot ulcers (Wagner 3–4), sudden sensorineural hearing loss within 14 days, central retinal artery occlusion, refractory osteomyelitis and crush injury. Anything outside this list is off-label.
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Does the NHS fund hyperbaric oxygen therapy in the UK?
Yes, for defined indications. NHS chamber centres in Aberdeen, Portsmouth (Whipps Cross satellite), Plymouth, Great Yarmouth, Hull and Nottingham handle decompression illness, severe CO poisoning, late radiation injury and selected diabetic foot ulcers on referral. Private clinics offer a wider list, some of which is not evidence-based.
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How much does a private HBOT session cost in the UK?
Roughly £150–£300 for a monoplace session and £250–£400 for a multiplace medical session. Courses run £3,500–£6,000 for radiation injury (around 20 sessions) and £5,000–£8,000 for diabetic foot ulcers (30–40 sessions). We confirm firm figures within one working day.
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What is the difference between monoplace and multiplace chambers?
A monoplace chamber holds one person and is filled entirely with 100% oxygen — quieter and more private. A multiplace chamber is a larger room pressurised with air, with staff and other patients inside; you breathe 100% oxygen through a hood, mask or tube. Emergencies are usually handled in multiplace.
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How many sessions of HBOT do I need?
One to three sessions for urgent indications (decompression illness, CO poisoning, air embolism). Ten to twenty for sudden hearing loss or central retinal artery occlusion. Twenty to forty for chronic indications like radiation injury, diabetic foot ulcers or refractory osteomyelitis. Each session is 60 to 120 minutes.
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Is HBOT safe? What are the main risks?
The commonest issue is middle-ear barotrauma (10–15%, usually transient and manageable with equalisation technique or grommets). Rare risks include oxygen-toxicity seizures (about 1 in 10,000 sessions), temporary myopia during long courses, and pulmonary barotrauma if there is undiagnosed bullous lung disease. Untreated pneumothorax and recent bleomycin are the main contraindications.
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Does HBOT help autism, ADHD, chronic fatigue or "anti-ageing"?
No, or at least not on the evidence we have. Both NICE and the Undersea and Hyperbaric Medical Society caution against HBOT for autism, ADHD, cerebral palsy, general multiple sclerosis, chronic fatigue, cognitive enhancement and general anti-ageing. If a clinic sells you a course for these, ask them for the trial data.
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Can I have HBOT if I have claustrophobia or ear problems?
Usually yes. Multiplace chambers are large and staffed. Monoplace chambers are clear acrylic with music and intercom throughout. For ear problems, ENT review and a set of ventilation tubes (grommets) before the course prevents most middle-ear barotrauma. Untreated upper respiratory infections should be cleared first.
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