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It is valid from the day of visa approval, which may take quite a while, as visitors are typically not allowed to switch to another visa while in the UK (plus it is August and most Home Office staff will be on holiday).
Keep in mind that doctors are not knowledgeable about immigration costs and payable fees.
(Page 109 of the guidance linked to above)
The role of GPs and primary care
A patient does not need to be ordinarily resident in the UK to be eligible for NHS primary medical care. Therefore, anybody in England, including overseas visitors, may fully register as an NHS patient or as a temporary resident if they are to be in an area for between 24 hours and three months, and consult with a GP without charge.
This applies even if they may be chargeable for non-exempt relevant services. No registration application can be refused on the grounds of race, gender, class, age, religion, sexual orientation, appearance, diversity or medical condition. In reality, this means that the practice’s discretion to refuse a patient is limited. There is no minimum period that a person needs to have been in the UK before a GP can register them, although practices may wish to consider the length of time the patient anticipates spending in the practice area when deciding whether to register the patient as a full or temporary patient.
Furthermore, GPs have a duty to provide free of charge treatment which they consider to be immediately necessary or an emergency, regardless of whether that person is an overseas visitor or registered with that practice. For further information on patient registration, please refer to Patient Registration: Standard Operating Principles for Primary Medical Care (General Practice) (2015) published by NHS England at:
https://www.england.nhs.uk/?s=Standard+ ... dical+Care
Being registered with a GP, or having an NHS number, does not give a person automatic entitlement to free treatment outside the GP practice. OVMs should ensure that local GPs understand this so that they do not unintentionally misinform their patients regarding charges outside the GP practice. Further, where the patient has indicated their consent by way of the patient declaration on the GSM1 form, GPs may identify in the referral letter any patient that may be an overseas visitor or is a qualifying EU or EFTA visitor.
...
However, GPs should not be discouraged from referring their patients to the relevant body. It is the relevant body’s duty, not the GP’s, to establish entitlement for free treatment outside the GP practice. Furthermore, neither relevant bodies nor anyone acting on their behalf should imply that a particular patient should not be registered with a GP practice as that is exclusively a matter for that GP.
Also consider that the ADR visa is one of the most difficult visas to obtain, you need to be prepared for any outcome.