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Author Topic: Can you choose your surgeon in the UK? Ideally sport friendly?!  (Read 2651 times)

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Offline susiewoo

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Can you choose your surgeon in the UK? Ideally sport friendly?!
« on: January 18, 2011, 11:41:16 AM »
I am likely to be having minsicus repair sugery in the next few months and am a bit concerned about the surgeon I'll be seeing. A friend went to him for knee surgery, she is a very good runner but he just told her to stop running. I'm afraid he may be a bit old school. Are you allowed to request a particular surgeon in the UK and if so how do you go about doing it?
I'm a triathlete and don't want to be told to give it up! If anyone can recommend any surgeons who are interested in sports injuries in the Herts/Essex area that would be very helpful.
Any advice gratefully received.
« Last Edit: January 18, 2011, 11:46:28 AM by susiewoo »

Offline vickster

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Re: Can you choose your surgeon in the UK? Ideally sport friendly?!
« Reply #1 on: January 18, 2011, 12:14:23 PM »
To see privately or NHS.  Privately, you can pretty much see anyone you want, need a GP referral.  On the NHS, you can request your GP to refer you to a specific surgeon.  Indeed, ask your GP for recommendations.  There is also a list of knee surgeons in the Information Hub, with profiles.  Also, check out the surgeon profiles on yout local NHS / private hospital website :) 

There is the Royal Ntional Orthopaedic Hospital in Stanmore Middx, top surgeons, don't know if any of them have a specific sports focus (look on the Stanmore Orthopaedic Centre and RNOH websites.  Might also be worth asking at local gyms / sports physio centres if they have any recommendations too :)  Also, ask some of your triathlete friends?

Is the meniscus definitely being repaired or trimmed (not that the surgeon will necessary know if it is repairable until he gets in).  If you have concerns, why not just ask the surgeon you are seeing the direct question about likely post op function based on your own personal profile?
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Stasha83

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Re: Can you choose your surgeon in the UK? Ideally sport friendly?!
« Reply #2 on: January 18, 2011, 01:36:07 PM »
Hi

I can give you the name of a surgeon based in London who looks after athletes. Out of the 3 surgeons I have seen he is the only person that has correctly diagnosed and helped me. I see him privately and am not sure if he does NHS though.
June 2010 - R knee TPF & Hoffa removal
Dec 2010 - R knee- Arthrofibrosis
Dec 2010 - L knee Myxoid degeneration of meniscus
Jan 2011 - R Knee 11 steroid injections & Synvisc1
Feb 11 - MUA & LOA
June 11- Steroid inj, EMG & nerve tests
Aug 11 - MUA & LOA
Feb 12 - R Knee denervation

Offline gryffen

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Re: Can you choose your surgeon in the UK? Ideally sport friendly?!
« Reply #3 on: January 18, 2011, 02:59:44 PM »
Depends on where you live hunni!

The doctor my husband and me went to is the main surgeon for the SPL football clubs in Scotland - and we have absoloutly nothing bad to say about him.

We went via BMI Healthcare, and im unsure if he does england as well??

Lemme know if you want his details for contact.

Offline susiewoo

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Re: Can you choose your surgeon in the UK? Ideally sport friendly?!
« Reply #4 on: January 18, 2011, 04:35:13 PM »
Herts/Essex is where I live and it wil be NHS, not private.

Offline gryffen

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Re: Can you choose your surgeon in the UK? Ideally sport friendly?!
« Reply #5 on: January 18, 2011, 04:50:39 PM »
Ah - sorry hun!

When we did our research for the surgeon, we check online at the private hospitals - many surgeons do both private and NHS, and its just a trick of finding one locally and getting refered to him/her via the GP.

Diffrent legislations for NHS Scotland and England, but always worth a look.

Hope your sorted soon!
 :)

Offline vickster

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Re: Can you choose your surgeon in the UK? Ideally sport friendly?!
« Reply #6 on: January 18, 2011, 05:44:06 PM »
You don't say where you are in Essex but this chap has an NHS practice in Chelmsford, is a knee spec and seems to have an interest in sports injuries
http://www.essexkneesurgery.co.uk/

You need to talk to your GP about alternate NHS referrals - under extended choice, it is in theory possible I believe (but with current cuts I don't know).  Also, I guess you'd go back to the beginning and have to wait up to 18 weeks just to be seen.  You could pay to see him privately and then ask if you can transfer to his NHS list (with your GP's blessing)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Lottiefox

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Re: Can you choose your surgeon in the UK? Ideally sport friendly?!
« Reply #7 on: January 18, 2011, 07:01:48 PM »
The NHS allows you to utilise both Choose and Book and Extended Choice Network. The ECN allows you to ask to be referred to a surgeon at a private hospital so long as it has an agreement with the PCT/NHS. However. The concept of free choice is sadly oversung in the NHS. Whilst you CAN choose, the PCT may decide to make you see a local surgeon first and if they can provide what is deemed the right service then you may not get an out of area referral or an ECN one. You need to be pushy, well informed and clear in your choice WHY to make an ECN referral work. Alternatively, and I would probably second Vickster's advice, you can pay for a private consult (usually around 150) with the OS of your choice and then seek a transfer to his NHS list. Once you're in his system, things can be easier. At least you then know who you are seeing. be very clear as to WHO is going to do the actual surgery though - many members on here have seen consultants but the actual choppage is done by registrars.....

Good luck

Lottie
Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....

Offline vickster

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Re: Can you choose your surgeon in the UK? Ideally sport friendly?!
« Reply #8 on: January 18, 2011, 07:15:18 PM »
Alternatively, and I would probably second Vickster's advice, you can pay for a private consult (usually around 150) with the OS of your choice and then seek a transfer to his NHS list. Once you're in his system, things can be easier. At least you then know who you are seeing. be very clear as to WHO is going to do the actual surgery though - many members on here have seen consultants but the actual choppage is done by registrars.....


I don't know, but can you ever guarantee who will be doing the surgery if on an elective NHS list, especially if in a teaching hospital and for fairly straightforward arthroscopy?  Presumably surgical registrars take a reasonable chunk of their boss's workload for the straightforward cases especially?  Maybe you can if your initial consultation was private and then you were transferred,  be interested to know out of interest :)  What do you then do if the Consultant says it will be the registrar, pay the 3k privately?  Most Consultant OS's only do a day or two a week in the NHS if they also have a private practice!
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Lottiefox

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Re: Can you choose your surgeon in the UK? Ideally sport friendly?!
« Reply #9 on: January 18, 2011, 10:29:08 PM »
I guess I meant more who is going to be in/doing the surgery if you're NHS. Difference between your consultant being there, guiding his registrar and advising and seeing what is happening then giving you feedback to someone else completely doing it whilst your doc is playing golf and your consultant just picks up the file afterwards.....how you guarantee that with the NHS though is indeed as mystery....
Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....

Offline susiewoo

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Re: Can you choose your surgeon in the UK? Ideally sport friendly?!
« Reply #10 on: January 19, 2011, 02:25:08 PM »
I've discovered there is another surgeon in the same hospital as the one who I am meant to be seeing who seems to be very well regarded and rated highly for knee surgery.  I wonder how easy it might be to ask to see him rather than the original one?  I suppose I can't guarantee he'll actually do the surgery, as you say, but at least he might be more sympathetic to discuss it with.  I can't afford to do any part of this privately so it's NHS all the way!

Offline vickster

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Re: Can you choose your surgeon in the UK? Ideally sport friendly?!
« Reply #11 on: January 19, 2011, 02:42:55 PM »
I assume you would have to ask your GP to refer you to him for a second opinion (and get on the waiting list)?  Only way to see a specialist on the NHS as far as I know  ???
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up















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