FAQ Page

Below are a list of frequently asked questions which I hope will help you.  If you require any further information, please let me know via the Contact page above.

I would recommend you confirm with your insurance what is and is not covered under your particular policy.

How do I make an appointment?

If you wish to make an appointment please contact us using the Contact page above.

Should I go to Spire Alexandra or KIMS?

I have the same practice in all three hospitals and your decision should be based on convenience for you and any preference you may have for a particular location and hospital.

How long does the appointment last?

I allow ample time for both new and follow up appointments. The actual length of a consultation will vary according to the complexity of each individual case. Should investigations be necessary they may be organised on the same day or at a later date.

Should I get a referral letter?

If you are paying for your own treatment then a referral is not necessary, although in general it is preferred. The majority of insurers will require a GP referral before authorising a consultation, investigations or any treatment. Many of my referrals come from physiotherapists and most insurers will now accept that mode of referral.

Do I need prior authorisation from my medical insurer?

You should obtain a pre-authorisation number from your insurer before the day of your visit to a hospital or clinic. We work with all of the major health insurance companies and, if at the time of
making an appointment you are unfamiliar with this process, we will be happy to explain this to you.

Do I need to have Private Medical Insurance to be seen?

No. While most people being treated in the private sector will have insurance cover, an increasing number are choosing to fund their own treatment. There are a variety of ways to pay for treatment, including by instalment, but in general the hospital would require payment for surgery in full in advance.

Can I fund my own treatment?

If you are planning to fund your own treatment and would like to obtain an estimate of costs, there is no need for a referral and we are happy to base an estimate on the information you are able to provide. Should you need surgery we look at the charges from all the hospitals where I practice and give you the option to make an informed decision.

Are you recognised by my insurance company?

I am recognised by all the major insurance companies as a Consultant Orthopaedic Surgeon. There are a large number of policies that cover differing aspects of care and I would recommend you
ensure that you confirm what is and is not covered under your particular policy.ext.

Do you charge me any extra?

My fees are usually covered in full by insurers, apart from your policy excess. However, there are many different insurance products and some of them may not cover the entire fee. I would advise you to check with your insurer before proceeding with any treatment.

Am I responsible for any fees?

Whether or not you have private medical insurance you are ultimately responsible for any fees incurred for consultations, investigations and surgery.

What happens if I need surgery?

Should any surgery be necessary, a convenient time will be organised based on the nature of the operation, the necessary rehabilitation and the recovery time. I allow plenty of time and opportunity to discuss the surgery, the pre-operative phase, what happens during surgery and on the day, as well as what is to be expected after the surgery in the rehabilitation stage. Surgical procedures all have a code that insurers and hospitals use and you are advised to obtain an authorisation number beforehand if using insurance.

How long will I be in hospital?

Some operations are done as a day case while others require a stay in hospital. Although insurers and hospitals will place an expected length of stay on any procedure, it is in general better to keep any inpatient time to a minimum. You will be discharged as soon as it is safe and appropriate.

Will I need any painkillers?

Most patients who undergo major surgery would have a ‘Regional Block’ i.e. an injection around the nerves to help with pain control. You will get an opportunity to discuss this with the anaesthetist either on the day of surgery or by prior arrangement.  The ultimate decision is made following a discussion with you (patient), surgeon (me) and the anaesthetist. Painkilling (analgesic) and anti-inflammatory drugs play an important part in your rehabilitation following surgery. They help to control pain and swelling, enabling you to carry out your exercises and increase mobility. You will be provided with a supply of medication to take away after your operation. If you have any queries about pain relief please talk to the doctor on the ward, nursing staff or to me.

What do I do about my physiotherapy?

I work closely with a number of excellent physiotherapists and will discuss with you the most suitable. Most physiotherapists are recognised by all the major insurers. You will need to check your policy to see whether or not physiotherapy is included. The number and frequency of sessions required will be individually tailored to, and guided by, your progress.If you have surgery, it’s often beneficial to have the physiotherapy at the same hospital but not necessary. Please discuss this at your appointment with me or at the time of surgery with the therapist..

Do I need to come back and see you?

The number of further consultations you need will depend on the operation you have had and how closely I need to monitor your progress. In general I aim to continue to see you until you have fully recovered from any procedure.

Do you offer Keyhole (Arthroscopic) Surgery?

A vast majority of my surgical procedures are keyhole, especially repair or reconstruction work. I undertake all rotator cuff and shoulder stabilisation surgery as keyhole procedures. This ensures less tissue damage and better pain relief and faster rehabilitation after surgery. I also offer keyhole surgery for some elbow and wrist surgery as appropriate. Please feel free to discuss at the time of your appointment.t.

Am I covered on my insurance policy?

I would recommend you confirm with your insurance what is and is not covered under your particular policy.