Spire Nottingham Hospital sees increase in patients paying for their own treatment.

20 November 2017

Since opening earlier this year Spire Nottingham Hospital has seen a steady rise in patients paying for their own treatment.

For some it may be that the waiting times are just too long, whilst for other their treatment options may have been restricted as they are listed as Procedures of Limited Clinical Value (PCLV).

There are many reasons why having to wait for medical treatment can be a bleak prospect. For some they will be in pain or unable to work or have a nagging problem that chips away at their quality of life; whilst for other they simply want to get back to what they love doing.

And for many that don’t have private medical insurance, ‘self pay’ seems to be an option, especially with finance available to some - subject to terms and conditions.

Varicose vein removal, vasectomies and vasectomy reversals and many other operations have been placed on the NHS list of Procedures of Limited Clinical Importance (POLCV) which can severely limit access to treatments. The term ‘Procedures of Lower Clinical Value’, refers to procedures that are of value, but only in the right clinical circumstances – which means treatments with minimal health gain are restricted.

Cataract removals and even hip and knee replacements have also made it onto the POLCV list and many people are finding they no longer qualify for treatment or are waiting longer to see a consultant.

If paying for your treatment is the pathway you decide on then, at Spire Nottingham Hospital, you will receive fast access to consultants and diagnostics. You will then learn what treatment you need and, importantly, the fixed price for the complete course of that treatment.

What are the top ten procedures that people are paying for?

1. Hysterectomy
A hysterectomy is an operation to take out the uterus (womb), and sometimes the cervix and other reproductive organs. A radical hysterectomy involves the surgical removal of
the uterus, ovaries, cervix, oviducts, lymph nodes and lymph channels. In all cases, if the woman is pre-menopausal, menstruation will stop and she will not be able to bear children.

2. Cataract surgery (Phacoemulsification)
Modern cataract surgery where the eye’s dysfunctional lens is emulsified with an ultrasonic hand piece and removed from the eye to be replaced with an irrigation of balanced salt solution, which cools the hand piece and maintains the structure of the eye until a new artificial lens is inserted.

3. Epidural
Epidural steroid injections (ESIs) are a common treatment option for many forms of lower back or leg pain and are an integral part of the non-surgical management of sciatica. The aim of the injection is pain relief and, at times, the injection alone is sufficient. However, it is commonly used in combination with a comprehensive rehabilitation program to provide additional benefits.

4. Colonoscopy
A colonoscopy is an examination to look at the lining of your whole large bowel. A long flexible tube (endoscope) with a bright light and a tiny camera on the end is inserted through the back passage to enable a clear view of the bowel lining.

5. Arthroscopy
Arthroscopy is a surgical procedure which uses a thin telescope with a light source (an
arthroscope) to look inside joints and, if necessary, the surgeon can use an arthroscope to perform ‘keyhole’ surgery. Arthroscopy is most often used to investigate or treat knee problems but can also be used for the shoulder, hip, elbow, wrist and ankle or and even for hand or foot problems.

6. Endoscopy
An endoscopy involves examining the inside of a person’s body using an endoscope - a long, thin tube with a light and a video camera. An endoscopy is a minimally-invasive diagnostic
medical procedure used to examine the interior surfaces of an organs or tissue. It can also be used for enabling biopsies and retrieving foreign objects.

7. Vasectomy reversal
A vasectomy reversal reconnects the male reproductive tract after interruption by a vasectomy.

8. Knee replacement
Knee replacement or knee arthroplasty, is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve pain and disability. It is most commonly performed for osteoarthritis or other knee diseases such as rheumatoid arthritis and psoriatic arthritis.

9. Hip replacement
Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant. Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement.

10. Prolapsed disc
With a prolapsed disc a surgeon will endeavour to take away the bulge that is pressing on the nerves. A prolapsed disc often causes severe lower back pain, as well as pain and other symptoms in the leg.

For more information or to book an appointment call our Bookings team on 0115 937 7801 or email NTGbookings@spirehealthcare.com.


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