FAQ

  • Do I need a GP referral to see you?

    No, you can contact Katy, my PA and book an appointment. (See Home) But if you are insured your insurance company may require a GP referral before they will reimburse you. Please check your policy re. this.

  • Do you work with all insurance companies?

    I accept patients and am recognised by all UK insurance companies.Some of the companies try to force their patients to travel out of region to see surgeons with whom particular fees have been negotiated.My fees are on line with the fee structure by most surgeons in the region (we are not allowed to agree on a charge - that is regarded as forming a cartel!). For my present fees please refer to fee sheet.

  • If I see you as a Private Patient can I later transfer to the NHS?

    Yes, you transfer to anyone (me included) at any time. But in order to do so you will need to contact your GP for an NHS referral, as I am not allowed to transfer your care to any NHS service.

  • What days do you have clinics?

    The clinic in Bury St Edmunds is normally open Friday afternoon, but other times can be arranged if required.

  • Can I see you at any of the clinic sites?

    Yes, I can see you at any site but whereas the clinic in Bury St Edmunds is open most weeks, the other clinics are attended less frequently. Please contact my PA, Katy for advice re. this (See Home).

    My clinic in Bury St Edmunds has X-ray facilities; at the other sites the X-rays need to be done off-site, and they are therefore better suited for consultations not requiring investigations (Medico Legal reports, Insurance reports etc). See
    Maps in Medicolegal Section for locations

  • I have had X-rays done at my local hospital. Do I need new X-rays?

    It depends on when the images were done and their quality. Please let my PA know when and where they were done and we can transfer the images electronically. If you have had X-rays done overseas and they are in the old format (not electronic) please bring them along. All radiology requires radiation, and I prefer not to repeat investigations if at all possible.

  • Do most patients with shoulder pain need surgery?

    No, by far the majority can be treated with advice, physiotherapy, activity adjustments, sometimes steroid injections and only very rarely surgery. My job is generally to rule out any underlying cause that requires surgery and to reassure.

    Between 70 and 80 % of the patients seen by me are treated without surgery. So even if you come to see a surgeon chances are that you will not need surgery.

  • Where do I need to go to attend physiotherapy?

    You can attend a physiotherapist of your choice. You will need to ensure that the physiotherapist is recognised by your insurance company. Shoulder physiotherapy may require special experience (preferably by a member of BESS -British Elbow And Shoulder Surgery) and it may be necessary to travel to see a therapist with such experience. I work with a number of clinics in East Anglia who all provide excellent service.

  • My GP has difficulties sorting out my pain management. Can you do this?

    That is a difficult one! It all depends on the cause of your pain. If there is a specific physical problem this needs to be identified and treated - preferably without but sometimes with surgery.

    Malignancies (cancer) around the shoulder are rare; by ruling out any underlying sinister cause of the pain it is much easier to manage it. But pain management often requires a multi-discipline approach. Magic wands are unfortunately in short supply, but it is surprising how often pain can be alleviated by reassurance.

  • Where do you operate?

    I perform all surgery at the West Suffolk Hospital in Bury St Edmunds where I also have my NHS practice. Having surgery done in a setting with multi-specialty around-the-clock back-up, Intensive Care facilities etc. is in my opinion far safer than having the procedure done in a small unsupported private unit.

    See
    Maps in Medicolegal Section for location

  • Do you have specific days for surgery?

    Surgery is generally performed flexibly, depending on patient needs and my availability.

  • You replaced my hip 8 years ago and now the other one is wearing out. May I see you regarding this?

    Yes, you may see me but I would suggest that you see one of my "hip colleagues". Although I have done 100’s of hip replacements (and knee replacements as well) I have for several concentrated on shoulder, elbow and hand conditions.

    There is more than enough work in the upper limb to keep me busy - and the days of doing “General Orthopaedic Surgery” are over. But I am pleased to say that by far the majority of my hip replaced patients are doing very well.

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