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think about it last won the day on December 27 2017

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  1. The other thing that strikes me is that the referral pathway may necessitate that all patients are referred for initial examination at an NHS facility but is treatment is necessary then the choice of where treatment will be given is then made. It makes far better sense to have the initial appointments in one place so the the team diagnosing and setting treatment plans are centralised and then additional treatment capacity is sought from the private facility.
  2. In fairness you’ve explained the situation really well on here, there’s no secret code or technique to writing to a PM. We’re just normal people doing a job so don’t feel like it needs to be a perfectly crafted 10,000 word masterpiece, it really doesn’t. Half a page of simply put “We’re not happy with x, please can you help us get y...” will do just fine.
  3. I can’t help but think that we’re massively over complicating things here, pick up the phone and ask to speak with the PM. Explain the issue and ask them to sort it out. I could solve 99.999999% of problems within an hour or so provided someone actually told me what the problem was. By the time I was receiving letters spanning several pages and having to dig through notes and speak to people to get their accounts of what happened it could take weeks to gather the info and get replies from everyone. Just pick up the phone at lunchtime on Tuesday, ask for the PM and if they’re unavailable ask when they can be contacted and speak to them so they have an opportunity to resolve what is probably a very simple issue rather than trawling out weeks of waiting.
  4. A quick thought on this one - you say that the request is on behalf of a family member. My initial thinking would be around whether or not you’re entitled to that information, whether or not the practice has received separate instruction from the data subject and whether or not you have the data subject’s consent to access their data in a form that is easily agreed upon and demonstrated to the data controller. It’s very unusual for no response to be made at all but I have dealt with requests where the patient has expressly told us not to provide any information about their care to family members. Another added complication can be in instances of family break ups where vexatious requests are made to try to gather information to undermine the other party.
  5. In which case you’ll understand that the consultant will need to prioritise their caseload and having their own team member reviewing the cases. I totally understand the situation but do stick with the process.
  6. Just reading through this and I can only agree with the other responses. Seeing a specialist nurse is part and parcel of just about every referral pathway and certainly not a nightmare. They’re often just as knowledgeable as the consultants themselves and certainly more experienced than a foundation year doctor who happens to have a GMC number but may only be a few years out of medical school. As for complaining, well frankly there’s nothing to complain about. I suggest that you attend the appointment as booked and take it all from there.
  7. think about it

    dental referal

    I can’t offer any specific advice about the process but if you have any concerns over the procedure then please do talk them through with your dentist, it could be that the dental hospital isn’t necessarily the best place for your treatment or that the dentist agrees with you and refers you urgently. Nevertheless it’s worth talking it through openly and airing your reasoning.
  8. Okay, so it’s unlikely that there’s anything currently documented in any detail on your medical records. This explains the GP’s reluctance to put anything in writing as they don’t yet know anything about it. But, after your next appointment on the 21st you’ll be able to ask for a copy of your medical records for free under GDPR. If during that conversation you explained exactly what was happening, what helped and how sitting in a less brightly lit area and after that made a SAR for a basic summary of your records then the most recent consultation would appear on it. You could then present this to your employer as proof of your GP’s understanding of your situation. Worth a try.
  9. Okay - there’s one potential way around this. But first I need to ask something. Did you, whilst speaking to your GP actually consult over the headaches you’ve been having? Did they discuss it with you in detail and document that conversation? Did they offer any medication or other advice?
  10. It depends how far you’re moving really and if you can speak to the consultant’s secretary and explain the circumstances. I’d be tempted to stay on the list where you are currently if at all possible. In that respect it’s a little bit like swapping queues in a supermarket, you join at the back regardless of where you where previously. If you move you’re likely to find that the new surgeon will want to assess your case and then place you on their list accordingly.
  11. Aaron, you weren’t fobbed off - asking the GP to write to confirm something they know nothing of and then signing it means that they’re confirming what they’ve written. In this case all they could write is “the patient tells me...” as they’ve no history to back it up. The charge is about standard for such a letter, perhaps you can negotiate with your employer to cover some of the cost?
  12. and today I cleared the biggest obstacle in the whole process by getting my security clearances appproved by the MOD.
  13. As someone who occasionally has to smile politely as I’m handed pots of effluent by patients I can say wholeheartedly that poo isn’t the one that makes us feel queasy. It’s sputum that has us all reaching for the sick bowl.
  14. Being offered a fantastic new job after being told that although I’d passed the recruitment process there were no vacancies a couple of months ago. Today the offer arrived!!!
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