Hello Jim,
Sorry to see you here, but welcome.
Have you applied for The Tool Kit from PCUK yet, it has a wealth of information to help you decide, as it is only you, with your medics advice and suggestions, that can make a decision with regard to you treatment plan, as regards where, as you are in Derby, Manchester isn't to far away (Ch......s). Have you discussed this with your family ?
I find that it helps to have a family member with you at appointments as it is easy to miss something said when alone.
Best wishes,
Chris.
PS. There are a lot of knowledgeable folk on here, so watch this space!