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NHS vs Private ?

User
Posted 31 Jul 2022 at 18:17

It is a postcode lottery indeed BUT I live in a area with a large teaching hospital on my doorstep. Going private for prostate cancer is very expensive and there is a lack.of aftercare that may or may not be taken up by the NHS .I could not have had better or more timely treatment from the NHS than if I had been a private patient I have wonderful designated oncology nurses who all go the extra mile to ensure I am looked after and any problems are sorted immediately .I've just had COVID and my nurse arranged delivary of the  anti viral Paxlovid the very next day after we reported my positive test to her .I thus recovered very quickly and am fine .My consultant prescribed the VERY expensive (£36000 a year ) anti Androgen Enzalutimide as first line treatment after removal of my prostate via the da Vinci system failed to solve the problem some lymph nodes  were affected and  my PSA remained high .After four weeks on ADT and Enzalutimide my PSA was undetectable and that is where it has remained  for two years .I also had RT all provided by the NHS and three monthly chats with one of the nurses or my consultant to keep an eye on me .My wife has just had a cateract operation done privately it cost £4000 she wanted the best lense because the NHS only provide distance lenses and the best surgeon he is a teaching Professor  and the result has been wonderful for her. But for something like prostate cancer where something like between 30 and  50 percent of men will need further salvage treatment later then the NHS is better for continuity and ongoing care .Choosing your NHS hospital carefully is recommended as not everyone lives in an area where there are centres of excellence .I was seen very quickly when my PSA started to rise and had the operation 5 weeks after agreeing it should be removed .As people have already said the only real difference between private and NHS if you chose your NHS hospital carefully is a room to yourself and a better menu .The outcomes for prostate cancer are very variable and this is the same case whether you are a private or NHS patient .

User
Posted 01 Aug 2022 at 11:01

Originally Posted by: Online Community Member

As people have already said the only real difference between private and NHS if you chose your NHS hospital carefully is a room to yourself and a better menu .

If we're talking about robotic surgery, I'm afraid that even that probably won't be true! I had my nephrectomy operation (kidney cancer) privately - work medical insurance - and the private hospital (like most) did not have a Da Vinci robot. Had my surgery in the local big NHS hospital (which did had a robot) where it was performed on a Saturday by the consultant urologist I was seeing privately, who was also the head of urology at the hospital. Like many NHS hospitals, it makes extra money by renting out the use of its operating theatres at the weekend to private patients. It doesn't have private rooms, so I was on an NHS urology ward, eating NHS food (which was absolutely fine). The only thing I got which an NHS patient probably wouldn't have was a visit from the consultant on the Sunday to see how I was doing. Other than that, my surgical treatment was exactly the same as an NHS patient.

Cheers,

Chris

 

 
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