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Mixing NHS and private care.

User
Posted 12 May 2026 at 09:20

I would like to know what rights I have to mix private and NHS care. In particular, rather than wait for a second opinion on the NHS, or to help decide between treatments they might offer, am I free to see an oncologist privately and then go back to the NHS with my decision without jeopardising my NHS status? 

User
Posted 12 May 2026 at 09:42
Short answer yes you can see whoever you want and take that feedback to your NHS consultant for comment.
User
Posted 12 May 2026 at 10:22

You are permitted to mix NHS and private care. They are expected to share test results with each other so that test procedures don't need to be repeated unnecessarily. NHS will not usually provide prescriptions for private care. Sometimes you can transfer your private care over to the NHS if the NHS offers the same.

Some clinicians who do both won't do both with the same patient at the same time, so if you are having a mixture, it may have to be with different clinicians.

NHS clinicians are not permitted to bring up private treatments in an NHS consultation unless you specifically ask them first. So if you are interested in private treatments, do tell your NHS clinician so that they can talk about any possibilities.

One example I have come across a number of times in prostate cancer care is where a patient goes and buys a private PSMA PET scan because they can't get one on the NHS. This doesn't always work, because if you take a private PSMA PET scan result to a clinician in a hospital which doesn't do PSMA PET scans, they might not have any experience of interpreting them. This was highlighted to me by one of the scanner centres which does NHS and private scans - their comment was if you are at a stage of treatment where PSMA PET scans are likely beneficial (which would include probably all cases of recurrence), make sure you're being treated by a hospital which routinely does them and is therefore familiar with how to interpret them.

Edited by member 12 May 2026 at 10:29  | Reason: Not specified

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User
Posted 12 May 2026 at 09:42
Short answer yes you can see whoever you want and take that feedback to your NHS consultant for comment.
User
Posted 12 May 2026 at 10:15

I don't see why not so long as your aim is not to jump the queue. You are simply wishing to obtain a second opinion. Only thing you may want to keep in mind is that if you have MRI etc the cost would be very high. I had private treatment (prostatectomy)which was very expensive. Investigation including consultation+MRI+biopsy could be as high as £8000 and prostatectomy could be eye-watering  £30,000!  Following my surgery I had private PSA monitoring and changed to NHS tests after five years.

 'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.'                    Richard Feynman (1918-1988) Nobel Prize laureate

 

 

User
Posted 12 May 2026 at 10:22

Thank you. No, I'm not hoping to jump the queue, it's in order to get an opinion before I hear what the NHS have to say. If they fail to mention something I've been told in the private consultation, I might then be in a position to discuss these options or return to the private provider.

User
Posted 12 May 2026 at 10:22

You are permitted to mix NHS and private care. They are expected to share test results with each other so that test procedures don't need to be repeated unnecessarily. NHS will not usually provide prescriptions for private care. Sometimes you can transfer your private care over to the NHS if the NHS offers the same.

Some clinicians who do both won't do both with the same patient at the same time, so if you are having a mixture, it may have to be with different clinicians.

NHS clinicians are not permitted to bring up private treatments in an NHS consultation unless you specifically ask them first. So if you are interested in private treatments, do tell your NHS clinician so that they can talk about any possibilities.

One example I have come across a number of times in prostate cancer care is where a patient goes and buys a private PSMA PET scan because they can't get one on the NHS. This doesn't always work, because if you take a private PSMA PET scan result to a clinician in a hospital which doesn't do PSMA PET scans, they might not have any experience of interpreting them. This was highlighted to me by one of the scanner centres which does NHS and private scans - their comment was if you are at a stage of treatment where PSMA PET scans are likely beneficial (which would include probably all cases of recurrence), make sure you're being treated by a hospital which routinely does them and is therefore familiar with how to interpret them.

Edited by member 12 May 2026 at 10:29  | Reason: Not specified

 
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