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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

User
Posted 16 May 2026 at 17:04

Chris,

I had that problem but it seemed to be a matter of procedure.  The GP's office said while I was in the charge of the NHS hospital they could have no involvement.   It was some time ago.

More recently I got a private prescription and went to buy it at my local chemist.  It was suggested I went to the GP and ask them to prescribe it.  I didn't like the idea and thought it wouldn't be possible.  Since then I've read it is possible.

Also I asked my PCa consultant if I could get private psma test and would they look at it.  They said they would but that they'd do it when necessary, at another hospital.

Regards
Peter

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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

User
Posted 13 May 2026 at 12:22
I had my prostactomy in the NHS after I had seen the consultant privately. The only requirements for treatment on the NHS were:

Contract in place with the hospital

NHS MDT assesment still recommended treatment

This was 11 years ago now so probably completely different.

User
Posted 13 May 2026 at 14:20
My Husband had all investigations and RARP via NHS. Two years later still totally incontinent so had further investigations through NHS (euro dynamics and cystoscopy) to prove cause; was recommended for fitting of AUS (NHS) but we asked about the newer ATOMS surgery (I’m going to do another post on this as there’s not many on here had it done).

We couldn’t get anywhere with this through our NHS Trust so decided to go private. We are in Lancashire and came to Berkshire yesterday for consultation. We gave the consultant the results of the tests (otherwise Steve would have had to go through them again); he was happy to acknowledge them and after that consultation we are booked in privately for ATOMS surgery in July.

On another general note I have seen posts on here talking about some difficulty for follow up care if you’ve had private treatment, slotting back in for any follow up care on NHS.

User
Posted 13 May 2026 at 15:03

I had an issue with my GP where he said he would not get involved with my care while I was under the care of my private oncologist. It is a good job I switched back to the NHS oncologist,I am all sorts of problems with HT side effects. Google the text inside the inverted commas "nhs shared care between private sector and gp". 

On the other hand I had a problem with a dilatation in a private hospital and got sorted on in an NHS hospital. I also went to see private consultant surgeons with the blessing of my NHS surgeon.

Thanks Chris 

User
Posted 16 May 2026 at 17:04

Chris,

I had that problem but it seemed to be a matter of procedure.  The GP's office said while I was in the charge of the NHS hospital they could have no involvement.   It was some time ago.

More recently I got a private prescription and went to buy it at my local chemist.  It was suggested I went to the GP and ask them to prescribe it.  I didn't like the idea and thought it wouldn't be possible.  Since then I've read it is possible.

Also I asked my PCa consultant if I could get private psma test and would they look at it.  They said they would but that they'd do it when necessary, at another hospital.

Regards
Peter

User
Posted 16 May 2026 at 22:09

Originally Posted by: Online Community Member
On another general note I have seen posts on here talking about some difficulty for follow up care if you’ve had private treatment, slotting back in for any follow up care on NHS.

One of those was probably me. Discharged back to the NHS in September last year, after my last private consultation. Still waiting for an appointment. Apparently they are still blaming Covid for the backlog? This is after I was referred for my private surgery by the NHS Urologist I was under during AS, so I think there is a bit of a disconnect somewhere.

 
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