Patient Information

When you arrive at 30 Devonshire Street the entrance
receptionist staff will greet you. They will ask you to sign
in and direct you to the relevant part of the building.
In the consultants’ waiting room area the receptionists
will provide you with registration forms, which you are
required to check and complete. The consultants will either
come to collect you from the waiting area or the nurse will
show you to his room.

It would be advisable to attend 10-15 minutes earlier than
the appointment time in order to complete paperwork and
other relevant pre appointment requirements.

You may have referred yourself or have been referred by
your GP/Physiotherapist. The consultant will discuss your
relevant problem and enquire about your medical history.
A thorough examination will then follow. You may request
a chaperone if you require.

The consultant may request further investigations to
assist in a diagnosis, such as blood tests, an X-ray or
scans such as MRI or Ultrasound. These facilities are
available on site at 30 Devonshire Street. Scans need
to be booked and therefore cannot be guaranteed to
happen on the same day.

You may need to have an X-ray before your appointment
but the consultant’s team will arrange and liaise with you
if that is necessary. If you have had previous scans or
X-rays related to your condition, please bring these along
to all your consultations. Please also bring any copies of
letters from your GP or specialists.

Some conditions may need to be treated immediately
after the consultation. This may mean you need to
have treatment with the London Orthopaedic Clinic
Plaster/dressing nurse.

If a follow up consultation or further investigations are
required the consultant will indicate this and will either
show you to his administrative team or ask you to call
his PA to help arrange. Please note the follow up
appointment should be made after all relevant results
from investigations are available.  If you are to be
referred on to another allied health professional the
consultant’s team will be able to assist you in making
further enquiries and bookings.

The consultant will then write to your GP, any other
referring professional and the specialist who will be
continuing your care. This will summarise your
consultation and the planned investigations. A copy
is also available for you if requested. Letters are also
sent after all subsequent consultations or when the
results have become available.

The consultant will discuss with you the results from your
investigations. He will recommend the most appropriate
treatment for your condition. This is a perfect opportunity
to ask any relevant questions regarding your condition
and care.

Depending on the results from these investigations the
consultant will either discharge you from his care, refer you
on to another health professional, book you in for surgery
treatment/follow up or have The London Orthopaedic Clinic
Plaster/dressing nurse treat you.

If surgery is needed then the consultant will explain
the whole procedure to you and what to expect post procedure.

If an operation is needed we will help arrange this for
you. Surgery will require admission to one of the various
hospitals in and around London where our consultants
have admitting privileges. The surgeon’s PA will be able
to help book this for you. 

All medical insurers usually cover these hospitals. It is
however important to always check with your insurer
regarding your proposed operation and cover for the
hospital and all fees. We will assist you with any
information that you require. If you are a self paying
patient we are able to assist in getting a quotation
of the costs.

You will be provided with instructions of when to stop
eating and drinking, and when to arrive at the hospital.
On the day of admission the hospital’s admission clerk
will ask you some questions and will want to confirm
your method of payment. Please bring your insurance
details and if you are a self payer you will have to settle
the hospital bill prior to admission.

Once admitted and settled in your room or day unit,
a nurse will confirm your identity and place a wristband
on you. Some baseline observations will be undertaken
and the nurse will be able to answer any other questions
you have about your hospital stay. Any further required
investigations like an ECG, chest X-ray and blood tests
might be carried out at this time.

The London Orthopaedic Clinic surgeon will visit you before
your operation and will ask you to sign a consent form for
the procedure. He will also visit you after your operation
to check on your recovery.

The consultant anaesthetist will also need time with
you before your operation to inform you about your
anaesthetic and to check your health. He/she will also
make sure you are comfortable and endeavour to make
you pain free. Surgery can be undertaken under local,
regional or general anaesthesia. You should discuss
this with your surgeon and anaesthetist.

The London Orthopaedic Clinic has Plaster and dressings facilities at our outpatient rooms at 30 Devonshire Street.

Plaster change and wound checks are usually carried
out by our highly skilled and trained nurses and plaster
technician in conjunction with your consultant. This ensures
quality and continuity of care that is so important to us to
offer to our patients.

The London orthopaedic Clinic recommends that you
consult your insurance company regarding cover for
the plaster casts, dressings, splints, slings and boots.
This will assist in you avoiding shortfall fees.

We also have various orthopaedic products available
to suit all conditions and aid in recovery.

The insurers do vary as to how much they cover
Orthopaedic products and therefore the London
Orthopaedic Clinic will request all patients to pay for
the Orthopaedic product on the day. You will be issued
with a receipt so that you can reclaim costs with your
insurer accordingly.

Certain conditions require injections for a full and quick
recovery. These can include steroid + local anaesthetic,
other anti-inflammatory drugs, or PRP (Platelet Rich
Plasma) and are often used to heal inflamed / damaged
areas and relieve pain. PRP is a new treatment for soft
tissue injuries that is offered at The London Orthopaedic
Clinic. Please contact us for further enquiry to see if you
are eligible for this treatment.

Injections are administered in our main outpatient
rooms in 30 Devonshire Street and other affiliated
outpatient facilities.

The London Orthopaedic Clinic consultants collaborate
with various units in London for your specialised return
to normal functional programme.

Physiotherapy/Occupational and Hand Therapy/ Podiatry:
All our consultants work closely with many therapy clinics
and individuals throughout London and the outer regions.
We are a strong believer in using the best specialists
in helping us help you get you back on track as soon
as possible.

An ongoing therapy programme can be crucial and in
a lot of cases, what happens after your operation is
most important for a 100% recovery rating.

Therefore we place a lot of trust in our linked therapy
clinicians and can assure you of their expertise and
quality of care

Our consultants can undertake only small or minor
procedures using local anaesthesia in our outpatient
facilities. All other procedures require admission to the
hospital and our highly qualified anaesthetists who
work with our doctors will administer general anaesthesia,
sedation and local / regional blocks. All the anaesthetists
that work with us will visit you prior to your procedure
and explain the anaesthetic process.

Our consultants may prescribe analgesia medication for
your condition and/or after surgery. Please inform our
team of doctors if you have any allergies or medical
conditions. The medication that is prescribed should
be taken as instructed by our doctors or a pharmacist.

If you have any questions about your medication that
your consultant has prescribed for you please contact
as on 0207 1861000 or call your consultant’s PA directly.

Various Imaging techniques are readily available on site
at 30 Devonshire Street, which are very crucial to aid
diagnosis of Orthopaedic and Musculoskeletal conditions.
These facilities are part of the Princess Grace Imaging
department. Therefore when contacting your insurer
regarding pre-authorisation for imaging please inform
them that your MRI/X-ray/Ultrasound is being performed
at 30 Devonshire Street Princess Grace Outpatient
Imaging Department.

Our consultants may choose to refer you to other
imaging facilities that are better suited to your needs
and requirements.

If you are a little bit older or if you perhaps have a
medical problem or two you can fully relax. We have
a special multidisciplinary team to ensure you are fully
assessed and optimised before any surgery. We will give
you the best care during and immediately after any surgery
you may need, and we will make sure you can go home as
soon as possible after your operation. As a result of our
special techniques and procedures you may well find you
will be well enough to go home sooner after treatment
with us that you would otherwise be able to.

An estimate of consultation fees and costs of any other investigation or surgery are available on request. The figures quoted are always guide prices and are based
on the information given by the patient. 

Most medical Insurers request a referral from your
GP or other specialist before agreeing to cover the
costs. We therefore advise you to contact them prior
to your first appointment to clarify what your policy
covers and to ensure they will authorise your claim.
If they raise any objections or queries please do
contact your consultant’s administration team or
call the main line on 0207 186 1000, as we may be
able to help.

All our consultants are recognised by all the major
Insurance companies.

Once you have received pre-authorisation for your consultation and/or treatment please bring these
details with you to avoid having to self pay on
the day.

Patients with non-UK based Insurance details will
be asked to pay on the day of treatment.

Letters of guarantee from Embassies and other companies
are accepted but please inform us of these at the time
of booking your appointment and remember to bring this
information with you when seeing us. We may have to
charge you directly or decline treatment without your letter
of guarantee.

If you have self referred and are paying for your own
treatment you will be asked to settle the account at
or before the time of treatment. We accept all cards
except American Express. We accept cheques for
excess payments and these should be made payable
to The London Orthopaedic Clinic and forwarded to
the address that appears on your invoice.

All patients are responsible for the settlement of their
account if you self pay and until your medical insurer
settles your whole account. Patients are also responsible
for any shortfalls arising from their outpatient benefit limit
or exclusion from their Insurance Policy e.g. excesses.
Therefore the patient must settle any non payment
from their Insurer.

The London Orthopaedic Clinic accepts patients who refer
themselves to us. If you are insured however and have
referred yourself please contact your medical insurer as
they do not routinely cover the cost of your care if you
have not been referred by your GP or another specialist.

Metered street parking is available near the consulting
rooms and hospitals. Westminster council only offer a
telephone credit card payment service for metered
parking. There is also an NCP car park in Chiltern Street
(10 minute walk away).