Frequently Asked Questions

How do I make an appointment?

If you wish to make an appointment please contact us.

Should I go to Pinehill or Spire Harpenden?

Mr Minhal Chatoo, Mr Adam Rumian, Mr Fred Schreuder, Mr Nick de Roeck and Mr Tamer Sherief have the same practice in both hospitals and your decision should be based on convenience for you and any preference you may have for either a Ramsay or Spire hospital.

How long will my appointment be?

Generally new consultations for private patients are half an hour slots and follow-up consultations are fifteen minutes which allows ample time for consultations. This is not a hard or fast rule and times may vary according to the complexity of each individual case. Should investigations be necessary they might be organised on the same day or at a later date.

Do I need a referral letter?

If you are paying for your own treatment, then a referral is not necessary although in general it is preferred. The majority of insurers will require a GP referral before authorising a consultation, investigations or any treatment. Many of our referrals come from physiotherapists and some insurers will now accept that mode of referral.

Do I need prior authorisation from my medical insurer?

It is always useful to obtain a pre-authorisation number from your insurer before the day of your visit to a hospital or clinic. We work with all of the major health insurance companies and our staff will be happy to advise and explain how to go about contacting your insurer.

Do I need private medical insurance to be seen?

You do not have to be insured to be seen by one of our surgeons. While most people being treated in the private sector will have insurance cover, an increasing number are choosing to fund their own treatment. There are a variety of ways to pay for treatment but in general the hospital would require payment for surgery in full in advance.

What if I am funding my own treatment?

If you are planning to fund your own treatment and would like to obtain an estimate of costs, there is no need for a referral and we would be happy to base an estimate on the information you are able to provide.

Are you recognised by my insurance company?

All of the Hertfordshire Orthopaedic Centre's surgeons are recognised by all the major insurance companies as Consultant Orthopaedic Surgeons. There are a large number of policies that cover differing aspects of care and we recommend you ensure that you understand what is and is not covered under your particular policy.

Are your fees fully covered?

Our fees are usually covered in full by insurers, apart from your policy excess. However, there are many different insurance policy products and some of them may not cover the entire fee. We advise you to check with your insurer before proceeding with any treatment.

Am I responsible for any fees?

Whether or not you have private medical insurance you are ultimately responsible for any fees incurred for consultations, investigations and surgery.

By what method can I pay self funding fees or any insurance policy excess fees?

We are accept all major credit and debit cards, online bank transfers and cheques. Our invoices clearly state all payment methods, our bank account details and accounts contact number.

How is surgery organised?

Should any surgery be necessary, a convenient time will be organised based on the nature of the operation, the necessary rehabilitation and the recovery time.

Operative procedures all have a code that insurers and hospitals use and you are advised to obtain an authorisation number beforehand if using insurance. You can obtain this information by contacting us.

How long will I be in hospital?

Some operations are done as a day case while others require a stay in hospital. Although insurers and hospitals will place an expected length of stay on any procedure, it is in general better to keep any inpatient time to a minimum. You will be discharged as soon as safe and able.

Will I need any painkillers?

Painkilling (analgesic) and anti-inflammatory drugs play an important part in your rehabilitation following surgery. They help to control pain and swelling, enabling you to carry out your exercises and increase mobility. You will be provided with a supply of medication to take away after your operation (TTAs).

Which physiotherapist should I see?

We work closely with a number of excellent physiotherapists and will discuss with you the most suitable. Most physiotherapists are recognised by all the major insurers. You will need to check your policy to see whether or not physiotherapy is included. The number and frequency of sessions required will be individually tailored to, and guided by your progress.

What follow up will I need?

The number of further consultations you need will depend on the operation you have had and how closely our surgeons need to monitor your progress. In general we aim to continue to see you until you have fully recovered from any procedure.