Portland final bill

(76 Posts)
SACM Sat 07-Sep-13 22:05:36

Hi there
I am trying to work out what I would end up paying for a vaginal and / or c- section birth here. I know what obstetrician's fees are and can see on the website the hospital fees but what did you end up paying everything else added I.e. athesthetics, drugs etc. what else have I forgotten?
thanks so much!

Steffnexis9 Sat 14-Sep-13 07:32:19

Hi... Just wanted to add a different perspective... I had my little one over three years ago, had a c section because she was breach then got ignored and shoved onto a ward where i didnt get the meds on time, got no help with anything to do with my baby even though i was still paralysed... And the midwives were incedibly rude if i asked for anything... The food was horrendous and i was a single parent at the time due to my x walking out at seven months pregnant so was scared and upset... I did ge a move to a mmidwife led unit near my home address for four days which was lovely although still no private room there was a ward for six ladies and i was the only one in there for a couple of days and i couldnt fault the midwifes... HOWEVER i have reused to have my next baby in the hospil i had my first in.... I am due in a week nd hve been worried bout the care i will recieve...

i doubt i would py the 17k to go private as i am a skinflint... BUT i think if you have the money and inclination to pay i and get a better experience then im all for it and to be honest i dont think its up to anyone to suggest you shouldnt pay privately...

People buy mercs and bmws and they are more expensive x x good luck to any ladies giving birth wherever they choose xx

MortifiedAdams Sat 14-Sep-13 07:40:14

Its a years salary for me, so not a chance of ever affording it, but luckily I dont live in London. Yet another benefit of living Up North grin

I had a private room for me and dd, food was good,.my MW stayed with me the entire time (16hrs) and I had lots.of care and attention all the way through.

Roshbegosh Sat 14-Sep-13 07:57:42

I don't blame anyone for doing this but if the consultant is in the middle of an operating list or dealing with a complex case at the NHS hospital they can't just down tools to run and supervise a normal low risk delivery where neither the mother nor baby is actually ill. They are not such money grabbing whores. They would end up fired and up before the GMC if they neglected their NHS commitments like that. Usually a small group have a rotation for their private work so one of them will go.

tangerinefeathers Sat 14-Sep-13 09:00:48

Ah that make sense roshbegosh.

I did not get the sense when I had my baby at an NHS hospital that the consultant who delivered DS was going anywhere - he had a small flock of students shadowing him for a start so it would definitely have been noticed if he'd downed tools and nicked off to another hospital.

I'm now in australia and the system seems far more clear cut - either you go private with a private obstetrician who will almost certainly turn up for the birth (it's considered an 'incident' if the baby is born with only midwives present) and there is a big push towards a c-section if the baby is taking too long - ie. "well, you haven't made any progress in 8 hours, our procedure now is to go to c-section" (whether baby is distressed or not).

TakingTheStairs Sat 14-Sep-13 09:38:16

walterandwinifred you're correct, there were 51% sections in 2012 Maternity Statistics.

And they do have a nicu. One of the consultants I met with told me the Portland had the same level of care facilities as St Mary's NHS/Lindo wing so if you require more care than that, you'd be transferred anyway whether you were a patient in the Portland or St Mary's.

Here are the stats from the Portland website for anyone interested.

The Portland Hospital has an excellent reputation for the standard of care it provides to mothers and babies. Here are our statistics for 2012:

Number of deliveries: 1949
Number of babies born (including twins): 1988
% of Caesarean section deliveries: 51 per cent
% of vaginal deliveries: 49 per cent
Transfer rate: 0 mothers were transferred from the hospital post delivery because they required intensive care treatment.
Maternal deaths: 0
Onsite emergency facilities including an Adult High Dependency Unit, Neonatal Intensive Care Unit, Special Care Baby Unit and a Transitional Care Unit
A planned transfer policy with our sister hospital, The Princess Grace, should the need arise for a woman requiring Intensive Care Treatment.

Navycake Sat 14-Sep-13 23:23:16

The vast majority of the CS at the Portland are elective and on insurance. It works like this: you need a CS and your NHS consultant agrees, so you ask for a referral to the Portland (or wherever) and co tact your insurer to check under what circumstances they cover CS. Then see your chosen consultant and book in, and that's it. So they're picking up the women who would've had their sections on the NHS rather than being over keen on CS.

Roshbegosh Sun 15-Sep-13 05:35:30

And the CS can be conveniently timed to fit in with the consultant's busy schedule whereas a normal delivery can't. Don't forget that important factor with private patients.

Tea1Sugar Sun 15-Sep-13 06:14:26

A lot of elcs privately aren't for medical reasons anyway. Why should an obstetrician leave a high risk nhs delivery to be back on the beckon call for a private non medical elcs?

Roshbegosh Sun 15-Sep-13 06:16:09

Like I said tea they don't, that is why they schedule CS's.

bigkidsdidit Sun 15-Sep-13 06:32:35

I had my first in a London NHS ward and it was incredibly busy - didn't get a room till I was about to push, no postnatal care worth talking about. If I'd stayed in London I absolutely understand going private! As it is I moved to Scotland and e NHS care was wonderful as it was so much less busy.

Care varies hugely round the country and hospital to hospital.

Hope you have a lovely birth OP

EspressoMonkey Sun 15-Sep-13 07:00:49

DD1 was born in a London NHS ward. Terrible experience. They made mistake, after mistake, after mistake, after mistake. I did not think it was possible for one hospital to screw up sooooooo much. To sum it up, they were incredibly ovestretched in every way. My NCT buddy gave birth the following week, in the carpark (different hospital), having been refused to be admitted despite telling the hospital staff the baby was coming and her DH was a Dr and bloody well knew.

Anyway this isn't a London NHS bashing thread (though said friend and i joke how OBEM must be a fictional scripted reality show)

DD2 was born in Switzerland. Fabulous treatment. My mother said it was "just like when i gave birth to you in NHS hospital in London in 1970s". Staff excellent, care excellent, faultless. And it cost me ooooo 600CHF for the 3 nights in an optional private room

DC3 is due in April. Am considering the Portland if we are back in London. I would NEVER give birth in an NHS hospital EVER again. Marking this thread, looks like my potential Portland birth will be £££££!

Navycake Sun 15-Sep-13 09:16:29

Tea1sugar as I've just pointed out, most of the UK patients are on insurance, which only pays out if your CS is medically necessary.

Roshbegosh Sun 15-Sep-13 09:58:45

Then the insurance companies should wise up.

HolidayArmadillo Sun 15-Sep-13 10:06:09

I don't understand why having a consultant at a normal delivery is desirable. Other than that I can understand the desire for decent food and comfy beds. Which is why any more of mine will be at home as I can't afford 17k!

Navycake Sun 15-Sep-13 10:08:01

What do you mean? The insurers only pay out if it's medically necessary - same as for any other operation/procedure. And in many cases (axa ppp for example) the policy limits are less than the actual cost so the patient has to pay the difference.

fgr Sun 15-Sep-13 10:08:57

A lot of Portland electives take place at the weekend when consultants are off from their NHS work. Many consultants mine included only do private work.

fgr Sun 15-Sep-13 10:10:52

Holiday it is down to personal choice,I would hate a homebirth with only midwives.

KingRollo Sun 15-Sep-13 10:17:45

Message withdrawn at poster's request.

Fairylea Sun 15-Sep-13 10:19:02

Slightly off topic but it amazes me how many people assume a straight forward c section is always going to be straight forward!

I chose to have an a elective section with ds at an nhs hospital due to birth trauma reasons from dd ten years before (ie no medical reasons, just dd was a very long labour etc).

They all assumed I'd be the easiest one so they booked me in last, obviously assuming they'd pop ds out, sew me up and whizz off to lunch.

Ermmm basically they found out I had severe placenta previa. I had no symptoms at all. No bleeding, nothing.

I had had sex throughout pregnancy, been doing light gardening etc. No pain. Nothing. I felt wonderful. I had 3 scans, one at 36 weeks and all was well.

I lost 3 litres of blood and had 3 blood transfusions.

I stayed in hospital nearly 2 weeks.

Anything can happen - unfortunately!

(Amazingly enough despite all this the care I received was wonderful and the whole hospital experience was amazing).

fgr Sun 15-Sep-13 10:32:01

Kingrollo I always had a complete breakdown of my bills and the reason obstetricians bills are so.high is that their insurance costs have whacked up big time.

KingRollo Sun 15-Sep-13 10:36:15

Message withdrawn at poster's request.

fgr Sun 15-Sep-13 11:06:19

Of course you need a follow up.after a c section that is a stupid arguement. I could not give a toss after all your caregivers are not charities!

KingRollo Sun 15-Sep-13 11:11:08

Message withdrawn at poster's request.

LaVitaBellissima Sun 15-Sep-13 11:30:56

I gave birth privately at Queen Charlotte's and would highly recommend it. Luckily I had insurance and needed a c section for medical reasons, I had NHS care up until the birth so just had to pay about £1200 for items not covered. I would do it again in a flash!

TakingTheStairs Thu 21-Nov-13 18:42:11

For those that were wondering.
EMCS, 5 nights in a standard room in the Portland was a hair under £13K
DS in NICU for two nights was an additional £10.5K

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