Portland final bill(76 Posts)
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!
The epidural bill for a c section was £600, in hospital dugs were included but going home ones were around £20. Newborn hearing test was £120, paeds fee was £250 but you can wait until you are discharged for these if you want but I had them at the Portland. Partners meals and alcoholic drinks are extra but you do get a lovely goody bag to take home with Portland champagne and Portly Panda! Everything like pants,pads, breast pads, nappies formula if you want it are included, all you need are going home clothes and a car seat for baby. Enjoy your holiday at the Portland you will have a lovely time xxx
You need to make allowances for if baby has problems after and needs special care. I remember a few years back a MN'er posting that her baby had minor breathing issues after birth and her bill came in at £28k
My friend had a section and 3 nights at the Portland and she said she spent about 17k. I think that was including her obstetrician fees too though.
I'm having a section there at the end of Nov so will happily come back and give you a break down after that if you'd like? Might be a bit late for you then though?
That sounds the same final figure as both my sections. Good point about if the baby needs special care, mine were covered by my insurance but you will have to tell them you are having a baby beforehand to ensure little one is covered xx
All very helpful.
How many nights do people tend to say in hospital after a cs?
Takingthestairs - would love your feedback! Good luck.
Sorry for the delay in replying SACM I'll absolutely update you after my section regarding prices.
My consultant has recommended I stay for 3 nights after my section but my insurance covers me for 5 should I not feel up to, or if I'm not able to, go home after 3 nights
Like fgr my insurance covers the baby for any care including special care until he is discharged from the hospital.
SACM I'm having a private ELCS and automatically stay in for 4 nights. I'm actually looking forward to it. Lots of people on hand t help, support, guide etc. friend of mine who delivered in same hospital cried when she had to leave
Ds2 induced, epidural, no complications 1 night stay £ 9,500 (2008)
Dd induced, epidural, no complications, 1 night stay £10,500 (2011)
I put no complication as ds1 was born 2006 placental abruption in Lansdale suite st Thomas's 2006 it cost over £15,000 even in nhs hospital.
Tbh if you're worried about the price. I would go on nhs and play for private room
Man alive! What do you get there that is so special and different? If i was rich then maybe i would do the same, but i really want to know what is so great clout the Portland?
In my nhs birth and hospital, i had a large private en suite room , no ward , big en suite too, with shower. Massive plasma tv on walk and a nurse every time i rang the bell! And brilliant care i couldn't fault either. Midwife and nurse at every turn.
I would love to know what you get for your money, just out of morbid curiosity!
Lucky you birdybear. The problem is the NHS doesn't guarantee that level of accommodation or that level of staffing. In London it can be really stretched and a particular challenge. I've known people give birth in side rooms and heard many a horror story. Going private is a way you can almost guarantee decent care. It isn't about wanting a luxury spa experience. Although you do get a consultant obstetrician get to know you and give you one-to-one care. If things get complicated, that can be useful.
if that is the cost of having a baby then I am very grateful to have the NHS! it has it's flaws but my goodness am I glad it exists looking at the actual costs involved. we are very lucky in the UK in comparison to lots of other countries when it comes to maternity care.
I was also very lucky to get a private site ward with both dcs in NHS hospital. no tv or ensuite but my own room and midwives pretty on the ball when I needed them. but I do know this is not the case in a lot of hospitals.
How can you justify that amount of money?! Most the obstetricians who work privately work for the nhs too, their knowledge and skills don't change!!
Why do these threads always turn into Portland bashing? Frankly Tea1sugar it is none of your business how people spend their hard earned money My 2 Portland births were the best money ever spent and I treasure my time there. On the NHS you do not routinely see a consultant for antenatal nor do they do the delivery
But 17k is absolutely shocking!
initially I was shocked too and thought 'more money than sense' but actually if that is the actual cost of having a baby in the UK then I consider it more shocking that the NHS funds that for so many people! how many babies are born in the UK each year at that cost to the NHS? we are very very fortunate to have that available to us and I think we should be grateful to the people who can take that financial burden on themselves instead of passing it to the tax payer. and if they can afford that to make their birth experience more comfortable and pleasant then why not? people spend thousands on home furnishings and holidays and cars etc over their lifetimes. 17k isn't massive amount for something as important as the birth as your child when you consider what people spend on material possesions.
17K is a huge amount of money I agree.
For reasons I'm not willing to go into in detail, it is worth every penny for me for my mental health to know what exactly level of care I will be getting. Having the same person taking care of me the whole way through and being the person that delivers my baby when I'm at my most emotionally and mentally vulnerable. It's not just about the end result consultant, it's the care leading up to the birth and the knowledge of what your recovery environment is going to be like.
Not having a go, just trying to explain another point of view.
Part of the cost is due to the high cost of obstetric insurance - my consultant told me his premium was in six figures last year. You are not paying for that on the NHS except very indirectly through taxes.
You also pay to guarantee a consultant's time, expertise and attention are given to you. On the NHS you do not get that guarantee. For example, if I go into labour before my c-section date, I know I won't be waiting to see my consultant - it's his NHS patients who will have wait or be seen by someone else.
You pay to ensure high ratios of dedicated midwife care, drugs when you need them, (decent) food when you want, specialist dedicated breastfeeding help and a private room with an ensuite to give you privacy and where your OH can stay overnight with you.
If all those things are available on the NHS in central London, I'll eat my hat.
I had 2 midwives with me when I had DS. (Waterbirth)
Specialist breast feeding care.
Would not have wanted DH to stay over!!
You were lucky wolfie , as fantastic as that was, the NHS does not always have the facilities to offer that to every patient.
I had all those things too as previously described plus at least one midwife all the why through labour in the room , helping me and making notes and at the actual time of delivery there were two midwives, a consultant and a some other doctor type person in the room with me ! (ventouse) .
Care to say where that was, wolfie and birdybear? If you can name a hospital in central London that offers all those things, I'll stand corrected. But nothing I have heard from friends who've had NHS births in central London tallies with your account. Postnatal midwife care is generally acknowledged to be very stretched here. Not everyone gets a consultant present at her birth. Certainly not everyone has a private room as a matter of course.
Bet you didn't get guineafowl for dinner, either .
I was just thinking about this today - I had a birth at a London hospital and DS was delivered by a consultant as it was a tricky birth. Afterwards the midwife says, you were lucky to get him, he does a lot of deliveries at the Portland.
But what I don't understand is how these consultants juggle their NHS job with their private births - do they arrive at the Portland to catch the baby, or are they there for hours? Do they have a rostered day off from their NHS base? I suppose they could always get into the Portland for nighttime deliveries as they wouldn't be on the NHS wards overnight, but apart from that they must be a bit stretched.... anyway sorry to hijack but I was just thinking about this today.
Having had a Portland consultant at an NHS hospital I do see why if you were at all worried about your birth you would throw money at it. I was lucky in that I gave birth in office hours when the consultants were all around, I don't know what would have happened after hours/on a weekend, but I don't think I would have had such an experience person deliver the baby, and that I suppose is what you are paying for, as well as the postnatal care.
That's a good question Tangerine, and one I will ask my consultant tmr!
I do know that for scheduled sections, the Consultant will have a specific day per week that they do operations in the Portland, so you would be booked in on that day. I don't know what happens for a VB.
I had my own room and DH stayed the night, had my own bathroom too. Oh and I was NHS, in London.
I used to work for a consultant at GOSH who also worked at the Portland (not obs - paediatric surgery). He had set days he would be at each hospital so it wasn't the case that his NHS patients were left waiting while he rushed over to the Portland.
It wasn't London, no . It was Kent . Actually in a new hospital that had only opened two months previously! :-)
But does it vary so much by location?
Consultants work set private days and set nhs days so noone is kept waiting
If someone wants to have their baby at the Portland then its their money to do with as they want!
But - I had both mine at UCH. NHS. Fabulous care. Own room before, during and after. Same midwife throughout. Second time round, treated myself to the luxury of two new dressing gowns, took my favourite but old duck down pillows (left them behind) and quality towels with me. DH gave me a L'Occitane gift set afterwards for post birth shower - luscious! And my friend is one of the senior paediatricians there so she popped by to say hello.
Food not as great but DH dispatched for take out from gorgeous local restaurants.
And I have friends who paid for a private midwife to accompany them throughout at another hospital, which I think is a similar experience if continuity of care bothers you like that.
So you can add your trimmings to the NHS if you want.
I loved my Portland birth (11k final bill in 2009, midwife led care, VB, epidural) every nhs hospital I have ever been in has been filthy and overcrowded. Didn't fancy that. Best money I ever spent.
Jeez Louise! I would rather have a less comfortable NHS experience and put that sort of money into Bank account for DC.
Well that's up to you CPtart.
At our hospital, there is 1 waterbirth room/pool per 24 labouring mothers
Not much chance of getting that then.
The midwife-led unit closed when I went into labour due to staff shortages, didn't re-open until 8 hours later
It took 25 hours for someone to notice my baby was OP!
The great NHS...
I didnt think it was possible to get a private birth using healthcare insurance in the UK??
I'm torn - i didnt have the greatest of experiences giving DD - like it was a last minute emergency, no pain relief no time for theatre and its made me scared of having another birth - if i could pay a couple of grand for a controlled happy birth with pain relief then i would but there doesnt seem to be an inbetween between a pot luck nhs and a 20k Portland bill.
Health insurance can cover, but you have to be careful what it covers and up to how much. You can't assume you're going to have an uncomplicated delivery.
If you can afford it and want it, why not? Maybe those choosing to do it don't need to make a choice of private birth or child's bank account and can do both if they so wish?
My insurance covers everything for me and includes any cover necessary (inc complications) for the baby until he is discharged
However it is an international corporate policy with a level of cover that I would not be able to get as an individual which is frustrating.
Sim, you could go for a private birth, consultant led with one on one care the whole way through your pregnancy, but use an Nhs hospital with a private ward like Chelsea Westminster or st Thomas'. You're still looking at over 10k (I know!) but it's not quite Portland prices. For example a private room in St Thomas' is about £600 a night. The Portland is about £1300 a night.
I had all the Portland style treatment on the NHS (minus husband staying) 43 and 41 years ago.
What has happened?.
Two ELCS and private room.No own bath or toilet, but ward spotlessly clean.Two week stay but I was ill.Wanted to go home after a week the second time but not allowed.
So the consultant has set days at the NHS and set days at the Portland, meaning you can book him/her for your birth but if it's an NHS day you'll get someone else? I suppose that would be the only way to do it & they could always show up at night or on weekends as well. Plus they would limit the number of private patients they take on.
Anyway thanks for asking and sorry again for hijack, it was just something that I was left wondering about....
I know it's been said before but it's worth remembering that at least people who go private are taking the pressure off the NHS - it's already so stretched and if it's their money why not?
Bill for DDs birth, with entire suite of private rooms and the undivided attention of two lovely MWs, £0.00.
Even better there wasn't an obstetrician within 13 miles!
Private Medicine has it's place (I have used DH workplace insurance for something minor and annoying as I'd have had to wait for months), but nothing beats giving birth at home if you possibly can.
Mine came to £18k all included. This also includes £3.5k for a 3 day stay there at 36 weeks for a massive bleed for observation.
I had elcs btw.
Looking at it, it does seem a lot. However given the lovely calm birth I had and the utterly fab treatment by staff, it was worth it.
Enjoy your baby
Well we all make personal choices I guess. I've saved money to put dd and this bean when it arrives, through private school and instead I'll have my elcs on the nhs.
I wouldn't give birth in a London NHS ward if you paid ME 17k!
Private all the way (1 emcs + 1 elcs - same midwife and surgeon both times). Given the horror stories you read on mn about the way people are treated and things which go wrong. I'd pay 17k each and every time for a healthy baby.
If I could afford it, I would do it for the sense of control. You know who and where it will all happen. (Not quite how, but almost!!) My main fear is the lack of control and being left alone when things are getting crucial.
I feel lucky the NHS will be there for me but I know I will not be guaranteed this level of personal care. For example, I would love a water birth, there are only two pools. So I have to hope they aren't full!
I like the idea of glamming up your NHS experience though. I will definitely try that!
If this is your choice and you can make it work financially, fair enough, bit jealous!!
Never had any experience with Portland, I've had both my DC on NHS. Both times I had beautiful accommodation, water-births, great facilities, lovely food & excellent care.
But if you can afford Portland care, then why not...I think it's down to personal & financial choice & as a woman giving birth...it's absolutely vital to go where you feel the best care is - if that's NHS or private
The majority of people have healthy babies. No need to imply that going NHS means you will not.
I used an independent MW/home birth first time then NHS second time.
If your baby has a medical emergency or requires special care, is it private or NHS?
I was NHS. They told me to stay at home as I was calm when my contractions were 1 in 5, closed the ward meaning we had to drive for an hour. No pain relief as no time when I finally arrived at the unfamiliar hospital.
Students and inexperienced midwives encouraged the fastest birth possible leading to a third degree tear. Dh had to leave me at 11.30 pm to go home.
No-one had time to help with bf. I was kept in because there wasn't anyone to discharge me for an extra day.
I know what I'd choose given the choice.
If I could afford it I would go to the Portland unfortunately we can't, the most I'll get is a shitty private room in the local hospital.
For those of you being a bit critical of people who've gone there its their money let them spend it how they want. Also they are relieving the NHS of having to provide for them.
The Portland's C Sec rate was 51% in 2012. That's around double the national rate isn't it? My friend had an ELCS there because of a predicted big baby -he was 8lb. I had assumed the high CS rate was because of more complex births and more people on insurance, but my friend's experience belies this. She loved the care but felt the section was unnecessary and was quite disappointed.
Personally, I'd rather know there was genuine emergency backup on site and I would worry about this at the Portland. Were there not some cases a while back where mothers died?
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
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
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.
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.
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).
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.
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.
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.
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?
Like I said tea they don't, that is why they schedule CS's.
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
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 £££££!
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.
Then the insurance companies should wise up.
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!
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.
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.
Holiday it is down to personal choice,I would hate a homebirth with only midwives.
Message withdrawn at poster's request.
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).
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.
Message withdrawn at poster's request.
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!
Message withdrawn at poster's request.
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!
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
i read with great interest all the posts re NHS and portland. it is always an interesting read!
i had both DS born at portland ELCS. I could not fault the service and care. yes it is expensive and luckily we could afford it.
if we couldn't afford it, i would have no choice but to go down NHS route.
i get upset when people judge me because we went private. my husband earned the money, paid tax and use the after tax money to pay for our baby to be born. it is win win for everyone, because we got the care we wanted and didn't impose on chelsea westminster hospital!
like most things in life, you get what you pay for. their nurse to patient ratio is very low. the nurses were not rushed off their feet. i believe that all nurses go into the profession with the best of intentions but sometimes when one is over-worked the care will slip.
my DS1 was born in 2004 and back then, portland provides a celebratory dinner (complete with champers) for us! and also a portly panda we had a suite with two rooms so DH stayed over the entire time i was there - which was 7 nights. having a section is a major op and i was feeling rested before i went home.
in 2009 DS2 was born, and by then, they no longer provided us with a celebratory dinner. it was a gift pack instead!
when i look back on my birth experience, i have no regrets and have good memories.
having said all that, the birth is only the beginning isn't it?
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