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Private surgery going wrong - NHS stepping in

131 replies

Garysmum · 24/10/2022 14:55

I’m aware of lots and lots of people going abroad for surgery cosmetic and non-cosmetic and dentistry etc.

In some cases that surgery is going wrong. Patients return to the UK and then have to turn to the NHS for help.

For example there is a very unwell lady on TikTok who paid for her gastric sleeve in Turkey and she’s now been in hospital in the UK for days with complications. Poor woman is very unwell.

She received a lot of hate filled comments about her use of the NHS having paid for private surgery. It’s impossible to know the details - for example was she just speeding up a process that she would have had on the NHS or perhaps she wouldn’t have qualified for NHS surgery - we don’t know.

She had rightly pointed out if the surgery had been successful, she would have saved the NHS not only the cost of the operation itself but also costs associated conditions she had from being overweight.

i certainly would consider necessary non-cosmetic surgery overseas if I could afford it, it would make an appreciable difference to my quality of life and if I felt there was a backstop if things go wrong. As it stands that backstop does exist as we have the NHS. And I do agree that having private operations whether in the UK or abroad does take the strain off the NHS - e.g. knee replacement (my dad), hip replacement (friends aunt), tonsillectomy (godson) can speed up the process by years in many cases.

But I then wondered if there are any circumstances where the NHS could or should refuse to pay for after care? Some surgery might not be carried out to UK standards overseas or after care might be compromised by having only a week abroad etc?
Does it matter if it is cosmetic?

OP posts:
Garysmum · 24/10/2022 18:44

SydneySage · 24/10/2022 18:12

So what are your views on people needing surgery and care after skiing accidents abroad?

The only cases where I have known this to happen, the surgery has happened abroad and paid for by travel insurance. Of course any further complications sometimes years down the line are treated by the NHS. A lot of this cant be anticipated.
I don’t necessarily agree or disagree with the NHS being a backstop as a PP said nobody would leave people to die of complications from private surgery.
To my mind, the greyest area is purely cosmetic surgery and procedures where a patient wouldn’t meet the criteria for good reason. E.g I read an article about people being accepted for gastric bypasses abroad with bmis sub 30.
I can’t see a solution though. Unless legally you have to purchase insurance for private surgery. But can you imagine the bureaucracy? The cost of administration would surely outweigh the benefit?

OP posts:
SydneySage · 24/10/2022 18:12

So what are your views on people needing surgery and care after skiing accidents abroad?

Getoff · 24/10/2022 18:08

The NHS does not get to pick and choose who it helps. There's a description in the book "This going to hurt" of a patient who got drunk, stood on top of a bus shelter, then slid down a telephone pole, the anti-vandal paint on which caused a degloved penis. Was that patient more or less deserving of NHS care than people who've sought medical help abroad?

The NHS is there to fix what's broken, to the extent they reasonably can. If the level of stupidity or other culpability of the patient in becoming broken would not normally be an obstacle to them being treated, I don't see why a decision to seek medical care abroad should treated differently.

Googlecanthelpme · 24/10/2022 18:07

Well like PP above says, if you don’t treat someone when they’re suffering major complications post surgery then they will die.
So are you comfortable with leaving someone to die because they chose to get their tits done in turkey? I’m personally not comfortable with that.

NHS isn’t here to make moral decisions on whether someone deserves treatment based on WHY they got ill.

We could extend that to include alcoholics, drug addicts, racing drivers, DIY enthusiasts….

An insurance situation would certainly be better - to qualify for surgery abroad it should be regulation to have an insurance policy. This can then be claimed on and paid to NHS directly.

justasking111 · 24/10/2022 18:00

Waveacrossabay · 24/10/2022 17:56

@justasking111 sorry gastric bypass, where the stomach is removed

They remove your stomach, Jesus Christ 🙈

JustALittleHelpPlease · 24/10/2022 17:57

It makes no difference that they are going abroad. Paid for surgery in the UK falls to the NHS when it goes wrong as well. Private hospitals do not do acute/emergency/high dependency care.

Don't fall for the headlines.

The same people could pay for the same surgery in this country. If they suffered the same complications they would be treated by the same NHS service as they are being now. It is all smoke and mirrors designed to give someone to "blame" (other than the government) for the state things are in.

Waveacrossabay · 24/10/2022 17:56

@justasking111 sorry gastric bypass, where the stomach is removed

justasking111 · 24/10/2022 17:53

@Waveacrossabay what is a bypass?

Iamclearlyamug · 24/10/2022 17:51

I can see this from both sides to be honest. I can understand the attraction of going abroad.

For example, I have wanted breast reduction surgery since the age of 14 when I was already a 32G and dealt with nasty comments and unwanted attention from that point until now (I'm now 33 and a 34HH) I have constant backache, shoulder pain and muscular indents in both shoulders from the scaffolding style bras I have to wear to support them. I've taken painkillers for years and had years of physio out of my own pocket, plus of course the sometimes debilitating anxiety, lack of confidence, and often vile sexual remarks from strange men when merely going about my daily life.

Will the NHS help me? Of course not, I've tried 5 different doctors across 4 GP surgeries across 3 counties - not one of them would even refer me due to my case not being "severe" enough. I could NEVER afford this surgery privately in the UK, its a minimum of 8k and I will never have that sort of money, nor the ability to borrow it. I could have it done within Europe for less than half of that - I don't see why I should not get treatment if surgery went wrong, when they wouldn't help me in the first place 🙈

Waveacrossabay · 24/10/2022 17:47

@justasking111 because it's cheaper. 15k for a bypass here.

3k including flights, hotel stay for you and a friend and the surgery in turkey.

And like @Nap1983 says, we'll reverse the surgery, but we won't re do it, so infected breast implants won't be put back in, and they won't get any implants at all.

justasking111 · 24/10/2022 17:38

Our health board are farming out surgery to the private sector to put their mistake right but also to reduce their waiting lists.

Years ago you went to France for private surgery to save money, why is Turkey now the place to go?

Essexgirlupnorth · 24/10/2022 17:34

A family friend had a operation on his spine at a private hospitals and had a heart attack after surgery. They had to transfer him to the NHS hospital for treatment as the private hospital didn't have an intensive care unit.
More difficult if they have gone overseas for cosmetic surgery I'm not sure the NHS should be picking the tab up for that.

Waveacrossabay · 24/10/2022 17:34

She is very unwell, she does keep saying 'I'm just getting back what I put in, I'm entitled to this, I've put lots of money into the nhs, I'm getting my moneys worth now'

AegeanBlue · 24/10/2022 17:27

It must be wildly frustrating for people like @Nap1983 to have to mop up after this type of surgery, particularly the solely cosmetic procedures. But yes, people do all kinds of things that cause themselves health problems, whether or the immediate fell over pissed or longer term lifestyle issues, and I don’t think you can cut this sub-group out exclusively.

Ylvamoon · 24/10/2022 17:23

TootMootZoot · 24/10/2022 17:12

The idea of insurance is interesting but it's like a lot of these issues in that it's difficult to know where to draw the line.
Should all cyclists, climbers, and horse riders have insurance in case they get injured? As a PP mentioned what about skiers? What about anyone who goes to a far flung country who contracts a disease or infection.

Medical ethics are tricky,

But if you are actively choosing surgery abroad, your risks are higher than someone who is skiing or horseriding.

Also, most people travelling to far flung countries are getting travel insurance.

StopFeckingFaffing · 24/10/2022 17:23

Hopefully by raising awareness of the potential complications it will make people twice about travelling abroad for cheap surgery especially when the surgery is purely cosmetic

I have seen a few horror stories in the press recently and that can only be a good thing

It is obviously a big problem for the NHS but it wouldn't be ethical to refuse to treat people with nasty infections etc just because it has resulted from non essential surgery

As others have pointed out there are plenty of illnesses and injuries which you could argue are self inflicted but where would you draw the line

Mosik · 24/10/2022 17:22

My MIL spent all her savings on a private hip replacement in a BUPA hospital. Due to poor aftercare she had complications and they swiftly turfed her out to the NHS.
It's why I would never have private surgery.

Fenella123 · 24/10/2022 17:19

The NHs is forever dealing with fallout from people doing dumb stuff. Firstly it seems a bit harsh to pick out surgery when (to pick just one example) good old "Pissed And Fell Over" is hardly rare in A&E.
Secondly, imagine the admin...

Octomore · 24/10/2022 17:17

MrMrsJones · 24/10/2022 15:24

I think if private surgeons in the UK weren't so expensive then people wouldn't go abroad.

I will have lost 9 stone by Jan/Feb, and have excess skin. By losing weight I have become healthier.

But I have to pay to have the skin removed.

£8000 - Turkey
£15000 / £18000 - UK

I'm a firm believer in the saying "you get what you pay for". There are reasons it's so much cheaper, and at least part of it will be due to lower standards.

MrMrsJones · 24/10/2022 17:16

Ylvamoon · 24/10/2022 16:31

I am with Discovereads there should be some kind of compulsory insurance for people who opt for treatment abroad.

@MrMrsJones I understand what you are saying, but cheaper isn't cheaper if you end up in hospital in the UK ...

But the same surgeon in London is doing the surgery in Turkey, but for £10,000 less.

Why?

Women can't get breast reduction on the NHS even if it impacts them, but they will pop breast implants in TIMs

I have become healthier by losing weight, so why can't I get help? Even if it was 50/50

TootMootZoot · 24/10/2022 17:12

The idea of insurance is interesting but it's like a lot of these issues in that it's difficult to know where to draw the line.
Should all cyclists, climbers, and horse riders have insurance in case they get injured? As a PP mentioned what about skiers? What about anyone who goes to a far flung country who contracts a disease or infection.

Medical ethics are tricky,

Ylvamoon · 24/10/2022 16:31

I am with Discovereads there should be some kind of compulsory insurance for people who opt for treatment abroad.

@MrMrsJones I understand what you are saying, but cheaper isn't cheaper if you end up in hospital in the UK ...

rookiemere · 24/10/2022 15:54

That's a good point about the cost @MrMrsJones , I wonder what makes it so much higher in the UK, labour costs maybe.

SirenSays · 24/10/2022 15:49

I dont understand the hate. When I quit working in the hospital they were in the process of buying bigger "shelving" for the undercroft morgue because patients were getting heavier. Weight impacts all aspects of healthcare and the costs add up.

JustLyra · 24/10/2022 15:41

Tbh I don’t think it’s that different to the NHS having to treat people when they return injured from skiing holidays or the likes.

when it comes to emergencies and people needing care then and there then there can’t be a hierarchy of “well you did that to yourself so we can’t help” imo.

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