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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To make a PALS complaint?

63 replies

everythingihave · 29/06/2026 08:22

A year ago (to the day!) I was running when I took a step, felt a pop in my knee and immediate agony.

I went to an UTC who x-rayed it and said there was no bone damage. After a lot of back and forth with the doctors on call they said that there was nothing they could do, A&E at the “big” hospital wouldn’t accept me and it didn’t warrant an orthopaedic referral because it was probably just overuse.

I went back to my GP when it hadn’t improved in a month, I was told to self refer to physio.

I did that at the end of July last year. I had a video appointment in January, a face to face appointment in February, and was then referred to a specialist hip and knee physiotherapist. I have been waiting for that appointment since February. My referral was accepted on 28/02.

Every month, without fail, I get an appointment booked that is then cancelled because the “consultant isn’t available”. I have been told I will need an MRI, but that they will first do x-rays to determine if it’s arthritis.

It’s now the fourth instance of my appointment being cancelled. It hasn’t been rebooked for July yet, but I’ve gone private because I can’t wait any longer. I’ve bypassed the specialist, booked an MRI, and will go from there.

Would it be reasonable to complain in this situation?

OP posts:
KateSixer · 30/06/2026 09:15

everythingihave · 30/06/2026 09:09

This isn’t the thread for this discussion, thank you.

Point taken and to answer your own original question then yes, complain.

But your experiences are not unique and are symptomatic of a much more systemic problem so I don't think it's unreasonable to consider your original post in this wider context.

everythingihave · 30/06/2026 09:10

Iocanepowder · 30/06/2026 08:58

Do it op. I’ve complained several times, one for shocking maternity care during lockdown.

i’ve had to pay for lots of private treatment for my young kids because the nhs has been mostly useless, this includes private physio for my DC when he was 1, to help him to learn to walk.

The fact we have to pay just to get what we should be getting is nuts to me.

OP posts:
everythingihave · 30/06/2026 09:09

KateSixer · 30/06/2026 09:07

Will Andy Burnham act or will he just genuflect to the socialist origin of the NHS and the millions who work in it without considering that it is not fit for purpose and better model (not the US) exist elsewhere in the world.

This isn’t the thread for this discussion, thank you.

OP posts:
KateSixer · 30/06/2026 09:07

Will Andy Burnham act or will he just genuflect to the socialist origin of the NHS and the millions who work in it without considering that it is not fit for purpose and better model (not the US) exist elsewhere in the world.

Iocanepowder · 30/06/2026 08:58

Do it op. I’ve complained several times, one for shocking maternity care during lockdown.

i’ve had to pay for lots of private treatment for my young kids because the nhs has been mostly useless, this includes private physio for my DC when he was 1, to help him to learn to walk.

everythingihave · 30/06/2026 08:55

KateSixer · 30/06/2026 08:51

I am definitely not a Farage supporter!

But anyone who thinks the NHS is not chronically inefficient and needs significant reform either doesn't use it or is delusional.

When will people wake up and realise that around the developed world in Europe and in Asia (not the US) far better and more efficient systems have developed that still offer universal care.

Read the stories about the abysmal maternity care in Nottingham and tell me you still think the NHS is fit for purpose.

The whole thing is a massive Gordian knot and needs cutting. How can the current status quo be defended by you?

I think emergency and cancer care is definitely very good.

But in terms of literally everything else, it falls very short. I don’t see how, in any world, making people walk around for a year on an injury that is getting worse, saves more money

OP posts:
KateSixer · 30/06/2026 08:51

Gall10 · 30/06/2026 08:36

Fagash Nigel gonna sort it? Isn’t he? Isn’t he??? He probably isn’t!

I am definitely not a Farage supporter!

But anyone who thinks the NHS is not chronically inefficient and needs significant reform either doesn't use it or is delusional.

When will people wake up and realise that around the developed world in Europe and in Asia (not the US) far better and more efficient systems have developed that still offer universal care.

Read the stories about the abysmal maternity care in Nottingham and tell me you still think the NHS is fit for purpose.

The whole thing is a massive Gordian knot and needs cutting. How can the current status quo be defended by you?

everythingihave · 30/06/2026 08:41

Definetelynotanathlete · 30/06/2026 08:40

You are absolutely right. It would be much more cost effective to get MRI done first. It can get longer than a year to get diagnosis through NHS and see physio and have x rays done. In a meanwhile you are actually causing more damage to your knee. Absolutely ridiculous that you have to jump through all these hoops just to find out what is wrong with your knee. I got really frustrated with it all

I think the most insulting part is that then, all of this waiting is classed as “treatment” because you’re doing physio exercises in the meantime. So you then wait an extra year for surgery

OP posts:
Definetelynotanathlete · 30/06/2026 08:40

everythingihave · 30/06/2026 08:33

What’s baffling to me is that prompt treatment costs less than walking around with damage for a year and then needed surgery!

You are absolutely right. It would be much more cost effective to get MRI done first. It can get longer than a year to get diagnosis through NHS and see physio and have x rays done. In a meanwhile you are actually causing more damage to your knee. Absolutely ridiculous that you have to jump through all these hoops just to find out what is wrong with your knee. I got really frustrated with it all

Gall10 · 30/06/2026 08:36

KateSixer · 29/06/2026 08:40

Sadly I doubt if it would make any difference.

Unfortunately the NHS is run (wrongly) fit their convenience not yours.

A better system would allow you choice in your health care provider. Just like if you get bad service in Tesco you can go to Sainsbury's.

Fagash Nigel gonna sort it? Isn’t he? Isn’t he??? He probably isn’t!

everythingihave · 30/06/2026 08:33

Definetelynotanathlete · 30/06/2026 08:32

I had a very similar experience. I had a knee injury and went through the NHS system. The pathway to diagnose and get MRI is very long one. I decided to book private MRI and found out my ACL was completely ruptured and I had meniscus tear as well

What’s baffling to me is that prompt treatment costs less than walking around with damage for a year and then needed surgery!

OP posts:
Definetelynotanathlete · 30/06/2026 08:32

I had a very similar experience. I had a knee injury and went through the NHS system. The pathway to diagnose and get MRI is very long one. I decided to book private MRI and found out my ACL was completely ruptured and I had meniscus tear as well

everythingihave · 30/06/2026 08:21

YorkshirePuddingsGreatestFan · 30/06/2026 08:17

I've just complained to PALS.

I started feeling unwell in autumn 2024 and was fobbed off with menopause.

An optician mentioned Sjogrens at an eye test in Jan 25 due to chronic dry eye and told me to make a GP appointment.

Went back to GP several times (again being fobbed off with it's just menopause) until they agreed to refer me to rheumatology for Sjogrens testing. The referral was done in August 2025. I wasn't given a choice of hospital and I assumed I'd be seen with 18 weeks as per the government guidelines.

I've been put down as routine and I'm still on the waiting list for an appointment. I recently rang the hospital to chase it up and I've been told it'll probably be another six months or so until I'm seen.

In the mean time, the dry eye and dry mouth have become so chronic, it's affecting my vision, speaking and eating. It's not like I can rest up as I need to use my eyes and mouth on a daily basis. I also have other symptoms such as joint pain, chronic fatigue, limb numbness that comes and goes and so on. It's really impacting my quality of life as I'm struggling to manage to do the stuff that needs doing every day like going to work and basic housework.

The GP won't investigate any other causes until Sjogrens is either diagnosed or ruled out, so I'm just left struggling with pain and discomfort until I see the rheumatologist.

If I could afford it, I would pay to go private.

I’m so sorry. That’s awful. They just get away with so much

OP posts:
everythingihave · 30/06/2026 08:20

youalright · 30/06/2026 08:20

It will also be worth contacting the consultants secretary and asking if they have a cancellation list that you can be put on if you have the availability to get there quick

It’s not worth it now I’ve paid for the private scan. All the consultant physio will do is send me for imaging. I need a diagnosis within 9 weeks for travel insurance - everything after that can come after

OP posts:
youalright · 30/06/2026 08:20

It will also be worth contacting the consultants secretary and asking if they have a cancellation list that you can be put on if you have the availability to get there quick

YorkshirePuddingsGreatestFan · 30/06/2026 08:17

I've just complained to PALS.

I started feeling unwell in autumn 2024 and was fobbed off with menopause.

An optician mentioned Sjogrens at an eye test in Jan 25 due to chronic dry eye and told me to make a GP appointment.

Went back to GP several times (again being fobbed off with it's just menopause) until they agreed to refer me to rheumatology for Sjogrens testing. The referral was done in August 2025. I wasn't given a choice of hospital and I assumed I'd be seen with 18 weeks as per the government guidelines.

I've been put down as routine and I'm still on the waiting list for an appointment. I recently rang the hospital to chase it up and I've been told it'll probably be another six months or so until I'm seen.

In the mean time, the dry eye and dry mouth have become so chronic, it's affecting my vision, speaking and eating. It's not like I can rest up as I need to use my eyes and mouth on a daily basis. I also have other symptoms such as joint pain, chronic fatigue, limb numbness that comes and goes and so on. It's really impacting my quality of life as I'm struggling to manage to do the stuff that needs doing every day like going to work and basic housework.

The GP won't investigate any other causes until Sjogrens is either diagnosed or ruled out, so I'm just left struggling with pain and discomfort until I see the rheumatologist.

If I could afford it, I would pay to go private.

everythingihave · 30/06/2026 08:14

I’ve paid for a private scan - not physio. I need a diagnosis for travel insurance 😭

OP posts:
everythingihave · 30/06/2026 08:14

JustGotToKeepOnKeepingOn · 30/06/2026 08:09

I’d definitely complain. I’d also be asking why the person you originally saw didn’t refer you for an MRI? How will the physio know what they’re dealing with?! Sadly as others have said, your complaint is unlikely to have any outcome but the stats will be kept somewhere.

Glad you’re able to pay for private physio treatments. To be honest, the NHS physios I’ve seen have been pretty bad. Young inexperienced and not very effective. Not their fault but I’m convinced all the good physios have left the NHS as they know they see patients too late! It must be a soul
destroying job.

Apparently the pathway in the NHS for hip and knee physio goes like this:

video consultation

face to face with a general physio. You then get put onto “PIFU” which pauses your clock while you try the exercises.

You see a consultant physio. They send you for an xray to determine if it’s arthritis or not. Then if it’s not, they see you again and send you for an mri.

you then see them and they determine if they refer you to orthopaedics or not

OP posts:
JustGotToKeepOnKeepingOn · 30/06/2026 08:09

I’d definitely complain. I’d also be asking why the person you originally saw didn’t refer you for an MRI? How will the physio know what they’re dealing with?! Sadly as others have said, your complaint is unlikely to have any outcome but the stats will be kept somewhere.

Glad you’re able to pay for private physio treatments. To be honest, the NHS physios I’ve seen have been pretty bad. Young inexperienced and not very effective. Not their fault but I’m convinced all the good physios have left the NHS as they know they see patients too late! It must be a soul
destroying job.

everythingihave · 30/06/2026 07:59

I’ve drafted the complaint but looking at it, it feels so naff and silly. Like I’ve not died or suffered any real harm so why should I complain?

OP posts:
everythingihave · 29/06/2026 12:23

thanks everyone. I’ll submit a complaint but I can’t see that it’ll be resolved

OP posts:
AgnesMcDoo · 29/06/2026 11:22

Always complain.

a record needs to be built of how truly shit the NHS is.

a nothing will improve without complaints

KateSixer · 29/06/2026 11:20

IdentifyingAsAWoollyMammoth · 29/06/2026 11:11

Complain.

My DP was diagnosed with rheumatoid arthritis last year and we've had four problems already either due to incompetent secretaries or incompetent consultant. We're not sure which. At a previous appointment consultant said she needed an urgent ultrasound. Heard nothing for ages so we chased up with the rheumatology dept. Said DP wasn't down for urgent, only routine, and it would be at least six months. An email to secretary got us a cancellation for tomorrow due to the notes staying it should be urgent. Previous to that the consultant wanted X tests and when DP went for them they had no record of two of them being required. As we're now on fourth error in the one dept we're making a complaint.

Sadly, I had to make a formal complaint a decade ago concerning the treatment and subsequent death of my grandmother at a different hospital.

My experience of the NHS is that some hospitals are truly excellent while others - or specific depts - are disaster zones, even sometimes despite being run by the same trust.

While we don't pay at the point of use we do pay for it through taxation and therefore we are customers. We'd complain about poor service from a garage; the NHS should be no different.

True but you can go to a different garage if you get bad service.

You can't with the NHS which is one of its main failings.

A system where there were a plethora of health care providers (like garages) all anxious for your custom, financed by a voucher type system paid through taxation (as in many other countries) would be far more effective.

everythingihave · 29/06/2026 11:12

I think I’ll put a complain in, I’m just not sure what the outcome I want is.

OP posts:
Greenfingers37 · 29/06/2026 11:11

Sounds very similar to my experience. I suffered a knee injury last October when running. I’ve seen the GP 3 times, had a steroid jab and x ray which showed no bone/joint issues. She then referred me for an MRI which was rejected by the hospital and I’ve now been put on a physio waiting list. I’ve been told I’ll need to wait at least another 4 months for an appointment. Absolutely useless!
You should definitely complain. I’m going to.