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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Can you withdraw yourself from NHS care ??

126 replies

Beau30 · 04/08/2026 22:58

Hey,

has anyone ever discharged/withdrawn themselves from an NHS service and gone fully private?

im currently under NHS cardiology and have had one too many awful experiences. I’ve been gaslit and treated like shit on the basis of im a young woman. I just accepted it over the years because I didn’t want to complain or be difficult, but after yet another shitty experience I’m just completely done and do not wish for them to be involved in my care at all anymore

i have a recording device in my chest and frankly no longer wish for my NHS cardiology team to be recording or involved. Do I just call them up and hand back the equipment for the recording device (obviously cannot hand the device back as it’s in my chest, but I would give back the rest of the equipment like the transmitting box for it which usually sits beside my bed

the device itself is fine to stay in my chest, it just becomes useless if the NHS team are no longer monitoring it. But I was planning on requesting all my medical records and seeking any further care privately

not sure why I’m nervous about it but for some reason I’ve got myself worried! Is it as simple as just calling my consultants secretary and telling them to withdraw me?! Has anyone else done this before?!

thanks so much in advance x

OP posts:
New posts on this thread. Refresh page
KiwiFall · 06/08/2026 10:17

Most cardiologists are both private and NHS so you would probably have to travel to get a different consultant.

Book an appointment with a private clinic get an opinion and coatings of what they think you may need now and in the future. Both tests, treatments, and medications. Make sure they cover emergencies. Then decide to move across to private.

Then write to NHS consultants to be discharged from their care. To be honest the private consultant will probably write to the NHS and ask for any previous tests/notes anyway so May do this for you (with your permission). Please don’t just not turn up for appointments. I know cardiology waiting lists are very long at the moment so others would be grateful to take that slot.

If you did have an emergency and had to go to NHS A&E then they would obviously still treat you but wouldn’t have any up to date info on your condition so it may take longer as they would probably have to repeat a lot of tests before any treatment.

ReyRey12 · 06/08/2026 09:58

Imdunfer · 05/08/2026 13:36

You will only find those on the NHS App if they have been uploaded and they aren't always. I have had two sets of hands x rays that are not on the App and my rheumatology consultant doesn't upload blood test results and I have to threaten GDPR every single time to get to see them.

My bf had an ultrasound a few months ago and he got the results via phone. He was then transfered to a specialist who wanted to see the results and there is no record of the ultrasound anywhere. Not that he has been in one or the results. Nothing in the app.

Elieza · 06/08/2026 08:44

where is the nearest hospital to where you are?

if you dont want to move house to get into a different hospital catchment, is it feasible that you could attend the nearest cardiac hospital next time you have symptoms and happen to be “on a few days break to this area”?

surely they will treat you in their A&E rather than take you to your usual hospital back home and that way you might get some better treatment?

Mischance · 05/08/2026 14:09

Beau30 · 05/08/2026 13:52

I don’t have a pacemaker!

it’s the low heart rate episodes I mentioned above that are causing ‘such anguish now’. But it’s a cumulation of being fobbed off for years that’s just got me fed up and looking to go elsewhere for a 2nd opinion on it

I beg your pardon. I misunderstood that. But you have had an ablation if I have read this right?
So they do recognise you have genuine heart problems.
Has proper follow up failed?

Beau30 · 05/08/2026 13:52

Mischance · 05/08/2026 13:06

If you have a pacemaker and have had an ablation it does sound as though your problems have not been totally dismissed. These procedures are not undertaken lightly.
What is the sequence of events that is causing you such anguish now? Are your symptoms persisting? Have you not had proper follow up?

I don’t have a pacemaker!

it’s the low heart rate episodes I mentioned above that are causing ‘such anguish now’. But it’s a cumulation of being fobbed off for years that’s just got me fed up and looking to go elsewhere for a 2nd opinion on it

OP posts:
Beau30 · 05/08/2026 13:50

MissMoneyFairy · 05/08/2026 13:23

She's not got a pacemaker, I think it's a small implantable cardiac monitor, it shouldn't be removed without medical advice. Opmhave you got copies of your medical records, ecg, discharge summaries, GP records, you can access all these now. I'd be more inclined to change nhs hospitals or the cardiologist where you are, what are you expecting from a private consultation.

I don’t live in England so no right to choose here unfortunately. I was told I can only be seen at this hospital because of my postcode x

OP posts:
Imdunfer · 05/08/2026 13:36

Mischance · 05/08/2026 13:19

On the NHS app you can find all test and other results plus summary letters from consultant to GP. You can download these free and either print or email to private consultant.

You will only find those on the NHS App if they have been uploaded and they aren't always. I have had two sets of hands x rays that are not on the App and my rheumatology consultant doesn't upload blood test results and I have to threaten GDPR every single time to get to see them.

Imdunfer · 05/08/2026 13:33

mrsjoyfulprizeforraffiawork · 05/08/2026 11:44

Haven't read all. I am a medical secretary, now many years in private practice. The private consultant will NOT send for your NHS complete records. You will have to request them from the hospital yourself in writing and pay the requisite fee up front. It will probably take some weeks to get them. We never do this and I don't know any private practice I have ever worked in that would or would have the time to.The onus is on you to get them or authorise the hospital to send them to the consultant direct. There will be a fee for this. It is only solicitors with medicolegal cases that will request medical records for you.

Pacemakers are literally lifesavers but should be checked once a year as battery and performance need to be checked and adjusted as needed I have come across NHS pacemaker patients who aren't checked regularly and wondered how they get on when their battery is near the end. If it is ever me (I am an NHS patient), I will be hassling them for annual checks.

You have an absolute right to see your medical records for free under GDPR. I've never heard of any individual paying to get them.

Modern pacemakers issue an alert when the battery is nearing end of life.

MissMoneyFairy · 05/08/2026 13:23

Mischance · 05/08/2026 13:06

If you have a pacemaker and have had an ablation it does sound as though your problems have not been totally dismissed. These procedures are not undertaken lightly.
What is the sequence of events that is causing you such anguish now? Are your symptoms persisting? Have you not had proper follow up?

She's not got a pacemaker, I think it's a small implantable cardiac monitor, it shouldn't be removed without medical advice. Opmhave you got copies of your medical records, ecg, discharge summaries, GP records, you can access all these now. I'd be more inclined to change nhs hospitals or the cardiologist where you are, what are you expecting from a private consultation.

Mischance · 05/08/2026 13:19

On the NHS app you can find all test and other results plus summary letters from consultant to GP. You can download these free and either print or email to private consultant.

Ineffable23 · 05/08/2026 13:07

mrsjoyfulprizeforraffiawork · 05/08/2026 11:44

Haven't read all. I am a medical secretary, now many years in private practice. The private consultant will NOT send for your NHS complete records. You will have to request them from the hospital yourself in writing and pay the requisite fee up front. It will probably take some weeks to get them. We never do this and I don't know any private practice I have ever worked in that would or would have the time to.The onus is on you to get them or authorise the hospital to send them to the consultant direct. There will be a fee for this. It is only solicitors with medicolegal cases that will request medical records for you.

Pacemakers are literally lifesavers but should be checked once a year as battery and performance need to be checked and adjusted as needed I have come across NHS pacemaker patients who aren't checked regularly and wondered how they get on when their battery is near the end. If it is ever me (I am an NHS patient), I will be hassling them for annual checks.

Why would the hospital charge a fee? Surely they're obliged to share the records if the OP did a subject a chess request? And I thought you couldn't charge for a SAR?

Mischance · 05/08/2026 13:06

If you have a pacemaker and have had an ablation it does sound as though your problems have not been totally dismissed. These procedures are not undertaken lightly.
What is the sequence of events that is causing you such anguish now? Are your symptoms persisting? Have you not had proper follow up?

Aligirlbear · 05/08/2026 12:47

Do lots of research before deciding to remove yourself , as others have suggested it might be better to seek a transfer to another NHS trust / consultant. Bear in mind that if you do withdraw and go private in the event of an emergency private can’t always cope and will try and pass you to the NHS and they won’t necessarily pick up all the pieces. Also private care for cardiology can quickly become very expensive.

a friend of my sister’s considered private for cardiology but after in depth researching took the decision to move NHS trusts , this was based on overall cost, provision for future needs and the what if in the case of an emergency. The switch to another NHS trust worked out ok for her.

Viviennemary · 05/08/2026 12:39

concertinacornflake · 04/08/2026 23:09

I'd pause and seek support to switch consultants within the NHS. Removing a device is an extreme move. Do you have a lot of money? If so it is less risky, but if not proceed with caution.

Have you pursued any complaints?

Edited

This is the best way forward. The only way imho.

Beau30 · 05/08/2026 12:39

mrsjoyfulprizeforraffiawork · 05/08/2026 12:25

Yes, request them now. I think you have to write to medical records.

Brilliant thank you, I will do. No harm in at least having the records and then at least I’ve got that sorted and ticked off and I can take my time deciding on next steps

OP posts:
Beau30 · 05/08/2026 12:37

Mischance · 05/08/2026 12:20

Please just ring the BHF helpline as above and they will answer all your questions and provide support.

Also if you go onto NHS app you will find all the communications from the consultants which you can either print out or email in advance to a private cardiologist.

Thanks so much. Sorry losing track of who I’ve replied to and who I haven’t but thank you, I absolutely will do this

OP posts:
Beau30 · 05/08/2026 12:36

Soontobe60 · 05/08/2026 12:25

You have had a device fitted, have had appointments with cardiologists and psychiatrists and gad an ablation. That does not sound like someone who has been ignored.
When you went to A+E recently, who took you? Were they not able to advocate for you?

You have NO idea how bad it’s been

I had my ablation AFTER I was told on multiple occasions I was anxious, hysterical, that young women don’t have heart issues. My heart was going up to 250 and they didn’t believe me. I was told I needed mental health help. I was referred to a psychiatrist before I was taken seriously and my heart issue was found

and I’m not sure what your point is about a psychiatrist? I never bloody needed one! I was referred to one because they didn’t believe the issue was my heart. They thought it was anxiety. The psychiatry department actually wrote back after I was referred and said they had no clue why I was sent to them and that I had no mental health concerns. The ONLY reason I was sent there is because I’m a young woman. lets be honest

Ive waited for HOURS in an a&e waiting room, was told to stop crying because there was sicker patients, I was being dramatic, told to pull myself together and stop making such a fuss because I could barely sit up properly. I was in 3rd degree block. Only after I begged for hours did they actually take me seriously and check.

I have been told it’s in my head, I’m being silly, I’m over thinking it meanwhile I’ll have episodes where my heart drops to 30s for days and I’m vomitting and unwell with it.

every treatment I’ve had so far has been a nightmare to get and I’ve had to beg for every bit of help. I don’t think people realise quite how bad it can be if your local NHS hospital/specific department is bad. It can be dreadful

thats a fraction of specific scenarios I’ve bad. I’d be here for hours if I told you about all the times I was gaslit, ignored, treated badly, fobbed off, appointments cancelled

I’m just absolutely fed up with it now.

yeah I can bring my husband when he’s able to come but that’s not always possible, and frankly I’m not okay with the fact that i won’t be taken as seriously unless he’s there (and even then I’m still not sometimes). Sometimes he’s away for work or can’t come in and I’ve no choice but to go myself

OP posts:
Soontobe60 · 05/08/2026 12:25

Beau30 · 05/08/2026 00:04

Im so sorry for what you’ve been through, that sounds awful!💐

you summed up perfectly what it’s like to be a young woman with heart issues - no matter what you’re never taken seriously. It’s just exhausting isn’t it tbh! X

You have had a device fitted, have had appointments with cardiologists and psychiatrists and gad an ablation. That does not sound like someone who has been ignored.
When you went to A+E recently, who took you? Were they not able to advocate for you?

mrsjoyfulprizeforraffiawork · 05/08/2026 12:25

Beau30 · 05/08/2026 12:06

Thanks so much. Would I be as well to just request all my notes from the hospital now so I’ve got them? And then that way once I’ve done some research and found a private cardiologist I’ll already have my notes? X

Yes, request them now. I think you have to write to medical records.

Mischance · 05/08/2026 12:20

Please just ring the BHF helpline as above and they will answer all your questions and provide support.

Also if you go onto NHS app you will find all the communications from the consultants which you can either print out or email in advance to a private cardiologist.

Beau30 · 05/08/2026 12:06

mrsjoyfulprizeforraffiawork · 05/08/2026 11:44

Haven't read all. I am a medical secretary, now many years in private practice. The private consultant will NOT send for your NHS complete records. You will have to request them from the hospital yourself in writing and pay the requisite fee up front. It will probably take some weeks to get them. We never do this and I don't know any private practice I have ever worked in that would or would have the time to.The onus is on you to get them or authorise the hospital to send them to the consultant direct. There will be a fee for this. It is only solicitors with medicolegal cases that will request medical records for you.

Pacemakers are literally lifesavers but should be checked once a year as battery and performance need to be checked and adjusted as needed I have come across NHS pacemaker patients who aren't checked regularly and wondered how they get on when their battery is near the end. If it is ever me (I am an NHS patient), I will be hassling them for annual checks.

Thanks so much. Would I be as well to just request all my notes from the hospital now so I’ve got them? And then that way once I’ve done some research and found a private cardiologist I’ll already have my notes? X

OP posts:
Beau30 · 05/08/2026 12:05

sashh · 05/08/2026 11:55

You re seeing a wide range of people by the sounds of it. Not all of them will have any idea about your arrhythmisas.

The people you really need to see are a cardiologist, preferably one that specialises in electrophysiology.

You have had an ablation so you probably had an electrophysiological study. IMHO you need another and to be honest with a HR as low as 30 I am surprised you have not had a pacemaker fitted.

You don't 'withdraw' from the NHS just cancel any appointments.

I worked in cardiology for both the NHS and a private hospital. My recommendation is that if you 'go private' do it at an NHS hospital with a private ward / wing.

im under an EP cardiologist already. Every appointment im just told im anxious and there’s nothing wrong and im just ‘too aware of my symptoms’ and im ‘making it a bigger issue than it is because im overthinking it’

ive just completely given up with them altogether

i know it sounds like I’m just complaining but honestly the care has been atrocious from start to finish. I’d be interested to know if it would have been different if I were an older male rather than a younger woman but that’s a whole different rant isn’t it x

OP posts:
sashh · 05/08/2026 11:55

Beau30 · 05/08/2026 00:02

No I definitely don’t have that. I’ve heard of it though and know people have similar issues with it although I don’t know that much about it

When I had my fast heart rates it was not pots. I had dangerous tachyarythmias and had to get it ablated

the episodes now are slow rates. I was told by one of the few nice doctors I saw that they think I have tachybrady (sick sinus syndrome) but then again the next doctor I saw said something completely different. One minute I’m being told I need medication to make it faster when these episodes happen, then I’m told I’m just anxious and need to stop being dramatic because being in the low 30s does not cause symptoms in young people. Then I’m being told I need a pacemaker. Then I’m being told I’m wasting their time and it’s all anxiety

literally so so frustrating x

You re seeing a wide range of people by the sounds of it. Not all of them will have any idea about your arrhythmisas.

The people you really need to see are a cardiologist, preferably one that specialises in electrophysiology.

You have had an ablation so you probably had an electrophysiological study. IMHO you need another and to be honest with a HR as low as 30 I am surprised you have not had a pacemaker fitted.

You don't 'withdraw' from the NHS just cancel any appointments.

I worked in cardiology for both the NHS and a private hospital. My recommendation is that if you 'go private' do it at an NHS hospital with a private ward / wing.

mrsjoyfulprizeforraffiawork · 05/08/2026 11:44

Haven't read all. I am a medical secretary, now many years in private practice. The private consultant will NOT send for your NHS complete records. You will have to request them from the hospital yourself in writing and pay the requisite fee up front. It will probably take some weeks to get them. We never do this and I don't know any private practice I have ever worked in that would or would have the time to.The onus is on you to get them or authorise the hospital to send them to the consultant direct. There will be a fee for this. It is only solicitors with medicolegal cases that will request medical records for you.

Pacemakers are literally lifesavers but should be checked once a year as battery and performance need to be checked and adjusted as needed I have come across NHS pacemaker patients who aren't checked regularly and wondered how they get on when their battery is near the end. If it is ever me (I am an NHS patient), I will be hassling them for annual checks.

GoldMoon · 05/08/2026 11:15

Honestly , I wouldn't do it .
You've lost faith in them , I get that , but with your conditions you need to stay nhs funded .
What happens if you need major heart surgery in the future ? Lifelong medications will cost a bomb ongoing .
Both myself & husband have lifelong medical needs and between us we take 22 medications .
We live rural and our nearest hospital is rubbish and it is nearly a 70 miles round trip to the next nearest where we both have clinics to attend .
The care we get there is only mediocre and an appointment I should have every 6 months is currently 5 months overdue and before that it was 13 months over due so in 18 months I should have had 3 appointments and I've only had 1 .
But my point is , at least we are seen , and we have medication to help control it .

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