Consultations & Appointments

At the Fortius Marylebone Clinic there are a number of steps to the front entrance. Please inform us in advance if you will require assistance with the steps, or any other special requirements when booking your appointment and one of our team will assist you with all arrangements during your visit. There is drop off access outside the clinic but parking on Fitzhardinge Street is for resident permit holders only.

The Fortius City Clinic has step-free and lift access to the clinic. There is no parking. 

We are able to organize interpreter services, but you should let us know in advance in order that this can be arranged. We can also arrange accommodation and make travel arrangements as necessary. Please call us to discuss your requirements, +44(0) 203 195 2442. 

If you have seen a Consultant previously, within the last year and you want to book an appointment about the same condition, you should book a ‘follow up appointment’ with this consultant. 
If it has been over a year since you saw a Consultant, or you would like to see them about a different condition, or if you have not seen this consultant before, please book a ‘new consultation’.

If you are claiming on your health insurance, you may need a referral letter from your health practitioner or GP. We advise you to contact your insurer to confirm whether you are covered for the consultation and any subsequent treatments.

If your GP or physio has referred you, you can call us to book an appointment with one of our consultants on +44(0) 203 195 2442 or alternatively use the website to find the named consultant. 

 

You can refer yourself to see one of our consultants, however if you are claiming through your health insurance, they may require you to have a GP referral prior to authorising your consultation and treatment. 

If you are paying for your treatment yourself, you can refer yourself directly.  

 

If you have had previous scans (MRI, CT or X-Ray) related to your condition, please bring these along to your consultation. Please also bring any copies of letters from your GP or specialists.

Your consultant will listen to you carefully, assess what is wrong, and then design a step-by-step treatment and recovery plan that’s right for you. He or she may request further investigations to assist in the diagnosis such as an MRI, Ultrasound, X-Ray and/or blood tests which can be done in clinic on the same day.

If you have had investigations, it is likely you will need a follow up consultation. During this appointment, the consultant will discuss with you the results from your consultation and diagnostic investigations. He or she will recommend the most appropriate treatment for your condition which may be discharging you, referring you on to another health professional, booking you in for further treatment or follow up, or an immediate nursing appointment in clinic. If surgery is indicated then the consultant will explain the whole procedure to you and what to expect afterwards.

If you cannot attend an appointment for any reason please inform us as soon as possible in order for us to offer that appointment time to another patient. We reserve the right to charge for a cancellation less than 12 hours in advance. Late arrival may result in your appointment being rescheduled for later in the day or another day so please get in touch with our appointments line on +44(0) 203 195 2442 should you need to rearrange your appointment time.

Nearly all insurance companies do not cover the cost of additional treatments such as boots or braces fitted by our nursing team. Please speak to your doctor or nurse to obtain the costs for any additional tests, investigations or treatments.

Scans and imaging appointments

If your consultant has referred you for a scan, we can usually perform this on the same day. The imaging department at our outpatient clinics is open from 8.00am to 8.00pm Monday to Friday and 8.00am to 1.00pm on Saturdays at our Marylebone Clinic. We also offer a comprehensive out of hours service for any urgent referrals.

You can find out more about the different types of scan here.

We ask that our patients arrive at least 15 minutes prior to each scan to ensure that there is sufficient time to complete the screening process and to make sure it is safe to do your exam. If you cannot get to your appointment on time you should call as soon as possible on +44 (0) 203 195 2446. We will attempt to provide you with an alternate slot the same day, if there is one available.

If you are having an MRI scan or X-ray please notify us if you have a pacemaker or any other metallic implant or device. You should also let us know if you think you may be pregnant. You may eat and drink normally before and after the scan unless you have been told otherwise. All instructions will be on your appointment letter, please read it carefully. 

There are very few risks from having an X-ray as these examinations involve relatively low doses of radiation, which compare to natural background radiation. The use of X-rays is subject to strict regulations and are assessed on the principle that the risk of having the X-ray outweighs the risk of not having the examination. Female patients who are, or might be pregnant, should tell the radiographer who will decide if special precautions need to be taken.

Following your scan, the images will be carefully interpreted by a Consultant Radiologist who is an expert in their field. He or she will prepare a report for your Consultant, which will be ready within 24 hours. Your consultant will discuss the results with you.

Payment

We require your card details even if you are insured, as many insured patients will have an excess or shortfall to pay. We would recommend that you contact your insurer to find out what is covered under your policy. You will have seven days to query any invoice that you receive from us before payment is taken.

We analyse the data to audit and evaluate the care we give. It gives us a greater understanding of the benefits and risks of the treatments we provide, giving us an opportunity to improve and develop these as required.
Although we may publish our results or share information with our health partners, this will involve aggregated, anonymous data only and it will not be personally identifiable. Amplitude, the company which runs the SCORES software, also runs some national orthopaedic registries and, with a patient’s permission, their data may be passed to them.
 

The information is securely stored by Amplitude, the company running the SCORES software. Their data centre is ISO 270001 certified which means that the information they store is secure.
Although we require personal information such as your name and date of birth, this is only so that we are able to link the questionnaires answered to the treatment that is given.


Under no circumstances will any personally identifiable data will be passed to any other parties without your permission. 
 

We accept cash, cheques and all major credit cards except American Express. All patients are ultimately responsible for the settlement of their account, should any insurer or third party sponsor fail to pay in full.

If you have private medical insurance, you will need to contact your insurer to confirm whether you are covered for your consultation and imaging appointments and whether you will need a GP referral. You should do this prior to seeing a Consultant. Your insurance company will provide you with an authorisation code which you will be required to provide when booking your appointment, along with your policy or membership number. Please bring your pre-authorisation code for your consultation and/or treatment, along with your policy or membership number. All of this information can be attained from your insurance company.

If you have insurance through an overseas insurer, you will be required to pay on the day of your appointment and then claim back from your insurance company. However, if you present a letter of guarantee with all the correct details we may be able to deal directly with your insurer.

If you are paying for yourself, then you will be asked to settle the full cost of the consultation and any radiology service or procedure as soon as possible.  We collect credit card details from our patients when they attend a Fortius Clinic in order to smooth the payment process.  Once your visit is complete, we will email you an invoice and will process that payment with the card details within seven days, plenty of time for you to query anything.  

If you live overseas and are travelling abroad to the UK to receive treatment, you will be asked to pay at the end of their appointment and receipted invoices can be provided. 

Embassy or sponsored patients should always arrive with a letter of guarantee on headed paper, stating who is responsible for their consultation and treatment at the clinic and where exactly the invoice needs to be directed. Without the letter of guarantee, patients may be asked to settle their own account on the day.

Your Consultant will be able to provide an estimated total cost of treatment, which will include hospital and anaesthetist fees, in addition to the consultation fee. Please note that only the consultant fee may be asked to be collected and we have no control over any other fee.

Nearly all insurance companies do not cover the cost of additional treatments such as boots or braces fitted by our nursing team. Please speak to your doctor or nurse to obtain the costs for any additional tests, investigations or treatments.

Clinical outcomes are defined as a “change in health likely to be due to a medical/clinical intervention or series of interventions”. They can be measured by examining the impact treatment has on things that people care about, such as how much pain they are feeling, and their ability to carry out activities.


The change is measured by collecting information from patients before and after treatment. This information is put into context by also collecting details about a patient’s general health, his/her age and gender, and their level of physical activity.
 

Unless we systematically measure clinical outcomes, we cannot be sure what effect our treatments have. SCORES allows us to audit and evaluate the treatment we give and to determine the standard of care we provide. It helps us identify any problems or undue complications; we can then take action to prevent these happening again. In the long term, evaluating the outcomes of treatment provides evidence of its benefits, risks and results. Patients and clinicians can use this information to determine which treatment would be best for their condition.

It is not a legal requirement to collect clinical outcomes but we believe it is an important part of ensuring the highest standards of treatment and it is part of our commitment to providing excellent care.

SCORES is still being expanded, but eventually all patients receiving treatment from clinicians who are part of the Fortius Clinic will be invited to participate.

Patients are invited to complete different questionnaires ─ both before and after treatment. How often and exactly when they are completed after treatment will depend on the type of condition you are being treated for. We ask our patients to complete questionnaires themselves without including our own assessment of them as this often provides a more accurate picture of how they really feel. After all, whether you are happy with the outcome of your treatment is more important than whether we are!

No, certainly not. We don’t insist patients complete the questionnaires, although we do encourage all our patients to do so. The greater the number of patients completing questionnaires, the more accurate and insightful the results and findings will be. This will then benefit future patients.

The questionnaires can be completed online. Patients receive an email from us before their first appointment with a link to the SCORES patient portal. If this is not convenient, the initial questionnaire can be completed in the clinic before your first appointment. Patients who would prefer to complete the questionnaire in the clinic are asked to arrive at least 15 minutes before their scheduled appointment time. If you need help completing the questionnaire, please ask the clinic staff – they will be pleased to help in any way they can. We use three types of questionnaire, each measuring different elements of your health. Some questionnaires are also referred to as ‘PROMS’ (Patient Reported Outcome Measures) or ‘scores’.
 

These scores measure factors directly related to the problem you have, such as a knee or shoulder condition. They are used throughout the world and have been developed specifically to detect and measure changes in musculoskeletal conditions. Although you may feel that not all the questions apply to you, it is important that you still answer them if you can.
Patients are invited to complete this type of score questionnaire before their first appointment and at various stages after treatment. Sometimes patients may be asked to complete a different score questionnaire once a diagnosis has been made.
 

This form gathers information about your condition as well as your general health and activity levels. It helps us to evaluate the effect of your treatment in more depth, for example by showing that the outcome is better if surgery is done at a specific time after an injury, or when patients are in good health. We appreciate that you may be asked these questions again during your consultation – this is because the surgeon likes to hear about these matters directly from you; however, systematically collecting this information as part of SCORES means it can be analysed more easily. Patients will only be asked to complete this form at the start of treatment.

The EQ-5D is a very short, simple online measure of general health developed by an international health outcomes organisation. It allows us to measure any changes in a patient’s general health and wellbeing.

We analyse the data to audit and evaluate the care we give. It gives us a greater understanding of the benefits and risks of the treatments we provide, giving us an opportunity to improve and develop these as required.
Although we may publish our results or share information with our health partners, this will involve aggregated, anonymous data only and it will not be personally identifiable. Amplitude, the company which runs the SCORES software, also runs some national orthopaedic registries and, with a patient’s permission, their data may be passed to them.
 

The information is securely stored by Amplitude, the company running the SCORES software. Their data centre is ISO 270001 certified which means that the information they store is secure.
Although we require personal information such as your name and date of birth, this is only so that we are able to link the questionnaires answered to the treatment that is given.


Under no circumstances will any personally identifiable data will be passed to any other parties without your permission.