Spine Dragon site logo: Michael J H McCarthy, Consultant Spinal Surgeon

Terms and Conditions of Treatment

Patients undergoing private treatment are asked to sign and return a form detailing the terms under which treatment is carried out. The content of the form is reproduced below.


The following are my terms and conditions of treatment in the private health care sector. My fee schedule is available on request.

You, as patient, have requested a consultation and / or treatment on a private basis from me, as surgeon.

You have the right to question and discuss my opinion and treatments at any time, to ensure you fully understand your diagnosis, the potential non-operative and operative treatments available, your treatment plan and the relative benefits and risks involved. You have the right, at any time, to seek an independent second opinion to reassure you that the correct diagnosis has been made, and the correct treatment plan has been agreed upon.

I undertake to perform a full clinical history and examination, order appropriate investigations and to offer evidence-based treatments that, in my opinion, offer the best available care for your condition. I will undertake your outpatient, day case or inpatient care fulfilling all my responsibilities as set out by the General Medical Council. Copies of all correspondence about your case will be sent to you and your General Practitioner.

You are wholly responsible for the payment of my fees, which I advise you to discuss before embarking upon treatment as a private patient. The responsibility for full payment of fees does not rest with your insurer. It is important that you check your level of cover and the maximum reimbursement that your insurer will give for medical services before you embark upon treatment, as there may be a gap between my fee and the amount your insurer will reimburse. You will be responsible for funding that gap.

Terms are payment of fees within 28 days of invoice. Invoices will be sent within 2 weeks of outpatient consultation, or within 2 weeks of completion of inpatient care.

You must sign a consent form for all surgical procedures. I will carry out all surgical procedures personally, with appropriate assistance from trained staff where necessary. You must not sign your consent form until you are happy that you fully understand your diagnosis, the treatments available and the risks and benefits involved in treatment. You should address any questions or concerns about anaesthesia to the Consultant Anaesthnetist providing your care.

All surgical procedures bear the risk of complications. The risk of complications will be explained to you before your surgery, based on your individual clinical circumstances. The surgical treatment of immediate common complications, such as wound infection, bleeding or spinal fluid leak will be included in the fee for your original procedure. Revision surgery for continuing medical problems, however, will attract a further surgical fee.

Private investigations and surgical treatment can become very expensive and I understand that if patients do not have full medical insurance they may not be able to continue with investigations or treatment in the private sector. I am more than happy to transfer your treatment between the private sector and the National Health Service at any stage on your request. The standards of care that you will receive in both sectors are equal and the indications for all investigations and operations are exactly the same. Standard Welsh National Health Service waiting times from GP referral to treatment will apply.

Please sign and return one copy of these terms to indicate that you agree to them and fully accept them.

Mr Michael J H McCarthy

Patient Signature: ……………………………………………………………

Patient Name: ……………………………………………………………

Date: ……………………………………………………………