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Orthopaedic day surgery · Basildon

Day orthopaedics in Basildon: what it costs, and the NHS wait

Prices checked 9 Nov 2026

  • Cheapest nearby

    £4,476

    Knee arthroscopy: Chelsfield Park Hospital, Orpington · 20 miles away

    Carpal tunnel surgery: £200 at Southend Private Hospital (11 miles)

  • Typical price

    £4,752

    The middle of 12 published knee arthroscopy prices within 25 miles.

    Carpal tunnel surgery: £2,501.

  • NHS wait so far

    31 weeks

    Half the people on the trauma and orthopaedics list at Mid and South Essex had waited longer than this (August 2026).

    Time waited so far by everyone on the list. It can’t tell you your own wait.

Prices near Basildon

Knee arthroscopy

Sort by

  • Chelsfield Park Hospital

    Orpington · 20 miles away

    £4,476Knee surgery via arthroscopy

    What’s included: Circle’s guide price. Circle says it covers your first consultation, the operation and care after you go home (first consultation £200). Not included: tests before treatment. Circle confirms the final price after your consultation.

    Price breakdown, as published
    Published price breakdown, Chelsfield Park Hospital
    StageIn the price?As published
    Initial consultationIncluded£200
    Diagnostic InvestigationsNot includedNot included
    Main treatmentIncluded£4,276 · Included
    Post discharge careIncludedIncluded · Included

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • The Blackheath Hospital

    London · 20 miles away

    £4,476Knee surgery via arthroscopy

    What’s included: Circle’s guide price. Circle says it covers your first consultation, the operation and care after you go home (first consultation £200). Not included: tests before treatment. Circle confirms the final price after your consultation.

    Price breakdown, as published
    Published price breakdown, The Blackheath Hospital
    StageIn the price?As published
    Initial consultationIncluded£200
    Diagnostic InvestigationsNot includedNot included
    Main treatmentIncluded£4,276 · Included
    Post discharge careIncludedIncluded · Included

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • The London Independent Hospital

    London · 21 miles away

    £4,476Knee surgery via arthroscopy

    What’s included: Circle’s guide price. Circle says it covers your first consultation, the operation and care after you go home (first consultation £200). Not included: tests before treatment. Circle confirms the final price after your consultation.

    Price breakdown, as published
    Published price breakdown, The London Independent Hospital
    StageIn the price?As published
    Initial consultationIncluded£200
    Diagnostic InvestigationsNot includedNot included
    Main treatmentIncluded£4,276 · Included
    Post discharge careIncludedIncluded · Included

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • The Sloane Hospital

    Beckenham · 22 miles away

    £4,476Knee surgery via arthroscopy

    What’s included: Circle’s guide price. Circle says it covers your first consultation, the operation and care after you go home (first consultation £200). Not included: tests before treatment. Circle confirms the final price after your consultation.

    Price breakdown, as published
    Published price breakdown, The Sloane Hospital
    StageIn the price?As published
    Initial consultationIncluded£200
    Diagnostic InvestigationsNot includedNot included
    Main treatmentIncluded£4,276 · Included
    Post discharge careIncludedIncluded · Included

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • Nuffield Health Brentwood Hospital

    Brentwood · 6.5 miles away

    £4,650Knee Arthroscopy - Key Hole Surgery to Remove Damaged Cartilage

    What’s included: Nuffield’s guide price for the treatment. Nuffield says tests before treatment are charged separately, and you get a fixed, all-inclusive price after your first consultation.

    Price breakdown, as published
    Published price breakdown, Nuffield Health Brentwood Hospital
    StageIn the price?As published
    Diagnostic InvestigationsNot includedCharged separately
    Main treatmentIncluded£4,650

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • Spire London East Hospital

    Ilford · 17 miles away

    from£4,682Knee arthroscopy surgery

    What’s included: Spire’s fixed self-pay package. Spire says it covers tests before your operation, the surgeon’s and anaesthetist’s fees, nursing, medicines and food during your stay, and any standard implant, plus aftercare: follow-up appointments, stitches, dressings and up to 14 days of medicines. The first consultation is £232 on top.

    Price breakdown, as published
    Published price breakdown, Spire London East Hospital
    StageIn the price?As published
    Initial consultationIncluded£232
    TreatmentIncludedfrom £4,450
    AftercareIncludedIncluded

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • Nuffield Health Brentwood Hospital

    Brentwood · 6.5 miles away

    £4,821Knee Arthroscopy - Key Hole Surgery

    What’s included: Nuffield’s guide price for the treatment. Nuffield says tests before treatment are charged separately, and you get a fixed, all-inclusive price after your first consultation.

    Price breakdown, as published
    Published price breakdown, Nuffield Health Brentwood Hospital
    StageIn the price?As published
    Diagnostic InvestigationsNot includedCharged separately
    Main treatmentIncluded£4,821

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • KIMS Hospital, Maidstone

    Maidstone · 20 miles away

    from£4,823Knee arthroscopy

    What’s included: KIMS calls this a guide “from” price. Its page doesn’t list what’s included, so check with the hospital.

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • Rivers Hospital

    Sawbridgeworth · 21 miles away

    from£5,610Knee Arthroscopy (key hole surgery)

    What’s included: Ramsay calls this a guide price (a “from” price). Its page doesn’t list what’s included, so check with the hospital.

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • Springfield Hospital

    Chelmsford · 13 miles away

    from£5,635Knee Arthroscopy (key hole surgery)

    What’s included: Ramsay calls this a guide price (a “from” price). Its page doesn’t list what’s included, so check with the hospital.

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • Practice Plus Group Hospital, Ilford

    Ilford · 14 miles away

    £5,899Knee arthroscopy

    What’s included: A fixed treatment price. The first consultation costs £145 on top; Practice Plus says that includes a nurse assessment, any blood tests and swabs needed, and an X-ray if required.

    Price breakdown, as published
    Published price breakdown, Practice Plus Group Hospital, Ilford
    StageIn the price?As published
    Initial consultationNot included£145 (charged separately)

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • Practice Plus Group Hospital, Gillingham

    Gillingham · 14 miles away

    £5,899Knee arthroscopy

    What’s included: A fixed treatment price. The first consultation costs £145 on top; Practice Plus says that includes a nurse assessment, any blood tests and swabs needed, and an X-ray if required.

    Price breakdown, as published
    Published price breakdown, Practice Plus Group Hospital, Gillingham
    StageIn the price?As published
    Initial consultationNot included£145 (charged separately)

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

Carpal tunnel surgery

Sort by

  • Southend Private Hospital

    Westcliff-on-Sea · 11 miles away

    £200Carpal Tunnel release

    What’s included: Circle’s guide price. Circle says it covers your first consultation, the operation and care after you go home (first consultation £200). Not included: tests before treatment. Circle confirms the final price after your consultation.

    Price breakdown, as published
    Published price breakdown, Southend Private Hospital
    StageIn the price?As published
    Initial consultationIncluded£200
    Diagnostic InvestigationsNot includedNot included
    Main treatmentIncluded£1825 · Included
    Post discharge careIncludedIncluded · Included

    Health regulator (CQC) rating: Outstanding · checked 9 Nov 2026

  • Chelsfield Park Hospital

    Orpington · 20 miles away

    £1,735Wrist surgery - Carpal Tunnel release (local anaesthetic)

    What’s included: Circle’s guide price. Circle says it covers your first consultation, the operation and care after you go home (first consultation £200). Not included: tests before treatment. Circle confirms the final price after your consultation.

    Price breakdown, as published
    Published price breakdown, Chelsfield Park Hospital
    StageIn the price?As published
    Initial consultationIncluded£200
    Diagnostic InvestigationsNot includedNot included
    Main treatmentIncluded£1,535 · Included
    Post discharge careIncludedIncluded · Included

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • The Blackheath Hospital

    London · 20 miles away

    £1,735Wrist surgery - Carpal Tunnel release (local anaesthetic)

    What’s included: Circle’s guide price. Circle says it covers your first consultation, the operation and care after you go home (first consultation £200). Not included: tests before treatment. Circle confirms the final price after your consultation.

    Price breakdown, as published
    Published price breakdown, The Blackheath Hospital
    StageIn the price?As published
    Initial consultationIncluded£200
    Diagnostic InvestigationsNot includedNot included
    Main treatmentIncluded£1,535 · Included
    Post discharge careIncludedIncluded · Included

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • The London Independent Hospital

    London · 21 miles away

    £1,735Wrist surgery - Carpal Tunnel release (local anaesthetic)

    What’s included: Circle’s guide price. Circle says it covers your first consultation, the operation and care after you go home (first consultation £200). Not included: tests before treatment. Circle confirms the final price after your consultation.

    Price breakdown, as published
    Published price breakdown, The London Independent Hospital
    StageIn the price?As published
    Initial consultationIncluded£200
    Diagnostic InvestigationsNot includedNot included
    Main treatmentIncluded£1,535 · Included
    Post discharge careIncludedIncluded · Included

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • Practice Plus Group Hospital, Ilford

    Ilford · 14 miles away

    £2,349Carpal tunnel surgery

    What’s included: A fixed treatment price. The first consultation costs £145 on top; Practice Plus says that includes a nurse assessment, any blood tests and swabs needed, and an X-ray if required.

    Price breakdown, as published
    Published price breakdown, Practice Plus Group Hospital, Ilford
    StageIn the price?As published
    Initial consultationNot included£145 (charged separately)

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • Practice Plus Group Hospital, Gillingham

    Gillingham · 14 miles away

    £2,349Carpal tunnel surgery

    What’s included: A fixed treatment price. The first consultation costs £145 on top; Practice Plus says that includes a nurse assessment, any blood tests and swabs needed, and an X-ray if required.

    Price breakdown, as published
    Published price breakdown, Practice Plus Group Hospital, Gillingham
    StageIn the price?As published
    Initial consultationNot included£145 (charged separately)

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • Rivers Hospital

    Sawbridgeworth · 21 miles away

    from£2,653Carpal Tunnel Release Under Local Anaesthetic - One Wrist

    What’s included: Ramsay calls this a guide price (a “from” price). Its page doesn’t list what’s included, so check with the hospital.

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • Spire London East Hospital

    Ilford · 17 miles away

    from£2,678Carpal tunnel release (one wrist)

    What’s included: Spire’s fixed self-pay package. Spire says it covers tests before your operation, the surgeon’s and anaesthetist’s fees, nursing, medicines and food during your stay, and any standard implant, plus aftercare: follow-up appointments, stitches, dressings and up to 14 days of medicines. The first consultation is £230 on top.

    Price breakdown, as published
    Published price breakdown, Spire London East Hospital
    StageIn the price?As published
    Initial consultationIncluded£230
    TreatmentIncludedfrom £2,448
    AftercareIncludedIncluded

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • Spire Hartswood Hospital

    Brentwood · 6.5 miles away

    from£2,825Carpal tunnel release (one wrist)

    What’s included: Spire’s fixed self-pay package. Spire says it covers tests before your operation, the surgeon’s and anaesthetist’s fees, nursing, medicines and food during your stay, and any standard implant, plus aftercare: follow-up appointments, stitches, dressings and up to 14 days of medicines. The first consultation is £237 on top.

    Price breakdown, as published
    Published price breakdown, Spire Hartswood Hospital
    StageIn the price?As published
    Initial consultationIncluded£237
    TreatmentIncludedfrom £2,588
    AftercareIncludedIncluded

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • Springfield Hospital

    Chelmsford · 13 miles away

    from£2,896Carpal Tunnel Release - One Wrist

    What’s included: Ramsay calls this a guide price (a “from” price). Its page doesn’t list what’s included, so check with the hospital.

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

  • Spire Alexandra Hospital

    Chatham · 17 miles away

    from£2,921Carpal tunnel release (one wrist)

    What’s included: Spire’s fixed self-pay package. Spire says it covers tests before your operation, the surgeon’s and anaesthetist’s fees, nursing, medicines and food during your stay, and any standard implant, plus aftercare: follow-up appointments, stitches, dressings and up to 14 days of medicines. The first consultation is £233 on top.

    Price breakdown, as published
    Published price breakdown, Spire Alexandra Hospital
    StageIn the price?As published
    Initial consultationIncluded£233
    TreatmentIncludedfrom £2,688
    AftercareIncludedIncluded

    Health regulator (CQC) rating: Requires improvement · checked 9 Nov 2026

  • Spire Wellesley Hospital

    Southend-on-Sea · 12 miles away

    from£2,997Carpal tunnel release (one wrist)

    What’s included: Spire’s fixed self-pay package. Spire says it covers tests before your operation, the surgeon’s and anaesthetist’s fees, nursing, medicines and food during your stay, and any standard implant, plus aftercare: follow-up appointments, stitches, dressings and up to 14 days of medicines. The first consultation is £225 on top.

    Price breakdown, as published
    Published price breakdown, Spire Wellesley Hospital
    StageIn the price?As published
    Initial consultationIncluded£225
    TreatmentIncludedfrom £2,772
    AftercareIncludedIncluded

    Health regulator (CQC) rating: Good · checked 9 Nov 2026

See all 15 hospitals side by side
Lowest published self-pay price at each hospital within 25 miles, nearest first
HospitalDistanceKnee arthroscopyCarpal tunnel surgery
Nuffield Health Brentwood HospitalBrentwood6.5 miles£4,650–
Spire Hartswood HospitalBrentwood6.5 miles–from £2,825
Southend Private HospitalWestcliff-on-Sea11 miles–£200
Spire Wellesley HospitalSouthend-on-Sea12 miles–from £2,997
Springfield HospitalChelmsford13 milesfrom £5,635from £2,896
Practice Plus Group Hospital, IlfordIlford14 miles£5,899£2,349
Practice Plus Group Hospital, GillinghamGillingham14 miles£5,899£2,349
Spire London East HospitalIlford17 milesfrom £4,682from £2,678
Spire Alexandra HospitalChatham17 miles–from £2,921
Chelsfield Park HospitalOrpington20 miles£4,476£1,735
The Blackheath HospitalLondon20 miles£4,476£1,735
KIMS Hospital, MaidstoneMaidstone20 milesfrom £4,823–
Rivers HospitalSawbridgeworth21 milesfrom £5,610from £2,653
The London Independent HospitalLondon21 miles£4,476£1,735
The Sloane HospitalBeckenham22 miles£4,476–

Prices the hospitals publish on their own websites, not quotes. Nobody pays to be listed. Distances are straight-line miles from the centre of Basildon.

Hospital by hospital

Nuffield Health Brentwood Hospital, Brentwood, 6.5 miles away (Nuffield Health; CQC Good, report January 2026). Knee arthroscopy £4,650 (Knee Arthroscopy - Key Hole Surgery to Remove Damaged Cartilage) or £4,821 (Knee Arthroscopy - Key Hole Surgery) (tests before treatment not included), £174 above the local lowest. No published carpal tunnel surgery price.

Spire Hartswood Hospital, Brentwood, 6.5 miles away (Spire Healthcare; CQC Good, report March 2022). No published knee arthroscopy price. Carpal tunnel surgery from £2,825 (first consultation £237 included; aftercare included), £2,625 above the local lowest.

Southend Private Hospital, Westcliff-on-Sea, 11 miles away (Circle Health Group; CQC Outstanding, report August 2022). No published knee arthroscopy price. Carpal tunnel surgery £200 (first consultation £200 included; tests before treatment not included; aftercare included), the lowest locally.

Spire Wellesley Hospital, Southend-on-Sea, 12 miles away (Spire Healthcare; CQC Good, report October 2026). No published knee arthroscopy price. Carpal tunnel surgery from £2,997 (first consultation £225 included; aftercare included), £2,797 above the local lowest.

Springfield Hospital, Chelmsford, 13 miles away (Ramsay Health Care UK; CQC Good, report August 2026). Knee arthroscopy from £5,635 (single guide figure, no breakdown), £1,159 above the local lowest. Carpal tunnel surgery from £2,896 (single guide figure, no breakdown), £2,696 above the local lowest.

Practice Plus Group Hospital, Ilford, Ilford, 14 miles away (Practice Plus Group; CQC Good, report April 2019). Knee arthroscopy £5,899, £1,423 above the local lowest. Carpal tunnel surgery £2,349, £2,149 above the local lowest.

Practice Plus Group Hospital, Gillingham, Gillingham, 14 miles away (Practice Plus Group; CQC Good, report November 2022). Knee arthroscopy £5,899, £1,423 above the local lowest. Carpal tunnel surgery £2,349, £2,149 above the local lowest.

Spire London East Hospital, Ilford, 17 miles away (Spire Healthcare; CQC Good, report July 2026). Knee arthroscopy from £4,682 (first consultation £232 included; aftercare included), £206 above the local lowest. Carpal tunnel surgery from £2,678 (first consultation £230 included; aftercare included), £2,478 above the local lowest.

Spire Alexandra Hospital, Chatham, 17 miles away (Spire Healthcare; CQC Requires improvement, report September 2017). No published knee arthroscopy price. Carpal tunnel surgery from £2,921 (first consultation £233 included; aftercare included), £2,721 above the local lowest.

Chelsfield Park Hospital, Orpington, 20 miles away (Circle Health Group; CQC Good, report December 2016). Knee arthroscopy £4,476 (first consultation £200 included; tests before treatment not included; aftercare included), the lowest locally. Carpal tunnel surgery £1,735 (first consultation £200 included; tests before treatment not included; aftercare included), £1,535 above the local lowest.

How the prices compare

Knee arthroscopy: 12 local prices span £1,423, from £4,476 to £5,899; the UK median across 131 published prices is £4,683. The nearest, Nuffield Health Brentwood Hospital, is £174 dearer than the cheapest.

Carpal tunnel surgery: 12 local prices span £2,797, from £200 to £2,997; the UK median across 137 published prices is £2,705. The nearest, Spire Hartswood Hospital, is £2,625 dearer than the cheapest.

8 hospitals near Basildon publish both prices. below it at 8, by £2,004 to £3,550.

5 to 10 miles of central Basildon: Nuffield Health Brentwood Hospital (6.5 miles) and Spire Hartswood Hospital (6.5 miles).

10 to 25 miles of central Basildon: Southend Private Hospital (11 miles), Spire Wellesley Hospital (12 miles), Springfield Hospital (13 miles), Practice Plus Group Hospital, Ilford (14 miles), Practice Plus Group Hospital, Gillingham (14 miles), Spire London East Hospital (17 miles), Spire Alexandra Hospital (17 miles), Chelsfield Park Hospital (20 miles), The Blackheath Hospital (20 miles), KIMS Hospital, Maidstone (20 miles), Rivers Hospital (21 miles), The London Independent Hospital (21 miles) and The Sloane Hospital (22 miles).

Typical for knee arthroscopy: usually a day-case procedure.

Tip: count the journeys for the consultation, the procedure and follow-up when weighing a cheaper hospital further away.

Private or NHS?

  • Cost. knee arthroscopy £4,476 to £5,899 at 11 hospitals; carpal tunnel surgery £200 to £2,997 at 12 hospitals. Free on the NHS.
  • Wait. Mid and South Essex: half had waited over 31 weeks; 9 in 10 within 67 weeks. England: 14 weeks.

Private hospitals usually ask for a referral letter or a consultation first. Not sure which is right for you? Your GP can refer you on the NHS and talk through your options.

The NHS wait near Basildon

NHS trauma and orthopaedics waiting list, August 2026
NHS trustMedian waitUnder 18 weeksOver a year9 in 10 withinOn the list
Mid and South Essex NHS Foundation Trust30.8 wks28.7%2,41867 wks11,377
The Princess Alexandra Hospital NHS Trust16.5 wks54.0%4843 wks5,501
England13.9 wks60.9%22,04343 wks851,183

Mid and South Essex NHS Foundation Trust, 11 miles from Basildon: 11,377 people on the trauma and orthopaedics list, 28.7% within 18 weeks, 2,418 over a year, nine in ten within 67 weeks.

The Princess Alexandra Hospital NHS Trust, 20 miles from Basildon: 5,501 people on the trauma and orthopaedics list, 54.0% within 18 weeks, 48 over a year, nine in ten within 43 weeks.

These figures cover everyone on the trust’s trauma and orthopaedics list, not only people waiting for a knee arthroscopy and carpal tunnel release, and describe time waited so far, not how long a new referral will take.

Source: NHS England, Consultant-led Referral to Treatment Waiting Times, August 2026 data, published 8 October 2026. Contains public sector information licensed under the Open Government Licence v3.0. Month-by-month figures: Mid and South Essex NHS Foundation Trust on Waiting Times UK, The Princess Alexandra Hospital NHS Trust on Waiting Times UK.

Other clinics nearby

The CQC register lists 7 independent hospitals registered with the CQC to do surgery within 9.3 miles: 6 good, 1 not yet rated. 2 of them publish a price we could check here; ask the others directly.

The 7 nearest
Nearest independent hospitals registered with the CQC to do surgery, by distance
LocationDistanceRating (CQC)Price shown above?
FACEmed Cosmetic Medical & Dental CentreBillericay2.5 milesGoodJun 2022No
208 Hutton Road - First FloorBrentwood6.2 milesGoodJan 2022No
Nuffield Health Brentwood HospitalBrentwood6.5 milesGoodJan 2026Yes
Spire Hartswood HospitalBrentwood6.5 milesGoodMar 2022Yes
Vie AestheticsRayleigh7.3 milesGoodDec 2022No
Chartwell HospitalLeigh on Sea8.7 milesGoodFeb 2025No
Jorja EssexLeigh-on-Sea9.1 milesNot yet ratedNo

Questions to ask before booking

  • Ask Chelsfield Park Hospital, Nuffield Health Brentwood Hospital and Southend Private Hospital what tests before treatment would cost: their published breakdown lists them as not included.
  • Ask KIMS Hospital, Maidstone, Rivers Hospital and Springfield Hospital for an itemised quote, as their prices are published as a single figure.
  • For knee arthroscopy, weigh Chelsfield Park Hospital (20 miles) against Nuffield Health Brentwood Hospital (6.5 miles): the £174 saving comes with a longer trip, so ask each how many follow-up visits are included.
  • For carpal tunnel surgery, weigh Southend Private Hospital (11 miles) against Spire Hartswood Hospital (6.5 miles): the £2,625 saving comes with a longer trip, so ask each how many follow-up visits are included.
  • Ask whether an MRI scan is needed first and whether it is in the price.
  • Ask whether the price is for one wrist and what both would cost.

Knee arthroscopy guide Carpal tunnel surgery guide

Nearby

Knee arthroscopy and carpal tunnel surgery in nearby places

Other treatments near Basildon

Private healthcare in Basildon

Where these figures come from

Prices: from each hospital’s own price page and breakdown on the date shown next to each price. We store the price, what the page says it includes, the link and the date.

Each hospital group describes its prices differently (guide prices, fixed packages or “from” prices), so read what’s included before comparing totals.

Clinic details and ratings: CQC register (HSCA Active Locations, downloaded 9 November 2026), Open Government Licence v3.0. A rating describes the whole location, not one treatment.

Source: NHS England, Consultant-led Referral to Treatment Waiting Times, August 2026 data, published 8 October 2026. Contains public sector information licensed under the Open Government Licence v3.0. Month-by-month figures: Mid and South Essex NHS Foundation Trust on Waiting Times UK, The Princess Alexandra Hospital NHS Trust on Waiting Times UK.

Typical price is the middle (median) of the published prices within 25 miles, shown only when there are at least four.

How we check prices · Report a mistake

Independent. We’re not part of the NHS or any hospital, we’re not clinicians, and nothing here is medical advice. Hospitals can’t pay to appear or to change their position.