Patient guide

We want to ensure that every step of your patient journey is as comfortable and stressfree as possible, which is why we have provided you with a comprehensive guide on what to expect and how to prepare for your day surgery procedure. If you have any questions or worries at any point, please do not hesitate to contact us.

 

Pre-assessment

  • Following your initial appointment with your consultant, you will receive communications from us confirming the dates for your procedure and pre-assessment appointment.
  • Your pre-assessment appointment must take place at least 48 hours prior to your operation (valid for up to 12 weeks), to confirm that you are fit to go through with your procedure.
  • Your appointment will last approximately 15 minutes, and will be with the pre-assessment nurse, who will also be looking after you on the day of your procedure.
  • The nurse will go through your medical history with you, and may perform a routine blood test. You may be required to have additional tests depending on the procedure that you are having, which includes urine tests, MRSA swabs or an ECG.
  • The appointment is a great opportunity for you to ask any questions that you may have, so that you can ease any worries and ensure you are prepared for your procedure.
  • The nurse will show you around the clinic and the day surgery pods, where you will be staying before and after your procedure (dependent on occupancy).
  • Please bring a list of any medications that you take regularly to your appointment, and let us know of any allergies or dietary restrictions you may have.

Chaperones and interpreters

  • A formal chaperone can be made available for any consultation or procedure upon request. Reasons may include but are not limited to: religion, ethnicity, culture, learning difficulties or mental health problems. Please speak to the medical secretary when you are booking your appointment, so that this can be arranged for you.
  • If you are a non-English speaker, or if you require a British Sign Language signer, we can provide an appropriate interpreter for any consultation or procedure. Please speak to the medical secretary or bookings team when you are booking your appointment, so that this can be arranged for you.
  • It is important that you have the required level of support, so that explicit consent can be communicated, and so that you feel comfortable throughout your visits.

If you are unwell

  • Please contact the medical secretary and let us know if you have diarrhoea or vomiting within 48 hours prior to your procedure. They will be able to reschedule the appointment for you, as you will not be able to proceed while you are unwell.
  • If you have flu like symptoms or any other concerns, please contact the medical secretary who will be able to advise you.

Preparing for your appointment

  • You may wish to bring a book or your laptop/tablet to keep you occupied if you have a wait. We offer complimentary wifi as well as a selection of newspapers and magazines.
  • We recommend that you avoid wearing restrictive clothing, so that you can be as comfortable as possible, particularly on your way home after your procedure.
  • Please bring any regular medication that you are taking, and your inhaler if you have one.
  • If you are using your health insurance, please bring the details of your insurance policy including the authorisation code for your procedure.
  • If you wear contacts lenses, you will be required to remove them prior to your procedure, so please bring your storage case, solution and glasses.
  • You will need to remove all makeup (including fake tan) before your procedure, so please make sure that you are prepared to do so. You will also need to remove any piercing, nail polish, acrylic/gel nails and false eyelashes, prior to coming in for your appointment.
  • Please have a shower or bath in the morning, or the night before your procedure.

Fasting

  • If you are having general anaesthetic or sedation please follow the following fasting instructions:
    • 6 hours before admission: Stop eating solid food (including milk). You may have black tea/coffee.
    • 4 hours before admission: Continue to drink water only.
    • 2 hours before admission: Nil by mouth.
  • If you are having local anaesthetic, there is no need to fast. However please only have a light meal up to 2 hours prior to admission, and have only sips of water after that.
  • You should avoid drinking alcohol within 24 hours of your procedure.
  • If you are diabetic, further advice will be given during your pre-assessment appointment.

Family and friends

  • You are welcome to have a family member or friend accompany you to the clinic on the day. They will be invited to stay in the waiting area where we offer complimentary tea and coffee, magazines, newspapers, and wifi.
  • Although your family member or friend can stay in the waiitng area while you have your procedure, in order to protect the privacy and dignity of other patients in the theatre complex, they will be unable to accompany you to the theatre pod. Exceptions to this will be discussed at your pre-assessment appointment.
  • If you are having general anaesthetic or conscious sedation, you must be accompanied home, and have someone stay with you for the remainder of the day. We can call your family member or friend when you are ready to be discharged, if they prefer to wait outside of the clinic.

Arrival time

  • You will be informed of the time that you need to arrive at the clinic on your confirmation letter/email. A member of our bookings team will call to confirm this with you up to 48 hours prior to your appointment date.
  • Your arrival time may be a short time before your procedure actually takes place, as your consultant or anaesthetist will need to see you before they go in for their operating list. We will keep you informed throughout your visit of any waiting times.

Upon arrival

  • When you arrive at the clinic, you will be taken through to your day surgery pod, where you will be staying before and after your procedure.
  • You will be provided with a gown, robe and slippers to change in to, and you will have a secure locker to store your belongings.
  • You will be visited in your pod by your nurse, anaesthetist and consultant.
  • Your nurse will complete your admission assessment which includes taking your vitals, measure your height and weight, answer any questions and also go through any paperwork required. The nurse may ask you for a urine sample depending on the type of procedure you are having.
  • Your host will offer you a menu so that you can choose what you would like to eat and drink while you are recovering after your procedure.
  • Your consultant and anaesthetist will discuss the details of your procedure and post-operative pain relief, so that you will be fully informed about what to expect.
  • If we encounter any unexpected delays, we will keep updating you and your family member, with any information we have.
  • Once the admission is complete, and the theatre is ready, you will be escorted by an anaesthetic nurse directly to the operating theatre.

Your day surgery pod

  • You will be in your day surgery pod while you are waiting to go in for your procedure, and afterwards when you are recovering.
  • There are five pods, and while the ward is mixed sex, you will be kept separate from other patients at all times in order to uphold confidentiality and patient dignity.
  • There are two single sex toilets in the ward.
  • There is complimentary wifi throughout the clinic, which you will be able to connect your devices to. We also offer tablets that you will be able to watch tv/movies on.
  • You may use your mobile phone in your pod, but please be considerate of other patients.
  • You will have a secure locker in your pod, where you will be able to store your valuables.

On your return from theatre

  • If you have had general anaesthetic or conscious sedation, you will be taken to the recovery area for approximately 30 minutes, where we will monitor your vital signs closely, and ensure you fully wake up. You will then be taken back to your pod for full recovery.
  • If you have had local anaesthetic, then you will be taken straight from the theatre back to your pod for recovery.
  • Once you are back in your pod, your nurse will continue to monitor your vital signs until they determine that you are fit for discharge.
  • During this recovery period, you must have passed urine at least once, and be eating and drinking. We know that you might want to go home as soon as possible, but your safety and optimal recovery is the priority, and your nurse will keep you and your family member or friend updated on your progress.

Dining

  • You will be able to order from a full and varied menu of delicious and nutritious meals, snacks and beverages.
  • If you have any special dietary restrictions or allergies, please let us know during your pre-assessment appointment.

Going home

  • Once your nurse is happy that you are fit enough to go home, they will take you through your discharge information, so that you can continue your recovery at home. Your medical secretary will send a copy of your discharge summary to your GP.
  • If required, your nurse will explain how to care for your wounds or dressings, and provide you with any spare dressing that you may need.
  • If you require any medication, your nurse will provide you with bespoke prescription advice. You will be able to purchase your prescription medication via our in-house pharmacy.
  • If you would like a “fit for work certificate”, please request this from your medical secretary.
  • As you are leaving the clinic, you will be asked to check out at the reception, where you can settle any outstanding charges, which may include your take home medications or extra pathologies that were required.
  • If you have had general anaesthetic or sedation:
    • You must have a responsible adult to accompany you home, and stay and look after you overnight.
    • You must not drive, operate heavy machinery, make any big decisions or do any activities requiring concentration for at least 24 hours.
    • Avoid drinking alcohol for at least 24 hours. You will be able to eat and drink as normal.
  • If you have any questions or concerns when you are home, you will be able to reach a member of our team via our out of hours telephone number on 07596 581836. If it is an emergency, please visit your nearest A&E who will be able to assess your condition.

Follow up consultations

  • Your nurse will call you the next working day to check that you are comfortable with your recovery at home.
  • You will be asked to come back to the clinic for a follow up appointment with your consultant. Your medical secretary will contact you to book this after you have gone home.

Feedback

  • Patient feedback is crucial to us so that we can keep improving our services. We would be very grateful if you could complete the short questionnaire which will be emailed to you following your procedure.
  • If you have any concerns about any aspect of our service or care, please speak to a member of staff, who will endeavour to resolve the issue for you as promptly as possible.
  • If you have any complaints, concerns, comments or compliments, please write to us at: Director of Quality and Compliance, Nuada Medical, 19 Harley Street, London W1G 9QJ. Or via email to info@nuadamedical.com.