No ablation on NHS: My friend just... - Atrial Fibrillati...

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No ablation on NHS

Pam296 profile image
36 Replies

My friend just spotted the post below on an afib forum and sent it on to me. Very worrying if correct. Has anyone heard this from anywhere else?

'Well just been told by my consultant at Royal Brompton on my first visit that the NHS are seriously restrcting Ablations till the end of this year and its almost certain they are going to be refusing to perform on the NHS at all from early 2018 so will only be available to private patients. However if I lived in most European states it would be ok on their national schemes and be done before Xmas. She said all UK heart specialists are up in arms'.

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Pam296 profile image
Pam296
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36 Replies
CDreamer profile image
CDreamer

I haven't heard anything but rumours locally (Devon) that Cardiology is 'up in arms' but I haven't a clue what about at our local hospital - who have had to fight for funding very, very hard to get ablations performed.

Frankly I hope not but it wouldn't surprise me in the longer term as with a NHS winter crisis looming, severe staff shortages with posts going unfulfilled and ablation an elective, QOL, none emergency or essential for life prolonging and requiring a HDU bed overnight for many of the procedures.

Really is time to start campaigning for more funding, in my opinion. There are a few petitions doing the rounds.

Mike-tyson profile image
Mike-tyson in reply to CDreamer

My Ablation done at The Royal Stoke on Trent Hospital was done in a day. I was in Theatre at 9.15 out of Theatre at 11.15. Then picket up by my son and driven home to Stafford 20 miles away at 3pm. I was fine with no side effects apart from feeling quite tired for a few weeks after Ablation.

CDreamer profile image
CDreamer in reply to Mike-tyson

Both mine were 7+ hours, 8 hours in ICU with 1:1 nursing & flat on my back not able to move but discharged the following day. I think we are probably 2 book ends & most will be betweens.

porridgequeen profile image
porridgequeen

Yikes!

CDreamer profile image
CDreamer

38 Degrees has one on the go.

Pam296 profile image
Pam296 in reply to CDreamer

Thanks.

BobD profile image
BobDVolunteer

RBHT is under serious threat themselves actually due to not being attached to a general surgical hospital.

Pam296 profile image
Pam296 in reply to BobD

What a loss that would be, Bob.

dmac4646 profile image
dmac4646 in reply to BobD

Who is the specialist at Royal Brompton ??

KelliDoug profile image
KelliDoug

I will be at the AF Patient's day Sunday in Birmingham and will see if I can find any truth in this. This is of great concern for me too, as I am currently on the ablation waiting list and should be having my surgery in the next 2 months. Let's hope this NHS potential cutback is not true!

Pam296 profile image
Pam296 in reply to KelliDoug

Would be great if you could. It is a worry as paying for a procedure such as this would be a bit of a minefield. Complications, needing more than 1, etc.

KelliDoug profile image
KelliDoug in reply to Pam296

I will do and be back with you. I have also emailed my EP to see if he's heard any rumours. I know my EP said it would be around £10,000 to pay privately. 😬 And like you said, complications and needing possible additional ablations could only raise the cost. Let's hope this is not the case.

pottypete1 profile image
pottypete1

If this is true then it is very scary. Ablation is so successful in so many instances and improves QOL in such a way it must have long term benefits for both sufferers and the NHS alike.

I think also that once again the post code lottery will play a part in this although if the Royal Brompton is saying this it does make me wonder what is going on.

Birmingham is a good opportunity to investigate if those that attend can find out.

Pete

Buffafly profile image
Buffafly in reply to pottypete1

When I was offered an operation for scoliosis at the age of 65 my consultant pointed out to me that I was very lucky to be offered it as in many hospitals I would be told I would have to live with it and indicated that the local authority was wanting to veto such operations so he was in dispute with them. My QOL was very poor and getting worse so I am eternally grateful for the opportunity.

If this is true we need to mobilise, especially those who have benefited because otherwise we will be back to the bad old days of pacemaker being the only option after meds have failed.

groesclose profile image
groesclose in reply to Buffafly

I do not understand how scoliosis (curvature of spine)and pacemakers have a connection?

Buffafly profile image
Buffafly in reply to groesclose

Rationing of treatment!

feejbee profile image
feejbee

I am also going to patients day tomorrow and will see what info I can find out. I am also a Royal Brompton patient and will may well need a 2nd ablation soon (1st one 5 years ago ) and am at the hospital again in a couple of weeks for a fitting of an event monitor.It is very worrying if the ablation procedure is not allowed in the future. It has been a life saver for me and others.An amazing op.

Fi

Pam296 profile image
Pam296

I'm just starting on the EP journey so will be dismayed if the ablation option is taken away.

Callingbird profile image
Callingbird

How do we find the 38 degrees petition, please? Our only hope is a change of government and fast!

Pam296 profile image
Pam296

I couldn't track one down yesterday but will have another look today.

Dr_G1998 profile image
Dr_G1998

I saw my EP at Good Hope Hospital, Birmingham, for the first time on Thursday and was put on the ablation waiting list which is 8-9 months. He didn't mention anything about the NHS removing ablation from their range of treatments.

Hopefully this is just a rumour.

seasider18 profile image
seasider18 in reply to Dr_G1998

Probably from last weeks Labour Party conference:-)

seasider18 profile image
seasider18

The AF Association should be able to tell whether that is true or not. Personally I doubt it .

Pam296 profile image
Pam296 in reply to seasider18

Really hope so but the lady was actually told this by her consultant.

KelliDoug profile image
KelliDoug

Rest assured, this is not true per the AFA Patient's Day today. There might be restrictions due to funding per area trust, as can be the case.

There was talk about another procedure that this might pertain to, but I don't believe it affects us AF people. Bob might have more info on this so will wait for his response. Be well, Kelli

Pam296 profile image
Pam296

Thanks Kelli. Perhaps the lady's consultant was having a bad day!

BobD profile image
BobDVolunteer

Hot from the press I asked Trudie about this and she has not heard anything of the sort. There may well be some local difficulties (aren't there always) but no policy as such.

Pam296 profile image
Pam296

Thank you, Bob. I'll pass the message on to the other group. With money being in such shory supply, there are bound to be difficulties. However, it is comforting to know there is no blanket policy.

dmac4646 profile image
dmac4646

no change in NICE guidelines as yet

nice.org.uk/guidance/CG180

Mike-tyson profile image
Mike-tyson

If Ablation are not to be funded by NHS in 2018 we should get a petition going to make them discuss it in Parliament. Or have a serious go at our MP’s as if they can do cosmetic surgery and gastric bands on NHS because people have eaten to much most of their lives, why should people who AF not have an Ablation when it is not a thing that is self inflicted ??

KelliDoug profile image
KelliDoug in reply to Mike-tyson

This was deemed to be a rumour and not true per our earlier comments. Local trusts might have their own funding issues however.

Mike-tyson profile image
Mike-tyson in reply to KelliDoug

Thanks for clarification

UScore profile image
UScore in reply to Mike-tyson

I'm also not a fan of saying one group of people don't deserve NHS help, as an attempt to get funding for your own condition. We should all benefit from a national health service, not start arguing for closing bits down in a worthiness battle.

For a start, there is an argument that for some people AF can be self inflicted. And once you start going down that road, why should my taxes be used for smokers, drinkers, overweight people, people who rock climb, people who drive in cars, people who chose to live in cities, people who live in remote places etc etc.

Pam296 profile image
Pam296 in reply to UScore

UScore, I quite agree with you. I freely admit that I have probably contributed to my AF due to being overweight and having high blood pressure. However, I am doing something about it. With NHS funding as it is, I wouldn't want to be denied treatment due to something I can change. And I fear that could happen, no matter how right or wrong that may be. My father had Type 2 diabetes and CHF, both caused by poor diet and smoking 40 cigarettes a day. The NHS looked after him brilliantly. No discrimination!

UScore profile image
UScore in reply to Pam296

It would be such a dangerous precedent to start restricting the NHS to certain groups. It's classic divide and conquer. We all overlook our own sins but judge others for theirs. People who don't smoke thinking the NHS shouldn't pay for smokers' health, whilst ignoring how much alcohol they personally drink. Or thinking overweight people should have to pay for help with their problems because it's simply because they eat too much - rather than possibly because of complex mental health issues.

We should all look after ourselves better, but that doesn't mean we use that as reason to start trying to exclude other people from their share of the NHS cake. That could backfire on all but the very most clean living.

"At first they came for the smokers..."

jessieMom2 profile image
jessieMom2 in reply to UScore

So true UScore.

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