BUPA or NHS?

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I'm lucky enough to have BUPA health insurance for which I'm very grateful, but had a partial nephrectomy 7 weeks ago on the NHS as it was robotic assisted and that wasn't available privately. I had half of my kidney removed -  papillary renal 4 cm cancer tumour removed via laparoscopic surgery.

It wasn't a problem for me not getting it done on the NHS - I don't want to sound like some kind of snob here. I had a great experience on the NHS and have no complaints, only thanks.

Anyway last week I saw the consultant again and the histology showed a more aggressive grade 3 tumour, and that plus the T3 depth means I'll need more treatment - pills etc, so have been referred to a new consultant who will be managing my treatment going forward. 

My question is, or advice I could with, is that do you think I should be asking to be referred to a private consultant at this stage, via BUPA, or stay within the NHS? I mean I wonder what the pros and cons are?

Again, I realise I'm lucky to have an option.

Thanks

  • Hi Tim boat

    Thanks for getting in touch, my name is Sarah one of the Cancer Information Nurses on the Macmillan support line.

    It is good to hear you had a positive experience with the NHS and have no complaints. With an option of private treatment through BUPA I understand the importance of making treatment decisions.

    The differences can vary between the NHS and private treatment.

    Most private hospitals who offer cancer treatments have Clinical Nurse Specialists (CNS). Some insurance policies do not cover appointments with nurses but larger private hospitals with a CNS will usually offer this service without additional charges to the insurer.

    Previously private hospitals did not have urgent care departments to allow them to take acute admissions. This is changing with some larger private hospitals now providing such centres with some being open 24/7 but others having set opening hours. Private Urgent Care Centres do not usually treat life-threatening illnesses. 

    When you are on cancer treatment on the NHS you will have access to a clinical nurse 24 hours a day if you feel unwell or have symptoms which concern you. It is worth noting that if you become acutely unwell at home when receiving privately funded cancer treatment, you may need to attend an NHS A&E to receive urgent care. As your treatment has not been administered by the NHS, staff in A&E will not have access to records of your drugs or any other treatments you have received.

    It may be helpful to find out which services are covered by your insurance provider.

    I hope this helps as you think through the pros and cons of private and NHS treatment.

    If we can help with anything else, please don’t hesitate to get back in touch.

    Best wishes,

    Sarah

    Cancer Information Nurse Specialist 

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email

    Ref/ SS/BG

    Sarah S-Macmillan Cancer Information Nurse Specialist
  • Thanks so much for this. Much appreciated