Consultations: New patient consultation and follow-up consultations and investigations -

Please select options from the CLINIC BOOKING REQUEST below. Alternatively you may ring the secretary listed for the clinic required on the About Us page .

 

A referral letter from your GP or specialist is required. It can be e-mailed or brought to the consultation.

 

A new service has started at a dental practice. See 'Why at the dentist' below. 

 

If you chose to pay in advance using PAYPAL: Please give any extra instructions not covered in clinic booking request below, in the comments box.

 

Payment can be made at the appointment in clinic using PAYPAL, cheque (with guarantee card) or cash. Hospital charges will be separate and normally paid by credit card or cash.

 

 

 

 

 

Periodontal disease is closely related to cardiovascular health. Diseased gums release significantly higher levels of bacterial components into the bloodstream in patients with severe periodontal disease compared to healthy patients. As a result, these harmful bacterial components could travel to other organs in the body, such as the heart, and cause harm. Similarly those patients with specific cardiac diseases such as leaky valves need to be aware of this in order inform the dentist. It is therefore logical to combine the two services.

 

 

See Domicilliary Cardiology Services UK document for travel charges

 

I can provide all options including home ECG, ECHO and Doc@Home 

 

 

Mobile Echo Clinics      

                                                  

By arrangement, minimum 5 patients a session. Booking forms available here

 

 

 

 

 

 

 

 

Typical report:        £600.00 including 2-3  hours researching and preparation (£200/hr)

Additional fees:       Consultations and investigations are charged as above.

Where to refer:       See 'about us  or links below

 

Payement for service:  Fees requested within 30 days of billing. 

 

 

The Financial Ombudsman’s Service (FOS) is available for patients who have a complaint against their insurer.

 

 

 

 

 

Doc@Homeis available within 2 working days following consultation. Individual service requirement has to be agreed prior to purchase of equipment as you will need registration Dr. Forbat with the Docobo site. Short term rental can be arranged by agreement,

once registration has been arranged through Dr. Forbat with the Docobo site.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you are anticipating using the service for longer than a month (cost of rental = £1350.00) consider purchasing Doc@Home and the peripherals (cost including a month rent = £1290.00) then budget for £50.00/week after first month. Consultations are extra.

 

"wherever you are" 

 

Fast diagnosis urged for heart failure (15/01/2010)

Doctors should not delay in diagnosing patients with suspected heart failure, according to proposals published yesterday.

 

Theup-dated guidelines say doctors should send a patient immediately for ultrasound diagnosis if the patient has previously had a heart attack.

 

Earlier guidelines, published five years ago, advised GPs to conduct a series of tests and only to use the ultrasound test - echocardiography - if these were inconclusive.

 

Thenew guidelines, published by the National Institute for Health and Clinical Excellence, say echocardiography and specialist assessment should take place within two weeks of a GP referral.

 

They support a raft of new drug treatments for patients with heart failure from left ventricular systolic dysfunction.

 

Patientsof African origin should be offered isosorbide/hydralazine if the two front-line drugs, ACE inhibitors and beta-blockers, are not successful, they add.

 

The guidelines are still in draft form, allowing comments to be submitted over the next eight weeks.

 

Dr Fergus Macbeth, of NICE, said it aimed to improve the length of life and its quality for people with heart failure.

 

About 900,000 Britons currently have a diagnosis and another 900,000 are thought to have heart damage likely to lead to failure.

 

Dr Macbeth said: "The prevalence of heart failure is expected to rise in the future as more people live longer generally, people survive longer with coronary artery disease and there are better treatments for heart failure.

 

"It's clearly very important that clinicians working in this area have a guideline that is based on the most up-to-date evidence of what works best."

 

Headded: "The original guideline recommended the use of echocardiography to help confirm a diagnosis of heart failure only after other tests were inconclusive.

 

"However, based on a review of new evidence about the best way for primary care physicians to diagnose heart failure published since the original NICE guideline, the updated draft recommends that people with suspected heart failure and who have had a previous heart attack should be referred urgently for echocardiography and specialist assessment."

 

Expert Patient Programme Community Interest Company, says that greater use of self-management techniques by the 15.4 million people with long-term conditions could save £1,800 on each patient each year in care costs.