PATIENT JOURNEY

About

About

PATIENT JOURNEY


Initial referral

Before any procedure or treatment is carried out, your first step is to attend for a consultation, with either Ms Fitzgerald or the Aesthetic Nurse. The appropriate consultation type will be advised to you at the time of booking an appointment. Depending on the nature of your concern, a referral letter from your GP may be required.


Skin lesions and hand issues

If your concern is regarding skin lesion (e.g. a cyst, mole, or skin cancer), or a hand problem (e.g. carpal tunnel, trigger finger, or Dupuytren's contracture), the first step is to attend your General Practitioner for a referral. This referral letter should then be sent as a hard copy to the postal address below, faxed to 015350884, or scanned as a PDF, and emailed to us. On receipt, your referral will be reviewed and prioritised by Ms Fitzgerald. We will then get in touch with you to arrange an appointment. You are welcome to contact us to schedule an appointment, but please allow time for your referral to be reviewed before doing so. Please note that patients are seen at both our Sandyford and Drogheda locations for these issues. 


Aesthetic surgical procedures

A GP referral is not required for patients requesting appointments to discuss aesthetic surgical procedures. Such a referral may be necessary, however, if you have had previous surgery. Where it is intended to use your health insurance to cover the cost of a procedure (some breast reduction procedures), then a referral from your GP is required. We always recommend that you alert your GP to the fact that you are going to have an operation, as this will allow for the safest and best medical care for you throughout your surgical journey.


Non-surgical aesthetic procedures

A GP referral is not required for non-surgical aesthetic procedures such as Botox, fillers and laser. You will require a consultation in the first instance, and for many patients, it will be possible to proceed directly to treatment (or in the case of laser, a patch test) at the time of the initial consultation.


Medispa treatments

As for the non-surgical aesthetic procedures, a GP referral is not required. In many cases, particularly if you have a clear idea at the time of booking, it may be possible to proceed with treatment or patch testing at the time of your initial skin health consultation. If you are less clear about the treatments you wish to have, then the first consultation usually involves us mapping out a treatment plan for you. There is never any pressure to proceed, but we understand you may be keen to get going, then simply let us know at the time of booking and we will allocate sufficient time to permit you to proceed with treatment at the time of your first consultation.

First appointment

We request that you attend 10 minutes in advance of your scheduled appointment time, in order that you have sufficient time to complete the registration paperwork and/ or procedure request forms if you are due to undergo a procedure. If you are late for your appointment, it may be necessary to abbreviate your consultation time.


Please bring a list of any medications, and relevant paperwork such as operation notes or implant details, if you wish to discuss previous surgical procedures done by another surgeon. If you have any text results, such as blood tests, scans, or biopsy results, they should be brought to your appointment. 


We are located on the third floor of the Beacon Consultants Clinic, in Suite 6. Parking is available in the Hospital car park, and from there, you should follow the signage for the Consultants Clinic. A blue line on the floor marks the way, and maps are available from Reception in the Hospital. There is also a Suite 6 in the Beacon Mall, through which you may pass on your way to the clinic, and this causes confusion on occasion. For your information, the only public bathroom in the Clinic, is on the ground floor, beside Reception.


Skin lesion/ hand problem appointment
You will meet with Ms Fitzgerald, and she will ask questions about your symptoms, as well as regarding your previous medical history, medications, and so on. She will examine the relevant area, and may take a clinical photograph. Your options will be explained to you, and you will have the opportunity to ask any questions. Please note that we do not provide a full skin check or mole mapping service. If this is something that you require, then referral to a consultant dermatologist is more appropriate.

If it is proposed to carry out a surgical procedure, we will usually be able to provide you with a date for this, before you leave following your initial appointment. If required, we will also book a date for your post-operative follow-up appointment. All procedure and appointment details will be given to you in writing. We will inform you of the relevant insurance code, and we recommend that you contact your insurer to ascertain if you have cover at the hospital, and to confirm with them any excess that may be payable to the hospital for the proposed procedure. If tests (such as scans or bloods), or referral to another specialist are required, we will request same on your behalf. Ms Fitzgerald will write back to your referring doctor following this type of appointment, outlining the management plan.

The consultation fee is payable in full at the time of your appointment. Depending on your insurance policy, you may be able to claim back some or all of the the fee, and we endeavour to prepare your receipt in a manner that is acceptable to your insurer. 

Aesthetic surgical appointment

Please allow at least an hour for this detailed and comprehensive appointment. We realise that it can be hard to discuss your concerns, and we pride ourselves on allowing our patients the time and space to effectively communicated to us their concerns, goals, and expectations of surgery.


You will meet first with the aesthetic nurse, followed by a consultation with Ms Fitzgerald, during which she will take a detailed history, and discuss with you the proposed procedure or procedures with you. The nurse will take some details of your medical history, as well as recording your height and weight. Detailed clinical photographs are taken. Some people find themselves worried about this part of the consultation process: Please don't worry if you feel this way; it is entirely normal to do so - after all, you are coming to see us about a part of your body that bothers you to the extent that you are considering having a surgical procedure. The purpose of taking the photographs is to allow Ms Fitzgerald to show to you particular features of relevance, on a computer screen, rather than on your own body, in front of a mirror, during the course of your consultation with her. Obviously, Ms Fitzgerald will need to make a physical examination, during your consultation with her, but she will always wait until you are fully dressed and comfortable, before discussing details of her findings or the proposed procedure with you. 


Following your consultation, you will receive a detailed letter, and where a specific procedure has been discussed, you will also receive a copy of the relevant detailed information pack, and a link to the procedure request form, which is signed in advance of any surgery. Where it is proposed that the procedure take place on a self-funded basis, we will also provide to you a procedure quote. For most procedures, you will be sent a link to a questionnaire that measures your quality of life related to the procedure discussed. These questionnaires, the BodyQ, BreastQ, and FaceQ, are used to objectively measure surgical outcomes.


Once you have booked a date for surgery, you will be offered a second pre-operative consultation with Ms Fitzgerald, the purpose of which is to allow for clarification of any areas of concern, further discussion of any aspect of the surgery that you wish. The procedure request form should be completed in advance of that consultation, and we strongly encourage you to write down any and every question that you may have in preparation for that appointment. We are always happy to work our way through a list of questions with you. If you are due to have a breast augmentation procedure, then external implant sizers are tried on at this appointment, a process that allows us to determine the appropriate implants to be used during your surgery.


Should you decide to go ahead with an operation, the team would be delighted to talk you through the booking process, schedule a suitable date, and explain the practicalities around hospital admission and discharge, payments, and so on.

Non-surgical aesthetic procedure consultation

You will be asked to complete a detailed consultation form on arrival, so please arrive a minimum of 10 minutes in advance of your scheduled appointment time, in order to allow time for same.


Detailed photographs will be taken of the area for treatment. If possible, please attend your appointment with bare skin. If this is not possible, please remove your make-up prior to arriving for your appointment (the public bathroom is on the ground floor of the Consultants Clinic). 


On booking your appointment, you will be sent a detailed email regarding precautions, contra-indications, and pre- and post-treatment advice. Please ensure you read it carefully, as it is always disappointing if a treatment has to be deferred because of a simple issue that could have been addressed in advance (such as recent sun exposure before a laser treatment). The full consultation fee is payable should your treatment need to be deferred for such a reason.

Skin Health Consultation

Although people are welcome to book directly for certain skin treatments such as superficial peels, microdermabrasion, and laser treatments, we feel that the greatest benefit from our Medispa treatments comes about where they are recommended to you based on a careful analysis of your skin health, and an honest discussion around your concerns, goals, timeline, and budget. 


To that end, we recommend that you attend for a skin health consultation in the first instance. We will discuss all the above, and formulate a treatment plan for you. This could be as simple as a skin care regime, or a more involved programme involving in-office procedures combined with a home care regime. The cost of the consultation can be offset against recommended products and treatments (a minimum spend applies, and treatments must take place within six weeks of the consultation - in many cases, they are done on the same day).


Please attend your skin health consultation with bare skin. If this is not possible, please remove your make-up as soon as you arrive for you appointment - this is because the skin may appear temporarily redder than normal immediately after make-up removal, and it is important that we obtain a clear picture of the true state of your skin. There is a public bathroom on the ground floor of the Consultants Clinic.

Surgical Procedures

All surgical procedures take place at the Beacon Hospital. You will be informed as to the location of your procedure, at the time of scheduling. Most local anaesthetic cases take place in the Satellite Theatre on the Beacon Mall, opposite the pharmacy. You will be informed of the time of your procedure when we schedule it for you. Patients for day case and inpatient surgery done under general anaesthetic or sedation are admitted via the Day Surgery Unit, on the first floor of the Hospital. You will be advised of your time of admission via a phone call from the Scheduling Department, the day before your operation.

It is normal to feel anxious before your procedure: you should not however feel unsure about what is going to happen. As a rule, you will have signed a procedure request/ consent form before the day of your operation. This does not preclude you asking questions on the day of your procedure, and Ms Fitzgerald will be happy to address any concerns that you have, before going ahead with your procedure.

Following your operation, you will be discharged with wound care advice, and details of your follow-up appointment (if required)

Follow-up appointments

Appointments for removal of sutures or dressing changes take place either at the Dressing Clinic in the Beacon Hospital, or at Suite 6 in the Consultants Clinic. You will be advised as to which is the appropriate option for you. Alternatively, it may possible for stitches to be removed in your GP's practice: it is best to check with the practice in advance of your operation if this is possible.


Many patients undergoing excision of benign skin lesions will not require a follow-up appointment. Usually, we will telephone you with the result of any laboratory analysis carried out on removed tissue. We will also write to your GP to inform them of the result. Of course, all patients are welcome to attend for a follow-up after their operation, and we will be happy to book you an appointment on request. If you have not heard from us by four weeks after your surgery with your results, please get in touch.


Other patients will be asked to attend following surgery, and may be recommended to attend at set intervals thereafter, depending on the procedure performed. 


Please note that all follow-up appointments attract a consultation fee, with the exception of certain routine post-operative consultations following aesthetic procedures: the fee agreement for such procedures clearly details the appointments covered by the fee paid.

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