A few years ago the NHS sent me to a consultant at a private clinic within the NHS hospital building when I had piles. I think my appointment was within a week and they were excellent. The clinic I mean............

The late Nick Campling always used to say that if one's modelling one of the pre-1939 Big Four, around 60% of one's goods stock should be from the "home" company, and the remainder will be from the other three Big Four companies' stock, and private (colliery owned) owner coal wagons be from just the one coalfield. Also as a rough guide, unless you're modelling the Southern Railway, keep the number of Southern wagons dis-proportionally low, remembering that the Southern made most of its money from bums on seats, rather from boxes in wagons!

Naturally this 60% rule is open to being considerably bent if one's modelling a major main line, rather than a secondary line or a quiet branch line.

I've got mixed results on the health scene but cant fault the NHS:-
Two osteoarthritic thumbs dealt with expertly by consultant
Obstructive Sleep Apnea diagnosed and CPAP machine supplied and monitored
Speedy referral for the cataracts operations

What's interesting is the use of private health companies:-
Second cataract op done by Circle Health under NHS contract
Hearing aids supplied by Audiological Science under NHS contract and previously by Scrivens

The eye is great but the HAs from Scrivens were useless and searching on-line I discovered they were a discontinued model! It's not all good because its privatised!

Not a good night at the club last night
I took my Kato class 800, my blue Hymek and blue Western (Dapol) along with a mix of Dapol and Farish blue parcels stock.
With the stock mixed up I suffered lots of random uncoupling yet when I put all the Farish in one rake and the Dapol in another, all was fine despite Dapol locos hauling Farish stock @CH

Meanwhile, my friend Rob's Farish A4 coughed and spluttered and was eventually removed. His 4MT 2-6-0 suddenly lost it's tender when run tender first. The first I saw was when a tender came through Heatherley station on its own Then a full rake of Farish crimson/cream MK1s derailed in the fiddle yard and it looked like a re-enactment of the Harrow & Wealdstone crash  

You had excellent service. I feel I've been declared 'non-priority' (and freely admit there are more deserving cases out there) but imagine if you'd been told it would be 6 months before you could see a consultant. Yet, by paying to go private, I saw the exact same consultant within a month
Any physical treatment I've had from the NHS has usually been superb (e.g. triple bypass and right hip replacement) but I'm having to jump through hoops to get there (not literally as I can't)

I can't knock the NHS.  The service over the past 12 months have been amazing.

In March 2024 I was advised to go straight to A&E after ringing 111 for a pain in the left of my chest.  A CT scan showed I had a large cyst in my Spleen. The CT scan also found an enlarged prostrate, along with blood in my urine so was told to see my GP to start the ball rolling. After the blood test I was referred to Urology on a 2 week "plan" which meant each stage / appointment would be within two weeks of the previous event.  So within a couple of months I had seen the consultant, had an MRI, seen the consultant again, booked and had an MRI, seen the consultant again, had the procedure to obtain 23 biopsies, and then had the final appointment with the consultant to get the results which thankfully was clear and no cancer found.  I had to do one final blood test in December which resulted in being discharged in January this year.

In between all that going on I had seen the consultant regarding the cyst in the spleen and a series of ultrasounds and a CT scan was booked over a year to monitor its growth.  However in January this year I had a flare up that was so intense I went into A&E once more.  It was rammed with an 8 hour wait. However on presenting to the reception to report the pain and the cyst I was seen almost straight away, given morphine, an ultrasound, a physical examination and a further CT scan and moved to the surgical assessment unit within 4 hrs.  Fortunately the spleen was intact and I was given some pain killers and discharged.

But it didn't end there... the CT scan also reported two incidental findings, one to do with my bowels, the other kidneys.  I was referred back to my GP to start the referral process, and as such have had two colonoscopies, a further CT Colonoscopy to check out my bowels / digestive tract, and a renogram to check out my kidney function, the latter two in the past 2 weeks and now just waiting to receive appointments to get the results and hear what the future may entail.

So for me the service has been exceptional.  I hate to think how much all this would have costed me if I had gone private especially if it costs £2000 just to see a consultant as mentioned below.   

Oh God, you've got Ramsay Health there as well?

That organisation has cost me heaps since 2019!

Every time I have medical stuff done to me here, I pay.

I'm glad you got such prompt service from the NHS, Chris

Here's my experience:-

For some years I have been experiencing severe leg pains when walking more than 50 – 70 yards. My GP and I thought it could be down to the statins I'd been on for all that time but, having tried every statin under the sun, he finally decided last November a deeper investigation was required so he told me he'd make an appointment with a consultant. When the letter came through from the NHS the appointment offered was 1st June 2025.
I told him I was not prepared to wait that long and would get private consultancy. In January I saw a vascular consultant and in February a spinal consultant.
£2000 later it appears I have spinal stenosis and would need a lumbar decompression operation following a spinal MRI. However, because I have an internal defibrillator I would need a cardiac team present at both the MRI and the operation. Ramsay Healthcare (the private health consultants I saw) do not do anything requiring the cardiac team so I'm thrown back into the hands of our NHS.
Now I'm waiting to hear about the MRI scan but am in the queue so your guess is as good as mine as to when that will happen. So, by spending some of my savings I cut the queue to see the same consultants I would see on the NHS but am now 'back in the system'
Money talks.

Don't forget to also check out the Chivers Finelines range of N gauge wagon kits.

Quote from: port perran on April 16, 2025, 03:05:06 PMMy second five

Drummond, Urie, Bullied, Adams, Stanier

Ah, but which Drummond?   

BTW, it's Bulleid