NHS guide

Can I go private, then back to the NHS?

The short answer

Yes: with rules. You can pay privately to be seen and diagnosed faster, then move back to the NHS for your treatment, which stays free. Seeing a private consultant does not cost you your NHS place, and it does not change your position on the NHS waiting list. NHS and private care must be kept separate, and the NHS will not subsidise private care.

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Why this works: where the wait actually is

On the NHS, most of the wait is the wait to be seen by a consultant, not the treatment itself. If you pay for that one step privately (a private consultation is typically £200–£500), you can usually be seen within weeks instead of months. You then transfer back to the NHS for the treatment, which stays free. You are paying to move faster through the cheap step, not to buy your way out of the NHS.

What the rules actually are

You can pay privately to be seen and diagnosed, and still have your treatment on the NHS. : British Medical Association (opens in new tab)
Seeing a private consultant does not cost you your NHS place: your entitlement to NHS care cannot be withdrawn. : Dept. of Health guidance, 2009 (opens in new tab)
A private consultation does not change your position on the NHS waiting list. : Dept. of Health guidance, 2009 (opens in new tab)
NHS and private care must be kept separate, and the NHS will not subsidise private care. : Dept. of Health guidance, 2009 (opens in new tab)
After a private diagnosis you are entitled to transfer back to the NHS for treatment; ideally your consultant arranges it by writing to the NHS. : Dept. of Health guidance, 2009 (opens in new tab)

The rules you have to keep to

NHS and private care must be kept clearly separate: a single episode of care cannot be part-NHS, part-private, and the NHS cannot top up or subsidise private treatment. In practice that means you pay in full for the private consultation and any private scan, and your NHS treatment is then funded and delivered by the NHS like anyone else’s.

One honest caveat

When you rejoin the NHS for treatment, you are placed on the list according to your clinical need. Getting diagnosed privately can mean you reach that treatment list sooner than if you had waited for an NHS consultation: a real advantage, and one to weigh openly rather than a loophole. It does not change anyone else’s clinical priority, and it does not affect your existing NHS waiting-list position. If you have already been referred, your NHS clock is running and a private consultation alongside it does not change your place. If you have not been referred yet, there is no place to keep: your clock starts when a hospital receives your referral, whoever sends it.

Going private before you are referred

If a private consultation is what gets you referred, your NHS wait starts from that referral, not from when your symptoms began or when you first saw your GP. You lose nothing by going private first, because you had no NHS clock running to lose. But you do not gain a head start either. Ask your GP for an NHS referral at the same time, so the clock starts while you are being seen privately.

What it means for you

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For your condition

Private knee replacement, then the NHS?
See the answer for knee replacement →
Private hip replacement, then the NHS?
See the answer for hip replacement →
Private meniscus surgery, then the NHS?
See the answer for meniscus surgery →
Private sciatica, then the NHS?
See the answer for sciatica →
Private rotator cuff surgery, then the NHS?
See the answer for rotator cuff surgery →
Private carpal tunnel surgery, then the NHS?
See the answer for carpal tunnel surgery →
Private tonsillectomy, then the NHS?
See the answer for tonsillectomy →
Private adenoid removal, then the NHS?
See the answer for adenoid removal →
Private glue ear, then the NHS?
See the answer for glue ear →
Private sinus surgery, then the NHS?
See the answer for sinus surgery →
Private nasal polyp removal, then the NHS?
See the answer for nasal polyp removal →
Private deviated septum surgery, then the NHS?
See the answer for deviated septum surgery →
Private hernia surgery (inguinal), then the NHS?
See the answer for hernia surgery (inguinal) →
Private umbilical hernia repair, then the NHS?
See the answer for umbilical hernia repair →
Private gallbladder removal, then the NHS?
See the answer for gallbladder removal →
Private haemorrhoid treatment, then the NHS?
See the answer for haemorrhoid treatment →
Private heavy periods, then the NHS?
See the answer for heavy periods →
Private fibroid removal, then the NHS?
See the answer for fibroid removal →
Private ovarian cyst removal, then the NHS?
See the answer for ovarian cyst removal →
Private endometriosis surgery, then the NHS?
See the answer for endometriosis surgery →
Private prolapse repair, then the NHS?
See the answer for prolapse repair →
Private hysterectomy, then the NHS?
See the answer for hysterectomy →
Private cataract surgery, then the NHS?
See the answer for cataract surgery →
Private enlarged prostate treatment, then the NHS?
See the answer for enlarged prostate treatment →
Private digestive problems, then the NHS?
See the answer for digestive problems →
Private heart problems, then the NHS?
See the answer for heart problems →
Private ACL reconstruction, then the NHS?
See the answer for ACL reconstruction →
Private hearing loss treatment, then the NHS?
See the answer for hearing loss treatment →
Private snoring and sleep apnoea, then the NHS?
See the answer for snoring and sleep apnoea →
Private slipped disc treatment, then the NHS?
See the answer for slipped disc treatment →
Private polymyalgia rheumatica, then the NHS?
See the answer for polymyalgia rheumatica →
Private plantar fasciitis treatment, then the NHS?
See the answer for plantar fasciitis treatment →
Private tennis elbow treatment, then the NHS?
See the answer for tennis elbow treatment →
Private frozen shoulder treatment, then the NHS?
See the answer for frozen shoulder treatment →
Private bunion surgery, then the NHS?
See the answer for bunion surgery →
Private IBS treatment, then the NHS?
See the answer for IBS treatment →
Private acid reflux treatment, then the NHS?
See the answer for acid reflux treatment →
Private spinal stenosis treatment, then the NHS?
See the answer for spinal stenosis treatment →
Private trigger finger treatment, then the NHS?
See the answer for trigger finger treatment →
Private Achilles tendinopathy treatment, then the NHS?
See the answer for Achilles tendinopathy treatment →
Private back pain treatment, then the NHS?
See the answer for back pain treatment →

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Sources

How long will you really wait, and how could you go sooner?

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