Coronavirus – COVID 19 update – Last update 20th May
We are aware that there has been little in the way of updates from us on the COVID 19 situation over the last few weeks. What is becoming abundantly clear is that there will be no return to normal for any of us for the foreseeable future.
All of our consultations take place at the Spire Murrayfield Hospital in Edinburgh, and we also operate there as well as The Edinburgh Clinic and Kings Park Hospital in Stirling. The Edinburgh Clinic remains closed for the time being, and the Spire Murrayfield and Kings Park Hospitals are currently only treating urgent NHS patients. We will update you as soon as we have information as to when we can start seeing and operating on patients again at these facilities.
Patient and staff safety is of the highest priority. As a result of this, there will be several changes to practice for some time. Although we do not yet have all the information to hand, we want to give you some insight into what changes are likely to happen. We will, of course, update this page once we have more clarity on the situation.
What is likely to happen once the hospitals are open again?
COVID 19 Questionnaires
All prospective patients and follow up patients will be required to complete a COVID 19 questionnaire before arrival. If there are any ‘red flags’, your appointment will need to be rearranged.
Social distancing and protective equipment
Hospitals will need to maintain social distancing measures at all times, and you may also be required to wear a mask on arrival. It is unlikely that you will be able to bring anyone with you for your consultation. You will be provided with alcohol gel on entry and on leaving. There will need to be limits on the number of people in the waiting room.
Will you be offering virtual consultations?
We hope to start offering virtual consultations as soon as we can. This will primarily be for our follow up patients. Any patient who wishes to be seen in person will be offered the opportunity as soon as it is practical. At some point, we will also start offering virtual consultations for new patients.
What will happen once you start operating again?
Will I need to be tested for COVID 19 or will I be asked to quarantine before surgery?
It is highly probable that you will need to be tested a week or so before surgery and possibly shortly before. You are also likely to be asked to self-isolate for several days before and after surgery. We will update you on this once the hospitals have published their guidance on this. These measures are already in place for elective NHS surgery.
Will cosmetic surgery resume at the same time that other private operations start?
Cosmetic surgery, by its very nature, is deemed non-essential. There is a chance that the private hospitals will prioritise more urgent procedures ahead of cosmetic surgery, and this is entirely understandable.
Lengthy or combined procedures
Some reports show that patients undergoing major surgery who then develop COVID 19 during their recovery can run into problems and have a higher chance of serious complications.
For this reason, we will need to reduce the operative time, hospital stay and recovery period of all cosmetic procedures. It is, therefore, highly likely, that we will not be able to offer combination surgery such as tummy and breast surgery at the same time or surgery following massive weight loss. We may also have to defer major operations such as tummy tuck.
Risk factors for surgery
High-risk patients such as the elderly, patients with diabetes, cancer, breathing disorders such as severe asthma, and the immunocompromised are likely to have their surgery deferred for some time.
Risk of procedures based on site
Procedures around the mouth and nose and those that produce an aerosol (aerosol-generating procedures or AGPs) are particularly high risk for virus transfer and should be avoided if possible. This may have implications for when we can resume facial cosmetic surgery and especially procedures such as rhinoplasty.
More time required in theatre
Procedures are in place by the NHS and regulatory bodies for the management of patients that require a general anaesthetic. These include the use of personal protective equipment (PPE), adequate air changes and time left between patients. This will impact on the amount of theatre time required between patients and may have implications for how soon we can offer you surgery.
How will you prioritise booking patients back in for surgery who already had a date or have had their surgery cancelled?
We will be looking to prioritise patients who have been cancelled in order of the date of surgery that they had. However, as has been outlined above, certain procedures (facial/ nose/ combination/ major) may have to be deferred and patients that fall into the high-risk categories may also have to be deferred.
We hope that you can appreciate the difficulty we all find ourselves in during these unprecedented times. As things remain, the earliest date we have for the resumption of any physical service will be some time in July. If the situation changes, we will let you know.
Please don’t hesitate to reach out to us at [email protected] or [email protected] if you need anything at all. We are still able to see patients at the Spire Hospital for any urgent post-surgical wound-related issues.
9th April 2020
Spire Murrayfield Hospital Update
We have been informed that the Spire Hospital in Edinburgh will remain closed for non-urgent procedures and outpatient appointment for a minimum of 3 months from today. This is to enable the hospital to help the NHS with urgent cancer operations.
We will, of course, update as soon as we have any further information. Based on what we know, we will remain closed for procedures and face to face consultations until the 9th of July at the Spire Murrayfield.
We will also update on procedures at The Edinburgh Clinic and Kings Park Hospital Stirling when we have any further information. Again we are unable to operate or see patients at these two facilities until further notice.
We hope you are all well and keeping safe. Remember to contact us on [email protected] if you have anything you need to ask us.
26th March 2020
Update for patients who have had surgery or other procedures with us over the last few weeks/ months
Following your surgery with us, you will have received a letter asking you to arrange a follow-up visit. Alternatively, an appointment will have been made by the hospital at the time of your discharge. Your review appointment is crucial for assessing your outcome and is an opportunity for you to discuss any concerns you may have.
Due to the ongoing Covid-19 outbreak, the private hospitals we work in are rightly prioritising their resources to support the NHS and to minimise risk to staff and patients. Additionally, the country as a whole is in a state of lockdown, and we are all limited to essential movement only.
All non-urgent operating has been suspended for a minimum of 3 months by the private hospitals. We have also discontinued our outpatient clinics as we cannot justify them as being for essential medical conditions. Our staff have been contacting all patients affected by surgical and outpatient cancellations.
We are committed to seeing all of you for your follow up, face to face, and will make provisions to do so as soon as we can.
In the meantime, we want you to know that we are here for you. Our office staff are working from home and are available to answer any queries you have.
Please don’t hesitate to get in touch with us if you have any questions. You can either email us at [email protected] (best option) or call us on 07801 492659. We can arrange for our surgeons to speak to you over the phone or potentially by video conferencing. We are also at hand to see you at the Spire Murrayfield Hospital for any urgent matters relating to wound care or anything else that cannot wait.
Keep safe and stay in touch.
23rd March 2020
Theatre and clinic cancellations
You will all be aware of the rapidly evolving situation with the Covid 19 virus. The safety of our patients is our highest priority. Social distancing measures are already in place, and our NHS is going to be under severe strain. As cosmetic surgery is not an essential activity, we feel it is not appropriate to continue operating on and seeing patients at this critical time.
The Spire Murrayfield Hospital has rightly stopped all non-essential surgical procedures as of Friday 20th March. Additionally, we have decided to suspend all of our cosmetic surgical and outpatient activities at all sites for a minimum period of 3 months until the end of June. We will contact all patients who have dates for surgery within this period as soon as possible. We will not be seeing any new patients, and we will be available to advise any follow-up patients through phone or video review. Patients who have had recent surgery will still be seen for any dressings/ wound care. We will be on hand to see any patients that require urgent review and we can arrange to see you at the Spire Murrayfield Hospital.
Over the coming weeks, we will be in touch with all those who have had cancelled outpatient appointments to arrange new follow up appointments once social distancing measures have been relaxed.
Our staff will be on hand to answer any questions you may have. We will, of course, keep you updated as the situation changes and will do our best, along with the hospitals we work at to reschedule surgery once the situation has improved.