New process for admitting private patients
We are proud to be one of the independent providers supporting the NHS with the Covid-19 response.
NHS England has recently introduced a compulsory process for reviewing and admitting private patients which all independent providers must follow. We have reviewed the requirements and worked closely with our consultants and members of our MAB to apply the Royal College Guidelines pragmatically - formulating a solution that makes it as easy as possible for you to admit and treat your patients.
There has also been a request from insurers for more information on their patients. We will be utilising this new NHSE process to gather and share the required information on your patients.
We want to continue to partner with you to develop and improve the process, so please get in touch at any time with feedback.
It is imperative that the new booking form is completed in full before being sent to us for local approval. This ensures that the NHSE audit requirements are met, and that we can process the request as quickly as possible.
Assessing and assigning priorities
You can submit both medical and surgical patient requests for paediatrics and adults. Each case will be assessed on application by the patient’s specific requirements.
NHSE and the Royal College have provided the following examples on assessing and assigning priority. View the full Royal College Guidelines.
|1a||Emergency operation needed within 24 hours/immediate|
|1b||Urgent operation needed within 72 hours / urgent-expedited|
|2||Surgery that can be deferred for up to 4 weeks / semi-acute|
|3*||Surgery that can be delayed for up to 3 months*|
* currently out of scope
Priority Level 1a patients can be fast tracked. Please call us on 020 7460 2000 and ask to speak to the Site Lead who will be able to escalate your request.
Cancer, cardiac and vascular patients
Stage C excludes cancer, cardiac and vascular patients – these specialties need to be referred through the relevant NHS London regional specialty hubs.
Cases submitted to the RM Cancer Hub will be reviewed weekly. We recommend that you submit your requests by Friday to enable a response to be provided the following Tuesday.
How to appeal
We want to help you progress your cases as quickly as possible. If one of your patient cases is declined at local (Cromwell) level based on their priority level, you can appeal.
To do this, you’ll need to take the case through an Extraordinary MDT to discuss the specifics based on the feedback received from the Cromwell team. Please submit your evidence of the MDT including:
- Attendees – the MDT must be quorate – please include each attendee’s specialty
- Date of the Extraordinary MDT
- Detail of the discussion
- Outcome of the discussion with clear rationale for why the patient should be admitted
- Signature of the MDT consultant Chair (must not be consultant in charge of patient)
Please email the above information to firstname.lastname@example.org. We will re-review your case and respond within 24 hours.
In order to minimise the risk of your patient being Covid positive, we are swabbing all patients in the pre-assessment clinic 48 hours prior to admission.
Please indicate on the booking form if you require any further testing for pre-assessment clinic.
Dedicated Cromwell Consultant Hotline
For an update the status of your booking requests, please call the Cromwell Consultant Hotline on +44 (0)20 7460 5701. The line will be open between 8am and 8pm Monday to Friday and 8am and 2pm on Saturdays.
Please don’t contact our Theatre teams as they are unable to arrange bookings or provide updates.