Terms of Business 2019

Mr Rafid Al-Mahfoudh FRCS

Consultant Neurosurgeon & Complex Spinal Surgeon


Nuffield Health Brighton Hospital                                                                                        

Warren Road
East Sussex BN2 6DX
Private  secretary  07501 703075
Fax:  01273 962021

Email address: secretary@spineandbrain.co.uk

all correspondence to Nuffield Brighton

BMI Goring Hall Hospital

Bodiam Avenue
Goring by Sea
BN12 5AT


Consultation Fee

My fee for an initial consultation will not exceed £275 and my fee for any follow-up consultation will not exceed £175.

Following your consultation you may need certain tests (such as blood tests or imaging, for example an X-ray, MRI or CT scan) to help me diagnose your condition.  If the test is undertaken by the clinic or hospital, and not by me, the fees for those tests will be determined by the clinic or hospital and charged to you, or your private medical insurer, separately.

If there are any fees which I will charge in relation to any of the tests I advise that you have, I will let you know what those will be.

I reserve the right to charge in full for non-attendance to consultations.

Insured Patients

Insurance companies will be invoiced directly following consultation, unless specifically requested not to by the patient in advance of the consultation.  Should this be the case, the patient will need to settle the invoice and a receipt will be issued in order to claim reimbursement from the insurance company.

Any shortfall or policy excess is the responsibility of the patient.  Payment can be made over the phone by debit card and a receipt will be issued.  My secretary will telephone you within 7 days of notification of excess/shortfall in order to facilitate payment if not already made.

Please contact your insurer before your consultation to check the terms of your policy, particularly the level and type of outpatient cover you have, including any reimbursement limits on your individual consultation fees.  It is the responsibility of the patient to ensure they have enough cover and/or funds available in advance of treatment.  In the event of non-payment by the insurance company, the patient is responsible for outstanding fees.

I am recognised by the following private medical insurers:  BUPA, AXA PPP (and their subsidiaries), Aviva, WPA, Cigna and Vitality.

My practice may need to contact your insurance company regarding your procedure, payments or passing on your relevant health records.

Uninsured Patients

Uninsured private patient fees are payable prior to the consultation.  Payment can be made over the phone by debit card and a receipt will be issued.

All efforts will be made to provide accurate fee estimates in advance of surgery.  Self-paying patients who require surgery are required to pay their fees to the hospital concerned in advance of surgery.  This package fee will include hospital, surgeon and anaesthetist fees where appropriate, plus one follow-up consultation fee.

By agreeing to consult with me privately, you agree to be bound by these terms.

Failure to make payment may result in the matter being referred to P&J CDS, debt collection agents, whose charges will be added to and payable with the invoice debt or passed to the Small Claims Court which could result in a County Court Judgement affecting your credit rating.

Obtaining patient information

Any relevant patient history, documentation and imaging will be obtained directly from hospitals, GP surgeries and healthcare centres etc when a consultation has been booked in order to effectively treat patients. In booking a consultation consent is given to obtain all previous medical records and scans.

Data Storage

Patient data will be stored on clinic computers and Bluespier, a clinical software system and saved for 30 years.

NHS transfer requests

Patients who request to be transferred from my private practice to the NHS agree to all data and information obtained from the private practice consultations to be stored by the relevant NHS Trust, their data being therefore accessible to all permitted NHS clinicians and administrators.

Quality Information

You can compare independent information about the quality of private treatment offered at the hospital and other private healthcare providers from the Private Healthcare Information Network (PHIN) website: www.phin.org.uk.

British Spine Registry

The British Spine Registry was set up by the British Association of Spinal Surgeons in 2012 to monitor the outcome of spinal procedures, collecting valuable data to better understand procedures, techniques and the patient’s experience.

We would be most grateful if you would agree to take part in this research, usually by email.  If you are not on email, the questions can be completed by telephone with my secretary.

You will be asked to complete a few questionnaires that will be sent to you at varying intervals. This can be over a few years to monitor long term outcomes.

These should not take more than a few minutes to complete and will ask you about your pain levels, and the benefits, or otherwise, of any procedures that you have had undertaken.

Your consent will be requested, and if you do not consent to take part or would like your data removed at any time, then this is perfectly acceptable, however we would appreciate your cooperation with this research.

Mr Rafid Al-Mahfoudh

Consultant Neurosurgeon & Complex Spinal Surgeon