• Re: Apology

    From Sam Wilson@3:633/10 to All on Thursday, January 22, 2026 15:14:15
    Tweed <usenet.tweed@gmail.com> wrote:
    Tweed <usenet.tweed@gmail.com> wrote:
    Sam Wilson <ukr@dummy.wislons.fastmail.co.uk> wrote:
    Recliner <recliner.usenet@gmail.com> wrote:
    Tweed <usenet.tweed@gmail.com> wrote:
    Recliner <recliner.usenet@gmail.com> wrote:
    Tweed <usenet.tweed@gmail.com> wrote:
    Roland Perry <roland@perry.uk> wrote:
    In message <10kiq0t$3g7gt$1@dont-email.me>, at 14:17:01 on Sun, 18 Jan
    2026, Tweed <usenet.tweed@gmail.com> remarked:

    The other thing to know about the private sector is that quite a number of
    consultants are refusing to work with some of the major insurers because
    fees haven?t risen for the best part of 20 years. The ones who are, are
    those who have recently become consultants and want to establish themselves
    on the private circuit.

    I was surprised how little of the fee for a private operation went to >>>>>>>> the surgeons, the majority was to the hospital for operating theatres >>>>>>>> (and staff) and doing the hospitality while the patient recovers. >>>>>>>
    The professional indemnity insurance is also very expensive.

    Wouldn?t they have that already?



    NHS work is covered by the NHS.

    Ah, I didn?t realise that. I assumed they?d have their own, and be
    reimbursed in part or full by the NHS.

    That doesn?t sound quite right. I have a friend who is a retired ENT
    surgeon. He used to work 5.5 days a week (M-F + Sat am) and about 1 day of >>> that was private. When he stopped doing private work he told me his PII >>> had dropped by 90% because of that. It didn?t drop to zero, IIUC.

    Sam


    It wouldn?t drop to zero because he needs run out insurance, ie previous
    private cases might come back to haunt him.



    Or in more detail:

    https://www.medicalprotection.org/uk/understanding-medical-indemnity

    Do I need indemnity insurance for NHS?
    Legally, no. Although it is often advisable to have extra indemnity. For those working in the NHS, the minimum legal requirements will be covered by the employer through state-backed indemnity schemes.

    However, state-backed indemnity does not cover claims arising from any private practice work. Nor does it include fee-paying work such as report writing, travel vaccinations, insurance forms, and private prescriptions. There is no state indemnity for GPs working in Northern Ireland and
    Scotland.

    Whether you work solely for the NHS or undertake some private practice, the state won?t provide advice and legal representation at disciplinary
    hearings, support during inquests, help during a criminal investigation related to your clinical practice, or protection for Good Samaritan acts.
    Nor will the state always cover work commissioned privately by the NHS,
    such as under waiting list initiatives.

    TLDR; step one foot outside of the NHS then you need cover.

    Thank you for those updates. Makes perfect sense!

    Sam

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  • From Sam Wilson@3:633/10 to All on Thursday, January 22, 2026 15:14:18
    Roland Perry <roland@perry.uk> wrote:
    In message <10kolh4$1gidh$1@dont-email.me>, at 19:37:08 on Tue, 20 Jan
    2026, Sam Wilson <ukr@dummy.wislons.fastmail.co.uk> remarked:
    The professional indemnity insurance is also very expensive.

    Wouldn?t they have that already?

    NHS work is covered by the NHS.

    Ah, I didn?t realise that. I assumed they?d have their own, and be
    reimbursed in part or full by the NHS.

    That doesn?t sound quite right. I have a friend who is a retired ENT
    surgeon. He used to work 5.5 days a week (M-F + Sat am) and about 1 day of >> that was private. When he stopped doing private work he told me his PII
    had dropped by 90% because of that. It didn?t drop to zero, IIUC.

    That 90% would be for his one-day-a-week private work, with 10% being
    some sort of residual for not being totally covered by his NHS-funded
    PII. (Maybe historical private patients suing for supposed wrongs in the past).

    Thanks. Tweed has offered a similar explanation.

    Sam

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