"Referral for surgery"

About: Telford referral and quality service (TRAQS)

(as the patient),

In 1991 I had a serious motor neurone illness which left me paralysed for 2 years. This was followed by heart problems as well as femoral artery problems. Both legs have been weak and wasted since these problems. In 2008 I had an x-ray on my right knee as it was getting painful. There was arthritis in the knee cap. I was sent for Arthroscopy. This was a complete success.

This year I started getting a painful left knee which was also grinding. I rested it (owing to a femoral by-pass on right leg) for three months. As it was not getting any better, I went to my experienced Doctor who sent me for an x-ray. Again arthritis was detected in that knee cap. I was referred to get a Arthroscopy on that knee. However, 2 weeks later, I was informed that the referral has been declined owing to 'low clinical value' and they recommended physiotherapy.

Some time later I got a letter to confirm an appointment time and date for the physiotherapy. By this time it is now nearly impossible to walk without pain and grinding and I have to go to try and explain that physiotherapy will not help me (an opinion that even my doctor states). My doctor is also questioning why, when he has all my medical history to hand and refers me for surgery, that someone who I perceive has less medical knowledge than my GP and without the full facts overturns his opinion.

I will keep my physiotherapy appointment but will guarantee that they will not be able to help, I have made a complaint about mine and my doctors lack of involvement in this process and await the outcome.

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Response from Helen Handy, TRAQS & CAB Co-Ordinator, Telford and Wrekin CCG

Thank you for taking the time to share your comments with us. I am glad of the opportunity to explain how the process works.

All orthopaedic referrals are triaged by one of a team of local GPs within TRAQS as per the agreed pathway. The process agreed by all GPs within the Telford and Wrekin area is for all patients to be offered a course of physiotherapy initially before being referred to an orthopaedic surgeon. If a clinician within TRAQS feels that the patient may benefit from a course of physiotherapy they contact the referring GP to discuss this as an option and if the patient's GP agrees the referral is redirected. If, upon being assessed by the physiotherapist they feel that the patient's condition is more appropriate for an

orthopedic surgeon TRAQS is asked to rediect the referral.

I appreciate that this can be frustrating for the patients but as Patient Opinion is anonymous we are unable to audit your referral to review what happened.

if you would like to discuss this further please do not hesitate to contact me on 01952 580441 and I would be more than happy to look into your referral further.

Thank you for taking the time to comment.

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