How it Works

Most patients start by visiting their GP or physiotherapist and are advised to “see a specialist” for their shoulder or elbow problem.  Some patients are recommended to see me by word of mouth.

You can book a clinic “outpatient” appointment direct with a hospital or  contact my secretary, Mrs Val Holland, at the Elms Consulting Rooms in St Albans who can advise on clinic times and consultation costs.  If you have private insurance you will need to contact your insurer at an early stage.  I am fee assured by major private insurers including BUPA, Axa and Aviva.

The Elms Consulting Rooms Staff

You would make an appointment to see me in clinic at the Elms, Spire or One Stop Doctors.  During the appointment I take a detailed history of your problem and then observe and examine the problem area.  X-rays or other types of investigation may be required to confirm a diagnosis.  Some patients require surgery to relieve pain or to improve their range of movement but other patients simply want to have a diagnosis and reassurance.


1. Referral
Get a referral from your GP, physiotherapist or other consultant.

2. Arrange a Consultation Contact whichever hospital or clinic you prefer direct to make an outpatient appointment to see me in clinic at Spire Hospital (Harpenden or Bushey), One Stop Doctors or The Elms Consulting Rooms, St Albans.

You can contact my secretary if you have questions about clinic times and days.  Appointments are available on Saturday mornings and in the evening at Spire Hospital Harpenden and from 8am at Spire Hospital Bushey.

3. Consultation  During the consultation, I assess patients by taking a detailed history and by performing a clinical examination.

4. Further Examination
Patients may be sent for selected investigations such as x-ray, ultrasound scan or MRI scan and/or bone scans.  I use scanning facilities at both Spire Hospitals and at One Stop Doctors.

5. Surgery
If surgery is required, this can be arranged with either Spire Harpenden or Spire Bushey.