The consenting process aims to be enable you to understand your problem; the treatment options available (including non-operative) and the risks and benefits of the planned surgery. This understanding allows you to decide whether or not you wish to go ahead. While surgery is generally very safe, there are of course risks that need to be considered for any procedure and sadly no operation can ensure a 100% success rate. We go through your initial consent in the clinic and this will be confirmed on your day of surgery. We recognise that it is hard to retain all the information given to you in clinic. In the time between your clinic and your operation, you may want to reflect on your decision and find out more about what's involved in the surgery and what to expect after it. This website aims to allow you to do this, but do please ask if there remains anything you don't understand!
A pre-assessment appointment will be arranged for you. During your pre-assessment appointment, a specialist nurse will go through a health questionnaire with you and you may require other tests such as: blood tests, heart tracing (ECG) and a chest x-ray. Some patients need further test or treatment of medical health problems before we can safely undertake surgery. Your safety is paramount so, where necessary, these extra investigations or specialist consultations must take place before we can carry out your operation.
Microbiology swabs will be taken (normally from your mouth and nose) to identify any high-risk bacteria carriage, such as MRSA. In the UK fewer than 10% of healthy people carry this bacteria in their skin. If you do carry MRSA, treatment to clear this may need to happen before your operation. Occasionally, MRSA carriage will change where your operation can be performed.
Smoking can increase your risk of complications around the anaesthetic and fro the operation itself. If you do smoke, it is normally a great idea to quit or reduce your smoking. E-cigarrettes are less harmful than normal cigarrettes, but quitting is the best option.
If you take certain medications (e.g. blood thinners such as: Warfarin or Rivaroxiban, Apixiban or Clopidogrel) you may be asked to stop these several days before your surgery. If you are in any doubt, please ask and we will advise which medications should be continued. Most other routine medications continue as normal.
Food and shopping - you may want to stock up the larder and freezer so you don't have to worry about shopping or cooking for the first week or so after your operation. Many supermarkets now offer home delivery of groceries that can be managed online. If you are not currently registered with them, this may be a simple way of making your life easier after your operation. Remember that you may not be able to drive for a few weeks after your operation, so you can't have your groceries delivered the make sure a friend or a relative is able to help you.
Clothing - if you operation requires you to wear a sling for some time after your surgery, try to make sure you have some comfortable clothes that are simple to put on and take off.
Washing and personal hygiene after your surgery - you will need to keep clean, but you also need to protect your surgical wounds. In general, it's a good idea to stock up on wet-wipes or flannels.
Keyhole surgery - you can normally shower carefully (keep your waterproof dressings on and avoid soaking the surgical area) after four days from your operation.
Open Surgery - you will need to keep your wound clean, dry and covered with a dressing for two weeks.
Mr Granville-Chapman was very polite and his examination and explanation of my symptoms and expected treatment was thorough
I found Mr Granville-Chapman to be very knowledgeable and professional. He put me very much at ease and explained all the options that I have thoroughly. He also told me to look for further information on the condition and procedures that I needed on his website, which gave lots of information and detail. It was also easy to understand for those without a medical background. I would highly recommend his services to anyone that has shoulder problems and requires a solution.
I attended for a repair of my right bicep tendon. After a thorough examination, Mr Granville-Chapman arranged an operation to be undertaken within 2 days which was extremely quick; he explained his reasoning which was both thorough and reassuring, explaining both the options of undergoing surgery and deciding to undertake conservative management.On the day of the surgery Mr Granville-Chapman was again very reassuring as although this is minor surgery I was still somewhat apprehensive. He came to fully explain the procedure and afterI woke up was quick to check on how I was doing.Overall I am very happy with the careMr Granville-Chapman
I have been very pleased with my treatment so far. Mr Granville-Chapman combines brisk efficiency with a pleasant, sympathetic manner. My operation, however, is still to come ...
From the initial consultation, through surgery on a fractured wrist, and now post-operative follow up, it has been a very positive and reassuring experience with Mr Granville-Chapman. I would have no hesitation in recommending him to someone else.
A first class clinician. A skilled surgeon with an excellent bedside manner.
A very pleasant Consultant who knows exactly how to make pain go away.
Mr Granville - Chapman has an excellent bedside manner. He engaged with my 12 year old son at an appropriate level and took the time to ensure that he understood the procedure and answer all his questions. He is thoroughly professional and I would not hesitate to recommend him.
I have been very pleased with the attention I have received. Mr. Granville-Chapman has reassured me that my symptoms are normal. It is very easy to make appointments that suit me.
Mr Granville chapman I found be caring informative and professional I would recommend him to all if you have a problem don't hesitate to contact him you won't be disappointed.
I recently broke my right clavicle in a mountain bike accident and it was repaired by Mr Granville-Chapman by adding a plate on top of the bone. Having just finished the last post-op consultation, I can confirm that I have been very happy with the process all along. In particular, Jeremy took time to explain in detail why a plate was needed, what the procedure would entail, and also was very patient answering my questions comprehensively beforehand and after during the recovery phase. Would certainly trust this competent surgeon to fix any future fractures I might sustain.
Mr Granville-Chapman has looked after my 15 year old son brilliantly, explaining the surgery, recovery and best way forward, and Kate has been very supportive helping with logistics etc, thank you so much.
So far my experience with Mr Jeremy Granville-Chapman has been personal and informative with regard to the operation I will be having. I feel confident that my operation will be a success and for this reason I am very happy to have Mr Jeremy Granville-Chapman as my consultant.
Very knowledgeable and helpful. Takes the time to make sure you're getting the treatment you need.
Mr Jeremy Granville -Chapman is not only a highly skilled consultant but is able to put you straight away at ease .My appointments were arranged very swiftly which was great, when you are experiencing severe pain. I am very happy with my treatment so far . many thanks to everyone who was involved in my treatment.
Polite, helpful, professional. Makes an effort to ensure full understanding of issues and procedures to be done. Highly satisfied
Very pleasant. Clear, careful explanations & options/possibilities. I feel well informed, and happy that my concerns are being well addressed, with a plan of review of the symptoms.
Excellent advise with everything explained clearly and a successful treatment which has benefited be greatly.
Spire Thames Valley hospital
Wexham Street, Wexham, Buckinghamshire, SL3 6NH
Wexham Park Hospital, Slough, Berkshire, SL2 4HL
BMI The Princess Margaret Hospital
Osborne Rd, Windsor SL4 3SJ