Download Stephen Ong MBBChBAO, DM, MRCOG Consultant in Obstetrics

Stephen Ong MBBChBAO, DM, MRCOG
Consultant in Obstetrics and Maternal & Fetal Medicine
352 Health Care, 352 Lisburn Road
Belfast BT9 6GJ
For all non-urgent enquiries:
Please ring 028 90735200 or 90632606
For all urgent enquiries including labour:
Please ring 028 90632037 or 90635291
Thank you for choosing to come and see me for your antenatal care. It will be my pleasure
to look after your pregnancy. Please see below a list of the terms of our engagement in
respect of your antenatal care.
1.
Provision of the Service
I am contracted to undertake antenatal care only and to undertake one postnatal visit.
Delivery will be undertaken by the NHS and you will be considered an NHS patient of the
hospital. In the majority of circumstances, I will be either directly involved or leading the
management of your delivery.
Care during labour and the postnatal period is provided out of courtesy. The only exception
to this is a patient whose caesarean section is covered under the terms of their insurance
policy. Such patients are considered fully private during their delivery. If a patient has this
benefit under their insurance policy this must be brought to my attention by no later than the
second visit.
Frequency of visits:
10 weeks
12 weeks
16 weeks
20 weeks
24 weeks
24 weeks
28 weeks
32 weeks
35 weeks
38 weeks
40 weeks
8 weeks after delivery
1st visit
Nuchal Scan and blood test
Reassurance scan to check baby’s heart beat
Detailed Normality Scan
Detailed Heart Scan (Dr.Frank Casey)
3D/4D scan
Scan to assess growth and blood test
Growth scan
Growth scan
Growth scan
Growth scan
Baby check ( Dr Clifford Mayes)
The frequency and intervals above will vary depending on clinical need.
Routine antenatal blood tests will be explained to you and performed with your consent, at
your second visit, at 30 weeks and at 34 weeks (only if you are rhesus negative).
Blood pressure and urine will be tested at every visit.
You will be scanned at every visit and you will receive printouts and a DVD recording at 25
weeks. At 25 weeks, you will also see 3D images of your baby. The quality of these images
will vary according to fetal position.
I am not liable for any complications which arise and which are outside of my control during
(i) any antenatal in patient hospital stays; (ii) labour or (iii) postnatal hospital stays. Such
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complications will be dealt with in accordance with the NHS indemnity scheme as an NHS
patient.
2.
Delivery
Throughout our engagement, clinical safety of mother and baby are of paramount
importance.
Delivery shall occur in the Royal Jubilee Maternity Hospital, as an NHS patient. It is not
possible for me to be involved in your care if you attend or are brought to another hospital or
if you are transferred to another hospital antenatally due to neonatal requirements for a
possible preterm delivery, which may only be available elsewhere.
Whilst it is my aim that either I, or one of my nominated deputies (in my absence) will either
personally attend or supervise the delivery, this may not always be possible due to other
NHS, personal commitments or time constraints which determine that delivery either occurs
too soon or must be effected sooner due to particular emergency circumstances.
In order to facilitate my being present for your delivery, it is my practice to offer you induction
of labour at around 41 weeks, on a convenient day for both of us. I will only offer this if you
are agreeable and if the baby is in the appropriate position for induction of labour.
Some women may wish to have a planned caesarean section from the outset. I am happy to
consider such requests provided I have had a chance to discuss the issues fully with you. If
we proceed, the caesarean section will be performed around 39 weeks.
Only when a patient is fully insured for delivery by a caesarean section, is care in the NHS
hospital deemed to be fully private. In such circumstances, the consultant obstetrician,
consultant anaesthetist and the hospital will bill the insurance company for the elements of
the delivery. Such fees are in addition to the antenatal fee described at paragraph 4 below
and shall be borne by the insurance company. It is your responsibility to provide me with the
details of your insurance policy and authorisation number beforehand so that arrangements
can be made in advance. In emergency circumstances, despite the correct preauthorisation,
insured patients may be delivered by the on call team if clinical circumstances require
expediency or if a consultant which is not registered by the insurance company is on duty.
3.
Care at the Royal Jubilee Maternity Hospital
No fee will be attributable to any care provided in the Royal Jubilee Maternity Hospital which
includes any antenatal emergency attendance, admission or delivery. This care will be
provided to you as an NHS patient.
Either myself or one of my nominated deputies (in my absence) will endeavour to supervise
or lead the care in any antenatal emergency attendance, admission or delivery, however this
is not guaranteed and will be provided out of courtesy. In the event that either myself or a
nominated deputy are unavailable, the emergency team on call will provide the necessary
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care.
You may wish to have a single room during your stay in hospital. This is an arrangement
between yourself and the hospital and is outside the terms of this agreement. Room
allocation is on a first come first served basis depending on availability. Room requests for
elective caesarean sections can be requested the day before admission and are assigned on
the morning of admission, if available. Rooms for labouring women are assigned shortly after
delivery. Once you have accepted a bed in a general ward, you cannot be transferred to a
single room, if one becomes available later.
4.
Fees
The fee for the antenatal care is £3100.00 and must be paid in up to 4 instalments as follows:
i) £200 at the first visit
ii) £1400 by the 20th week of your pregnancy
iii) £900 by the 30th week of your pregnancy
iv) £600 by the 35th week of your pregnancy.
Payments can be made at reception or in the case of credit /debit card payments, by
telephone in advance of the relevant appointment. Post dated cheques supported by a
cheque guarantee card are also accepted but must have ‘cleared’ in advance of the relevant
appointment. Please note that credit card payments incur up to a 3% administration charge.
If you are paying by cheque for instalment (i), please make this payable to ‘352 Medical
Limited’. For instalments (ii to iv) please make this payable to ‘Dr Stephen Ong’.
Failure to make a payment (including a failure of any payment to clear) in accordance with
the above will result in your immediate transfer to NHS care under a different consultant. The
undertaking of this transfer will be your responsibility.
If delivery occurs prematurely in the Royal Jubilee Maternity Hospital or another NHS
hospital, then the fee charged will be a proportion of the total fee for that period of gestation
as follows:
a) delivery between 20 and 30 weeks (£1600 + a proportion of £900)
b) delivery anytime after 30 weeks (the total fee is due)
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Other OPTIONAL fees (payable at reception at the time of the request):
Amniocentesis
Parentcraft
£430 (includes laboratory fees)
£125
I/We confirm that I/We have read and understood the terms of engagement listed
above, understand these to be legally binding and agree to comply with the said terms
of engagement
Patient Name: …………………………………… Signature ……………………………….
Husband or
Partners Name: ………………………………… Signature ……………………………….
Date: ……………………
Please return this to reception with your initial payment of £200.00.
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