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Dr Dimitra Metheniti

Paediatrician

I am writing to provide feedback following the recent online ADHD assessment regarding my son, Kaiyan. This feedback is offered constructively, with the intention of supporting shared understanding and ensuring the final report reflects the full context. This appointment was attended at a point of significant exhaustion. As a parent of a child with complex needs, substantial time, emotional energy, and personal resources have been invested over many years in seeking understanding, assessment, and appropriate support. The intention in attending this assessment was to gain clarity, guidance, and support during an increasingly difficult period. While there was calm engagement with Kaiyan and some review of history, the overall experience did not feel sufficiently grounded in the full developmental, medical, and contextual picture. Key aspects of the urgency of the referral, the cumulative impact on family functioning, and the extent of previous attempts to seek help did not appear to be fully explored. It was helpful that leg pain, dyspraxia, and a whole-child perspective were considered; however, these observations would have benefited from fuller integration of existing history and context. Discussion surrounding ADHD diagnosis and medication occurred without clear acknowledgement of the prolonged and often challenging efforts already undertaken to access support. This was particularly difficult, as it was experienced as implying that the pursuit of assessment was primarily medication-focused, rather than reflecting the reality of the situation or the breadth of concerns relating to anxiety, phobias, demand avoidance, and overall functioning. It was upsetting to hear that the low school ADHD rating was considered to limit evidence across two settings. When increased conflict between Kaiyan and his father was mentioned, the subsequent focus on punishment and physical discipline—while recognised as part of standard ADHD enquiry—was experienced as misaligned with the context in which the information was shared. The tone of this line of questioning felt difficult, particularly given the absence of any safeguarding concerns, and contributed to a sense that parental actions were being scrutinised rather than the child’s needs being explored. This experience was reminiscent of previous NHS interactions in which parental concern has been perceived as problematic rather than contextualised, including prior paediatric consultations relating to leg pain where concerns were minimised. It is also important to note that Kaiyan’s father is highly involved in his care and daily regulation needs, including carefully preparing routines such as ensuring his lunchbox is appropriately organised. During the appointment, there was limited opportunity to convey the extent of prior investigations relating to leg pain, vitamin D, dyspraxia (which has been explored and ruled out), and possible hypermobility, despite extensive engagement with GP, NHS, orthopaedic, and specialist services. Greater exploratory questioning and integration of existing reports may have supported a more complete understanding of this history. Overall, the assessment appeared to move relatively quickly towards formulation and advice-giving. For a parent already experiencing significant fatigue and pressure, this approach felt misaligned with the need for collaborative exploration and validation of lived experience. Rather than feeling supported or guided, the interaction was experienced as judgement, which contributed to feelings of inadequacy at a time when reassurance and clarity were being sought. The cumulative developmental history, current level of impact, and constraints faced by the family did not appear to be fully reflected within the appointment. The experience was consistent with interactions where parental concerns and lived expertise are positioned as secondary to professional formulation, rather than integrated as essential clinical information. Thank you for taking the time to consider this feedback.

Mr Daniel Apostol

Physiotherapist

I have been seeing Daniel for post-operative shoulder rehabilitation following complex surgery. From the outset, his approach has been exceptional. At every session, Daniel takes the time to understand how the previous week has gone, including pain levels, sleep quality, flare-ups, and how the shoulder is coping with day-to-day use. He adjusts treatment carefully based on how I am actually responding, which has been crucial in ensuring progress while minimising the risk of setbacks. Daniel understands that I need to know why I am doing something, not just what to do. His explanations are clear, thoughtful, and grounded in sound clinical reasoning. This has given me confidence in the rehabilitation process and reassurance at every stage of recovery. He is also highly skilled at pacing rehabilitation appropriately. When necessary, he has deliberately held me back in a careful and protective way to prevent over-loading the repair. That restraint has been just as important as the progression itself, and as a result my recovery has been steady, controlled, and ahead of expectations rather than rushed. What I value most is the level of trust. I feel completely able to be honest with him about weeks that have not gone perfectly, including when I have done more than I should have. His response is always calm, supportive, and constructive rather than critical, which has made a significant difference both physically and psychologically. I trust Daniel implicitly with my recovery and would highly recommend him.

One Ashford Hospital

Audiology, Cardiology, + 22 more

There was a lot of confusion in regards to my follow up appointment post surgery. An appointment was booked and agreed for Monday morning, another appointment was booked for the afternoon in addition to the morning appointment, which I tried to rearrange for the following day and recieved confirmation, that appointment I found out later had not been booked and one was made for the following week, and I had called to confirm the appointment for Monday morning too. I found out later that the Monday morning appointment was cancelled but I was not told this until I arrived for the appointment early. Gill at reception was extremely helpful and was immediately on the case to help me as this was a wound check appointment. She spoke to Nikki and Bev and I was able to be seen very quickly. I appreciated all the help I was given by Gill and she helped me create my next appointment for 6 weeks time and navigate the situation well. The appointment itself was informative and very good. I believe there was a mix up with the lists for the day and it seemed to be that everyone just got confused with what appointments for me were needed to be rearranged/ cancelled. Everything was resolved quickly and calmly, and I thank everyone for their help in resolving this.

Newmedica Newcastle

Ophthalmology

I was greeted by an amicable, polite & efficient receptionist on arrival and shown to the waiting room where member of the theatre staff would come for me and explain what would happen next. Kate introduce herself and on knowing I have profound hearing loss made sure that I understood everything. She prepared me well with the required eye drops and made sure I understood the process that would happen in theatre. Having escorted me into theatre she introduced me to Mr Shafiq, the surgeon and the other theatre staff. Mr Shafiq is very approachable and explained clearly what was going to happen. During the procedure he talked me through what he as about to do and what I would see. He was very reassuring throughout the whole procedure which took about 10 mins. He explained clearly about the eye pad, the eye drops etc and Kate made sure that I had understood this before she escorted me to the waiting room. Overall, an excellent team and excellent care; even better than I'd expected because of my profound hearing loss.

Mr Arun Prasath Shanmuganandan

General Surgeon

I recently saw Mr Shanmuganandan for investigation of bowel issues and couldn't be happier with the care I received. From the initial consultation through to follow-up, Arun was clear, thorough, and reassuring. He explained the endoscopy process in detail beforehand, so I knew exactly what to expect. The procedure itself at Shirley Oaks Hospital went smoothly. There was a slight delay to the start time—understandable given it was the first session after the Christmas break—but this was communicated and didn't affect the quality of care. The procedure was efficient and went as well as you could hope for something that's inherently not pleasant. What I particularly appreciated was Arun's approach to communication. He was keen to give me feedback immediately after the procedure, which I valued, and the follow-up has been thorough with clear next steps. Highly recommended for anyone needing colorectal investigation or treatment.

Kernow Psychiatry

Psychiatry

After many months of difficulties prompted by the sudden loss of my husband, I can finally see a light at the end of the tunnel. Communication with Kernow Psychiatry has been very responsive and I booked an initial appointment to discuss my mental health difficulties. Dr Reid welcomed me into a comfortable room at the wellness hub, she immediately put me at ease and took care make sure I was settled and ready to start. After the hour, Dr Reid summarised what she saw as the key priorities to getting me back on an even keel, suggesting a clear approach to addressing my intersecting issues. I am looking forward to my follow up appointment and the start of my recovery treatment plan. I only wish I’d followed my instincts sooner and booked in months ago.

Kingsbridge Diagnostic and Treatment Centre

Cardiology, Dermatology, + 4 more

Reception staff were very helpful both on arrival and when leaving the centre. The medical staff were very knowledgeable & took time to explain everything that would be part of the procedures. The doctor and his team of nurses worked very well together, a well run team. I liked the idea that a nurse remained beside me throughout all the procedures, explaining things as they happened. The recovery room nurse was very attentive and very helpful in her explanation of the printouts following the procedures. The discharge staff in the discharge waiting room provided a very welcome cup of tea and a slice of toast. I had been fasting for over 24 hours by that stage.

Ovara Health

Acupuncture, Breastfeeding and Lactation Counsellor, + 12 more

After seeing several gynecologists, Mr Raza was at last the most reassuring and straight forward in explaining why having a robotic laparoscopic hysterectomy would be the best way forward for me. I am now 6 weeks post op and I am feeling great. I am continuing to be amazed by how small my scar is (2cm!). I would highly recommend Mr Raza to any women doubting whether to have the operation. Every person is different of course but he is so knowledgeable, kind and professional. His PA - Sukhy - has been extremely helpful, supportive and always at the end of the line if I had any question - even during the Christmas week. Thank you !

Quality Dental : Shoreham

Dentistry

My recent visit was for a crown fitting and work on the gums. I saw Dr Balawal . I have had a number of appointments with him. He explains what he is doing and, he takes care to ensure the patient is not experiencing any discomfort. I have always understood, and been pleased with, his treatment. He presents as a very competent, conscientious dentist. The reception staff are all polite, helpful and friendly. I am so pleased that I contacted Quality Dental. I have taken out a dental plan and will continue to attend this surgery. I don't know what the other dentists in the practice are like, but I can certainly recommend Dr Balawal.

Mr Ankur Shah

General Surgeon

Mr A J Shah is a highly skilled and knowledgeable surgeon who carried out my inguinal hernia repair. The whole experience proved positive, commencing from initial consultation stage through to surgery and my final clinic appointment before being discharged into the care of my GP. He was professional and approachable and took time to explain the procedure in great detail whilst listening very carefully to my own concerns. I would highly recommend Mr A J Shah and his team for the expertise, compassion and excellent patient care I received throughout the process and was extremely pleased with the outcome of my surgery.

25 Harley Street

Obstetrics & Gynaecology, Urology, + 27 more

My recent follow up visit for my eye tests and consultation with Professor Viswanathan was excellent . I am very grateful to him for his professionalism and advice. My eye condition has stabilised and improved greatly and I genuinely feel extremely lucky to have been under his care . Alastair and Greeshma made me feel at ease during the eye tests and are so kind friendly and helpful and helped to make my experience very comfortable and enjoyable whereas previously I had always been very anxious . I had a very positive experience and would highly recommend to family and friends.

Vermilion - The Smile Experts Edinburgh

Dental Care, Dentistry

My son had a surgical extraction and the procedure was very calm and relaxed for him. I was able to be there too, so I watched the whole procedure and was very impressed at how clean the procedure was, resulting in a positive experience and successful extraction, ahead of upcoming orthodontic work. Waiting times weren't too long, although for private treatment we had hoped to be seen a little sooner than we were. The practice staff were friendly and very welcoming and high standards were evident throughout, in terms of hygiene and care. My son has no pain and is recovering well.

Dr Philip Alexander

Ophthalmologist

I suddenly saw “shooting stars” on the outside of my vision in one eye. Realising this could have been a retinal tear needing emergency treatment to save my vision, I immediately made a private appointment to see Mr Alexander. The service I received was absolutely fantastic. My eyes were thoroughly examined by Mr Alexander who has an excellent bedside manner. He explained everything clearly, answered my questions and made a plan going forward. Luckily, my retina was intact and no treatment was required. The sense of relief I felt was priceless.

Mr Kartik Hariharan

Orthopaedic Surgeon

Delightful! Mr Hariharan has got a very good reputation and I could not recommend him highly enough. He is personable, empathetic and kind. He explains everything that needs to be explained in a clear and concise manner. I have met many consultants over the last few years who were nice and not so nice - Mr Hariharan is up there as one of the nicest. Excellent bedside manner!

Dr. Vinnie Nambisan

Palliative Care Doctor

Dr Vinnie, I wanted to share some feedback on our recent interactions. I really appreciate how approachable and supportive you’ve been, especially with complex oncology cases. Your communication with both the team and patients is clear, compassionate, and efficient, which makes coordination so much smoother. Thank you for being such a great colleague to work with.

Professor Deena Harji

General Surgeon

Professor Harji put me at ease at every appointment. She explained everything clearly both before and after surgery, as well as during my follow-up. I felt safe, listened to, and fully supported. She understood my concerns, answered every question clearly and professionally, and genuinely cared about achieving the best possible outcome for me.