Tel: 01534 617055 Fax: 01534 617055 Information Gerard: 07797 753630
Email: g.williamslg@yahoo.co.uk

FAQs

Prices

Mr Gerard Williams is fully registered with the General Medical Council and is named on the Specialist Register. He is recognised by all the major medical insurers including BUPA. Castle Quay Veincare puts a strong emphasis on providing realistically priced treatment packages for self funding patients treated under local anaesthetic. Our rates are, in general, a lot less than similar specialist vein clinics in the UK. We provide a written quotation that clearly states our charges prior to treatment.

It is very important that all patients understand the costs of the procedure before they agree to go ahead. Occasionally treatment under local anaesthetic is not possible and operation under a general anaesthetic is needed. This will be carried out at Jersey General Hospital and the patient will be billed by the hospital for theatre and ward charges and separately by the Consultant Anaesthetist. We will obtain these figures and they will be part of the written quotation that is issued. Please also note that injection treatment/sclerotherapy is carried out at Castle Quay for which a single invoice will be issued.

Patients are advised to speak to their insurer before they embark upon the process of consultation and treatment in order to be sure that they are adequately covered. The surgeon’s fee is not based on any of the scale of charges published by the various UK-based insurance companies. It will, accurately reflect the position of the health care market in Jersey and the amount of operating time involved.

Please speak to Gerard on 07797 753630 for advice on the cost of consultation, duplex scan (varicose veins) and microsclerotherapy, all of which are fixed-price procedures.

Initial Consultation £200

Duplex scan of superficial veins, one leg £150, both legs £200

Phlebectomies, local anaesthetic, one leg (L8750) from £1000

Phlebectomies, local anaesthetic, both legs (L8751) from £1200

VNUS closure, local anaesthetic, one leg (L8540) from £1850

VNUS closure, local anaesthetic, both legs (L8541) from £2050

Surgery for recurrent varicose veins, local anaesthetic, one leg (L8532) from £1900

Surgery for recurrent varicose veins, local anaesthetic, both legs (L8582) from £2200

Ultrasound guided foam sclerotherapy, one leg (L8620) from £650

Ultrasound guided foam sclerotherapy, both legs (L8621) from £750

Microsclerotherapy for thread veins £230 per session (30 minutes)

What are varicose veins?

These are swollen and tortuous leg veins that often bulge out from the surface of the skin. They may cause ache, pain, heaviness and ankle swelling. Many patients seek help because they do not like the appearance of their legs. In a minority of our clients, varicose veins may give rise to problems with the skin such as eczema, thickening and even a leg ulcer.

Is treatment available on the State of Jersey Health Service?

Yes, but there are now strict guidelines regarding eligibility. To qualify for States treatment, varicose veins have to be complicated by a varicose ulcer, bleeding, swelling, progressive changes to the skin or have given rise to a severe impact upon the quality of life.

What are thread veins?

These are tiny blue or red/purple veins lying in the superficial skin layer, often in unsightly patches located anywhere on the leg from foot to upper thigh. We have enormous experience of treating this problem by microsclerotherapy which is a safe and generally effective treatment. Microsclerotherapy may bring about a massive reduction in the problem of thread veins and we have very many happy and satisfied clients. It is however uncommon to achieve a perfect result ie total eradication of all visible veins.

Why choose VNUS closure?

This simple thermal ablation technique is very safe and effective. It is equivalent to surgical stripping. It costs a bit more than laser but there is significantly less pain and bruising after the procedure when compared with the standard 810nm laser, or surgery. It is undoubtedly our method of choice. Follow-up studies of our patients have shown that after VNUS closure under local anaesthetic, 90% were completely happy with the result although 10% requested further treatment for residual varicose veins either by phlebectomies or foam sclerotherapy. Most patients are able to return to work on the day after VNUS closure.

When is a duplex scan needed?

A duplex scan is essential before consideration of endovenous treatment such as VNUS closure, but is not needed if you are suffering from thread veins only.

What are the risks?

We have conducted a postal survey of all members of the Vascular Society of Great Britain about laser treatment and VNUS. Information has been gathered on more than 50,000 patients who have had endovenous treatment (submitted for presentation). This has shown that complications are very uncommon. The risk of deep vein thrombosis, pulmonary embolism, and nerve injury are less than 1%. Post-procedure phlebitis is the most common adverse event. This gives rise to pain and tenderness which will settle by itself, but it may take several weeks.

When is it OK to fly after treatment?

Short haul trips are ok but you are advised to wait 4 weeks before taking a long haul journey.

How will blood get back to the heart after varicose veins have been obliterated?

Almost all of the blood flowing from the legs to the heart passes through the deep veins which have a massive capacity. The veins that we obliterate by VNUS closure or stripping are not functioning properly and are simply permitting blood to flow in the wrong direction ie. back towards the foot. It follows that their removal will allow improved drainage of blood through the venous system.

When will I be able to return to work?

Everybody is different and return to work is chiefly dictated by the degree of pain and discomfort. This usually means the day after VNUS closure but up to 3 days if phlebectomies have also been carried out. It usually depends on the size/extent of the operation (eg whether it involved one or both legs) and the patient's age and general fitness.

What should I do after treatment?

Avoid standing for prolonged periods of time, do plenty of walking, keep your legs up as much as you can and wear your elasticated stocking according to the advice given. Please remember that it is very uncommon for significant problems to arise after treatment. If you are concerned, however, then do not hesitate to contact Jersey Veincare.

Will I have stitches?

All incisions are tiny and designed for minimum visibility. We cover them with small sticky strips for five days and stitches are therefore not needed.

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