You go and see the specialist and pay
that means you will see the Great Man himself and not his Very Bright Registrar
and he thay
you need operation X
and you say - can you do this yourself?
and he will say yeah this after noon five hundred knicker
and you say - no on the NHS
and HE will say - Oh I dont do these on the NHS but Mr Y does OR yeah I will put you on the list ....
Alot of the cases on these threads turn out to be urgent - like me - ca colon, not that early either - in which case you get onto the standard conveyor belt - rapidly.....