Hip osteonecrosis treatment in 63 Orthopedic surgery clinics in United Kingdom

I used the hospital to have the services of Mr Afifi as I was due a hysterectomy due to endometriosis. Katie, his PA is excellent and always on hand to help and support. However, the booking staff were terrible with communication. I received wrong information numerous times prior to my pre op and operation and found myself making daily calls to resolve the matter. I made a complaint to the PA to the Surgeon and still nothing improved. Even on the day of my pre assessment I didn't have all the right information - wrong time and no address. When in hospital the majority of the staff were good however the communication between the nurses was not good and it was clear, as they messages regarding my requests were not been answered. Each nurse told different story for medication and recovery and it took one Healthcare assistant (Marty) to come in and get things under control and a proper plan in place. I only had one night approved by the insurance company and I ended up needing 2 nights due to not feeling well after the surgery. The staff were too focused on getting me out to make space for another patient that I was furious and stressed. I assured the staff that I was happy to pay the extra night and so was my insurance company. I was spoken to by at least 5 staff members to try and move me out when clearly I didn't have the confidence to leave the hospital because of my condition. We normally use another private hospital in London and I can assure that from now on we won't be using Circle Health Group again. The communication overall was not acceptable, the staff on the ward show they are overworked and tired and in turn pass this onto the patients. They are more focused on treating each patient as a business and not as a patient. Overall I was not happy with my experience and going forward will not use your business again.

I can’t fault the care and kindness of everyone who was involved in my surgery and on the ward afterwards. I had surgery two days ago and my surgeon was brilliant, he talked through everything with me and came to personally visit me on the ward twice to check in on me and answer any questions I had. I was admitted to Dudley ward and every single one of the nursing team that were on the ward were fantastic, they looked after me and are so kind and caring. I would love to thank each of them individually as I feel they went above and beyond. I would highly recommend my surgeon and the hospital to anyone who asked me where I had it done.

Everything was fantastic, in particular the nursing staff- Camilla, Marty and Mandy were fantastic. Everyone was friendly and kind and tried to make my stay as pleasant as possible. The food selection was great (even for fussy vegans like me!) I had a few issues after my surgery but the nursing team were brilliant and really went the extra mile to make sure I was comfortable and knew what to expect.

Mr Warner has helped me with 4 years of pain and numbness. Elaine in reception was so kind and thorough. Katie and Lisa who completed my admission were also thorough and explained all aspects of my care. Inga from Physiotherapy gave me lots of information to help with my recovery. Thank you to an excellent team!

It's been a week since my surgery, I'm recovering quickly, I'm feeling better day by day. I just wanted to say that I've been struggling with my health problem for several years. Hospitals and GP doctors gave me medicines and advised me to take painkillers. When I was desperate, I changed my GP. he sent me to The Beaumont Hospital to see doctor David Smith who, after examining me without hesitation, said ok, in a few weeks we will do the surgery, now I can finally function like a normal person, a big thank you to the entire hospital for their help and I would especially like to thank Mr. David Smith, I highly recommend it to everyone Beaumont Hospital. this hospital is top 10 special thank you for great help great atmosphere I felt like in a hotel with doctors special big thank you to Jacky, Olga and Kate

Amazing experience from initial consultation to final surgery and aftercare. Surgeon, Anesthetist Doctors , nurses, kitchen Staff are all amazing .Everything explained step by step.Nothing was too much trouble.lovely clean and modern hospital, lovely food. Would highly recommend anyone to have their surgery at the beaumont.

I would like to give a massive thank you to Sarah Hoyle, Mr Berber, my whole experience at the Park hospital was fantastic, every step of the way from being contacted by Sarah, admissions, Mr Berber and his team, right the way through to the caterers and porters. I have to say I was made very welcome and treated with respect

Due to the unfortunate pressure on the NHS it's necessary to have to fall back on private care on occasions. My Mum was in this situation and went here for a joint replacement operation. Impressed by respectful and professional manner in which she was cared for. Building interior itself is modern and completely spotless.

I was looked after extremely well at The Park Hospital, and treated with respect at all times. My room was very comfortable and the staff were always on hand for any needs I had, not to mention a joke or two! The food was lovely, a good choice of menu and always beautifully cooked and presented. So my thanks to all of the staff who looked after me, with special appreciation to Mr Henley and his team who were outstanding.

Excellent team. Everyone were professional, did their jobs with so much care, empathy, and expertise, all with cheerful faces. The hospital is super clean, the best I've seen in the UK. Overall, I I've them 10 🌟 Sending a special thanks to Dr Mamidanna, Nurse Ola, Ana, Kumba and Tia. My meal of prawn and mayonnaise sandwich, vanilla ice cream and hot chocolate was like something from a 5* hotel. Excellently presented by an impeccably clean and well dressed kitchen staff (not sure what they're called in hospital) Please keep up this standard. Thank you.

Yes,certainly. My surgery took place on 17/10/23. I was treated inhumanly on the day of admission. I am a diabetic patient. From the time of admission till the time of operation I was not offered any food. It was almost 3-4 hours without food. I was shivering. once I come back from the OT my husband went outside to buy food for me. Only then I had some food before my release from the hospital. I had an follow up appointment on 28/11/23 with Miss Madi which I have attended. She didn't look into my eye with care. She was in a hurry to finish my appointment. It was less than 2 minute. She was busy with her mobile phone. If I knew this earlier I wouldn't come long way for this appointment as I have waited long after the surgery for this follow up appointment. I will definitely not recommend anyone to be seen by this Consultant.

was a really great process from start to finish. good discussions and advice with the consultant / surgeon. discussion from anaesthetist was very brief but reassuring nonetheless. everyone at the hospital for consultations to overnight stay was excellent. and post op care with physio is great too.

My treatment during my procedure and after was amazing. The Nurses especially Heidi & Sky were fantastic. I suffer with terrible anxiety and after the procedure my nerves were horrendous. I was having panic attacks continuously throughout the afternoon, together with low blood pressure and the effects of that. The nursing team and doctor were so supportive, kind and caring towards me. They made me feel very safe and cared for even when I was very frightened. After I got up unfortunately I had a bleed from my wound. There were nurses and a doctor with me within seconds of the alarm call. They stopped the bleed and help me to calm down. At this point Heidi made the call the keep me in overnight due to the bleed and my nerves. They were so kind as to let my partner stay with me in the room all night and provided her with blankets, pillows and refreshments throughout the night and into the morning. The overnight team were also incredible with me and I was discharged in the morning feeling relaxed and content that I was okay. I cannot thank everyone enough for the care.

Every member of staff was so lovely, helpful and wanted to help. I have never felt more looked after in a hospital setting so thank you. Massive thank you to every Nurse, support worker, physio that looked after me, not forgetting Mr Shah who did an amazing job of my surgery. I am so grateful.

The staff and care that they provided has been outstanding. I have been in the hospital for 3 days for a total knee replacement, I really could not fault the level of care and attention to detail from any of the staff, from the surgeon to the anaesthetist, nurses, physios and wider support staff. The room was great, well looked after and the food was beautiful. Highly recommended

Receptionist polite & engaging. Excellent consultant, Mr Louette. Catering professional & polite. Theatre staff & anaesthetist thorough & professional. Recovery team, (Post-Anesthesia Care Unit) lovely & kind especially one to one nurse, Anne. Physiotherapist, excellent, kind, helpful & knowledgeable. Pharmacist helpful with my meds. Ward staff excellent. Although, I encountered one nurse’s (bedside manner) somewhat curt. Nursing assistant professional, very thorough, helpful & kind. Thank you to all staff & team with my care.

I found the whole experience of hospital and treatment excellent. The staff were friendly and caring and I definitely will use your service when needed again. Well done.

The staff were incredible. They all looked after me so well and made me feel at ease. I was so looked after and couldn’t have asked for a better team. Amy was the primary nurse that looked after me. She was amazing, she explained everything made me feel at ease, talked me and my partner through everything. Miss Hazari is an incredible surgeon and can’t recommend her enough. She looked after me and made me feel heard and listened too. Matt the anaesthetist put my worries at bay. Annie was in the surgery with me, help my hand as I went under and was there as I woke. Paula the nurse at night was amazing and lovely while I was nervous.

This hospital is amazing. From the second you walk through the door until you hobble out of it again. Every single member of staff is friendly, polite and thorough. The rooms are clean and warm. Information is given in a timely manner. No question is a bad question. I would recommend the Thornbury to anybody - I really struggle to see how anybody can pick fault with any aspect of their care or services. Even the post-operation sandwich was delicious :) Thank you so much.

Care given at the Thornbury hospital was second to none. Every member of staff I met was caring, considerate, nothing was too much. When looking for my treatment I truly believe I found the right hospital and right surgeon for me. Thank you Circle Health Group!

What an incredible experience! As someone that was very anxious about having surgery, the staff went above and beyond to provide the additional support that I required. From the nurses, the consultant to the catering staff, nothing was too much trouble. Particular mention to Clinical Services Manager Phil who is an absolute credit to the organisation and the surgeon Mr. Olarinde who did everything he could to put my mind at rest. If I could leave a 6 star review I would!

Lister hospital is really good. The service was top notch. Staff are great, welcoming with a smile on their face at reception. The nurses and doctors were also super kind. The nurses made sure every small details were checked twice. I feel like i have been very well looked after. I had 2 procedures under GA and honestly everyone was so nice. The room was clean with a nice view of the bridge. Excellent choice of food. felt safe and in good hands. Thanks to everyone at Lister Hospital Chelsea

Very good hospital - I was there for a Day Procedure, but it went very smoothly. You do feel assisted and reassured all the way, from when you enter the hospital to when you leave the hospital. Nurses are very caring and attentive. It has been helped me getting through the day and would certainly put the Lister Hospital onto my top hospital list should I ever need to go back to hospital (I hope never again though !! Hospital is nobody's cup of tea :)

I feel grateful with the excellent service of the Lister Hospital Chelsea, the group of nurses, doctors, cleaners and the banqueting team are incredible! I stayed 2 days and they made me feel very welcome and cared. Especial thank you to Dr. Albin for her great support.

I have recently had a total hip replacement, carried out at the Wellington Hospital. I found the standard of care excellent at each stage, from the scan, to the pre admission meeting to my inpatient stay. The nursing staff were kind, supportive and friendly. My room was comfortable and the food was amazing,. Before I went I read the reviews on here and was surprised by the range of comments. I think some people have very unrealistic expectations of a hospital stay. This place is great!!!

I visited the Wellington for a scan and consultation. From the first meeting with the reception staff, everyone was extremely welcoming and helpful. The staff answered all my questions clearly and in the right amount of depth. I felt able to trust them immediately and my confidence grew as the process moved forward. I have no hesitation in recommending the Wellington as a first class centre for excellent healthcare

A phenomenal team that CARE deeply about their patients. Every visit to the Hospital….I am received with Love and dedication. Simply beautiful service. 😊 Thank you for your Love and kindness. ❤️

I was under Mr Jay Smith and my total hip replacement went very well under his guidance and he has a very caring nature and always took time to explain how important the post care is. I found from the moment I entered the hospital, everyone was caring and service with a smile. Post surgery physios in the ward were excellent as well as after my discharge I was under the excellent care of Tighish, Senior Physio. She is absolutely brilliant and was very caring about my progress and making sure I was doing my exercises correctly. On discharge she made sure I knew how important the exercises were for my future progress.

Bishops Wood Hospital continues to provide an excellent service. A professional and friendly service was provided to me by Josephine in the Radiology Department. She was very efficient, made the mammogram as comfortable as possible for me and she checked regularly about how I was feeling.

I had surgery at bishops wood hospital everyone there was so friendly and polite. I had a nurse called Mihaela she was really friendly to me and we had a good laugh. before the surgery she made me feel less anxious. Mihaela looked after me well and so did the surgeons to.

I am feeling sorry that I am writing this review, but that's exactly how my care experience at Parkside - Wexham Park hospital was (September 2022). I must say that the single night I had to stay there after my surgery was the poorest care experience I ever had in my life, due to extremely rude nursing staff at the night. As I was shifted at Parkside, the nurse very rudely refused for my family to see me at all since the meeting time was just over. I understood the meeting time thing but shared with her that my husband had brought my three very worried, young kids to see me for 2 min, only because the Post Op nurse herself said they would be allowed to see me after I was shifted at Parkside 'as an exception' (reason because I was expected to go home after my day surgery but was admitted due to pain issue, so Post Op nurse said that this very short meeting would be allowed as an exception), however, the meeting never happened and my kids went back after waiting in the car parking for more than 1.5 hours. Well, at least I saw my husband who reassured the kids that I was fine. After my husband left, I asked the nurse how I could call someone if I needed anything, and she literally threw the bell on my bed. I was shocked!! and worried about spending remaining part of the night while facing such rude behaviour. Later on, when I requested the nurse if she could hold my hand for going to the toilet, she reluctantly did but asked me to hold the IV stand by myself with my other hand. I can't blv how being in the care profession a nurse couldn't understand how much pain a patient possibly can be in, literally within few hours after a surgery and still asking the patient to hold & drag the stand by themselves. All the night the two nurses kept making loud noise in the ward walkway, to the extent that it was hard to sleep at all. Every time, the nurse would come in my room and would take my BP and temp, waking me up but without speaking to me. None of the two nurses who I saw introduced themselves, I myself checked their names. None of the time, anyone asked me if I was in pain or if I needed any pain killer until I myself asked for a pain relief in the morning. The way I was treated made me feel that it was my fault that I was in pain and needed to stay there, so I had to tolerate the attitude. Never expected such an experience straight after a major surgery and while going through extreme pain. The next day staff were nice as well as caring, I got discharged in the evening next day and was so grateful that I didn't need to bear the same attitude again. Please improve the facility. A patient is already in so much pain and expects sympathy and care, not stares and rude attitude. Kind regards

Sadly our experience with Parkside so far has not been a positive one. My son's day surgery was cancelled 3 days before he was due to be admitted, with different staff giving different reasons. Not only are we disappointed at this, but we're also out of pocket due to the cancellation. A new surgery date is yet to be confirmed - again different staff have stated different things. Hopefully, if/when his surgery takes place I'll be able to change this to a more positive review.

Thank you to all of the wonderful staff at Parkside from every department each staff member I came across was friendly, approachable and I was treated with 5* service. Miss Burton, Mr Elkington and my anaesthetist Dr Justin Woods were so very professional, approachable and all had fantastic bedside manner. I am so pleased with the outcome from my surgery and more so the care I received during my stay it was above and beyond what I could have expected and would highly recommend my consultants and Parkside to future patients considering surgery.

Recently went in as a day case for a diagnostic procedure. From start to finish they made my time there almost enjoyable!!! The reception team, nurses , theatre staff and the Consultant were all brilliant. Communication was second to none and the teams we are all straightforward and uncomplicated. A credit to Fairfield Independent Hospital.

Absolutely shambles of a place can't run outpatient clinics on time .. Seems there time is more important than yours BE AWARE... It like there doing you a favour by operating clinics on a weekend ..!!! Unhelpful staff AVIOD ...

I am completely disgusted at how they view their patients. It seems as though the medical staff only show the care that comes with their job when you are employed or local to the surrounding area. If you are simply an independent carer for your autistic child then they will cast you aside, simply sending you somewhere else without even asking about your condition or symptoms. They truly know how to make you feel like a burden, as if you shouldn't have even stepped foot on the premises and I truly believe they are aware of this. I am a widowed Catholic mother of three with no support, visual issues and am single handedly guiding and aiding my autistic child through life. I come here for extrema pain in my back and they simply send me away after an uncaring talk. The medical staff and those incharge can easily solve this problem by climbing down from their ivory tower and acknowledging that we are all humans and are all entitled to the care we so rightly deserve. Absolutely foul.

I had and continue to receive a wonderful service. The surgeon Paul T explained the results, the next steps. His PA is prompt in responding to questions. The surgeon, PA and nursing staff are flexible, put me at ease. Never felt rushed. The facilities are what you would expect from an independent health provider. I cannot find fault with the staff as you walk off the street and the facilities.

Excellent hospital with great teamwork and service. I had knee arthroscopic meniscectomy surgery to fix my torn meniscus. Superb surgeon and anaesthetist. The hospital staff was excellent; they were friendly, helpful, and constantly available when needed. The food they served was excellent. A big thank you to Mr. Marston and his team, the anaesthetist, nurses, physiotherapist, and everyone that supported me during my stay. Thank you very much for looking after me! God Bless.

Lovely reception staff, lovely nurses and wonderfully professional consultant. Had to wait many hours for surgery without food or water but that sometimes cannot be helped, as surgery times vary so much patient to patient. Very clean with a nice waiting area too for relatives. Would recommend this hospital.

I felt I was in great hands from start to finish & very much appreciated the care shown. Everyone from the consultant, ward team & theatre team did their very best to provide fantastic care. The physiotherapists were also fantastic & really worked hard to get me mobile & discuss any worries. Having such a great, knowledgeable, caring & welcoming team really does put a very stressful situation at ease - The team at the Albyn is second to none.

Attentive and very friendly staff! I postponed my surgery for so many years and so glad that I did it at Albyn hospital. The whole experience was very smooth and professional. Wouldn't have minded to get pampered by the staff a bit longer. Thank you for the amazing experience!

All the nurses and other staff were really nice to me. Always making sure I was ok before and after the surgery. My only questions are about my surgery which will be discussed with my doctor in a few weeks. But overall I had a good staying at Albyn. Thank you.

I just want to say that Dr. Parkes is extremely attentive and professional. He knows English is not my native language, so he made a conscious effort to slow down his speech to ensure I understood what he was saying. Throughout the process, all the nurses and staff at the front desk were also very attentive and friendly. This has been an amazing experience for me, probably the best I've ever had in a hospital.

Awful service, took over 45 mins for a blood test as the staff were just chatting behind the counter. The place wasn't even busy. Staff were incredibly rude too. Better off using the NHS. Avoid at all costs.

I would like to thank all the staff at The London Independent Hospital who were involved in my treatment. I was informed regularly of any updates to my surgery. Dr Jones was amazing and I am so great full to have finally been listened to after years and years of pain. Dr Jones understood this was not normal investigated and treated me. Thank you all for making me feel welcome, at ease and felt like i was in the best care.

The attention I received from reception to the consultant was first class. Timing was excellent and the whole experience was efficient and comfortable. This was reassuring as I was a little concerned about my investigations. I cannot praise the hospital highly enough on this occasion.

A big thank you to everyone involved in my care at the London Bridge Hospital. Cannot recommend the hospital enough! Mr. Ember and Tessa are always easy to talk to. Despite his busy schedule, I never felt that Mr. Ember was rushing in our appointments. So very patient in explaining every thing which made me feel 100% confident in him. The nurses were brilliant! RGN Bambhi (Abhi) Q. went above and beyond to make sure I was comfortable during my admission. She has already finished her night shift when I arrived but she still went to my room, answered all my questions and made feel comfortable. She also made sure to check on me after discharge. RGN CJ looked after me, her bright personality is truly refreshing but stayed professional the whole time. She made sure I was well looked after before during and after my procedure. Additionally, RGNs Dana and Gladys, were also exceptionally kind and knowledgeable. The food was impressive! Catering staff were always so polite. Was kinda bummed that coffee was instant coffee(not a big deal tho). Overall, I am extremely grateful to the whole London Bridge team!

I was a day patient for a knee surgery. The hospital staff is absolutely fantastic and friendly, they are always there to help you and to answer questions. The food was good beside I was not able to eat it all (i had anesthetic side effects) and the facilities were immaculate! Thanks for making it such as smooth process.

I would like to record all my gratitude to the pediatric team at Portland Hospital. My daughter underwent surgery and we were well taken care of. I want to give my special thanks to nurses Charity, Roberta and Priya, they were attentive and very affectionate with me and my daughter. Hospital food was surprisingly wonderful. Thank you to the whole team.

Great experience having a baby here and also a minor surgery post birth. We love the quality of care we always receive from the specialists, doctors and consultants we’ve worked with. Always wonderful.

We attended a hematology pediatric out patient appointment. We were pleased with all aspects of our daughters care. Especially the specialist knowledge and skills of the consultant. The speed at which we were seen was great- resulting in a positive impact on the whole families health. Thank you

I attended the Urgent Care Clinic at The Princess Grave hospital and I was blown away at the level of service offered. All the team, medical and support staff were outstanding. I was seen very quickly, issue addressed and I was discharged in less than an hour. It was excellent value for money for the service offered! Thank you.

I recently underwent a robotic prostatectomy at Princess Grace Hospital. From start to finish I had an excellent experience. The facilities, staff and expertise were of the highest competence and quality. All services were delivered with great empathy and care.

Fantastic hospital with exceptional staff throughout. Was nervous for my first surgery experience and I couldn't have been in a better place. The private room and provisions were comfortable. The food was of a very good standard. Staff were very attentive and strive to provide the highest level of service.

My Mom has just spent the last week at Parkside Hospital and I have nothing but praise for the hospital and staff. Special mention must be made of Sylvia and Eric, they are amazing. I found all the Staff very friendly and the hospital was lovely and clean, the food was great too. Thank you for making this week so pleasant for all of us.

I am feeling sorry that I am writing this review, but that's exactly how my care experience at Parkside suite was (September 2022). I must say that the single night I had to stay there after my surgery was the poorest care experience I ever had in my life, due to extremely rude nursing staff at the night. As I was shifted at Parkside, the nurse very rudely refused for my family to see me at all since the meeting time was just over. I understood the meeting time thing but shared with her that my husband had brought my three very worried, young kids to see me for 2 min, only because the Post Op nurse herself said they would be allowed to see me after I was shifted at Parkside 'as an exception' (reason because I was expected to go home after my day surgery but was admitted due to pain issue, so Post Op nurse said that this very short meeting would be allowed as an exception), however, the meeting never happened and my kids went back after waiting in the car parking for more than 1.5 hours. Well, at least I saw my husband who reassured the kids that I was fine. After my husband left, I asked the nurse how I could call someone if I needed anything, and she literally threw the bell on my bed. I was shocked!! and worried about spending remaining part of the night while facing such rude behaviour. Later on, when I requested the nurse if she could hold my hand for going to the toilet, she reluctantly did but asked me to hold the IV stand by myself with my other hand. I can't blv how being in the care profession a nurse couldn't understand how much pain a patient possibly can be in, literally within few hours after a surgery and still asking the patient to hold & drag the stand by themselves. All the night the two nurses kept making loud noise in the ward walkway, to the extent that it was hard to sleep at all. Every time, the nurse would come in my room and would take my BP and temp, waking me up but without speaking to me. None of the two nurses who I saw introduced themselves, I myself checked their names. None of the time, anyone asked me if I was in pain or if I needed any pain killer until I myself asked for a pain relief in the morning. The way I was treated made me feel that it was my fault that I was in pain and needed to stay there, so I had to tolerate the attitude. Never expected such an experience straight after a major surgery and while going through extreme pain. The next day staff were nice as well as caring, I got discharged in the evening next day and was so grateful that I didn't need to bear the same attitude again. Please improve the facility. A patient is already in so much pain and expects sympathy and care, not stares and rude attitude. Kind regards

I was an outpatient yesterday at parkside wexham. I just wanted to say how friendly I found everyone and the food was fantastic. The lasagne was the best I have ever tasted anywhere! My only minor complaint would be that I could hear another patient’s TV the whole time, but that would not stop me from highly recommending parkside.

I had there fundraisers opening my door and when i confronted him, he said oh i thought you wont be able to hear me. Since when did they have the right to open my house door? eastlondon area. Please advise your staff not to open peoples porch doors or any door if they dont answer the door.

Will you please remind your door to door salespeople whom I guess are students operating in Ripley Derbyshire that it is against Charity Commission regulations to pressurise people into signing up to donating. They have been targeting elderly people twice in two days now. By using high pressure tactics like this you are tarnishing the good works this Hospital does.

We’ve been harassed by GOSH representatives on numerous occasions now. They knocked our door THREE times in a single day. Once at midday when no-one was home, the second just 10 minutes after I arrived home from work (obviously stalking me), and the third at 8:30pm!! I’ve previously expressed my disinterest on donating to the charity, yet they continue to return to our property. If a property could be put on a sort of TPS these guys would be in some serious trouble. After speaking to neighbours, they had nothing good to say either (we have a community Facebook Group), some even said that the representatives were extremely rude and overly personal - one lady even had to leave her house because she didn’t feel safe! Times are hard enough and people certainly aren’t going to donate money to a charity that is being represented by such rude individuals. We’ve offered to give them some spare change as a donation but they insist on bank details. You can jog on if you think I’m going to be giving my bank details to some stranger at my doorstep. I’ll happily donate to charity but it will be on my own terms - not with harassment and peer pressure at my door. I wrote this review after GOSH decided to ignore my email of complaint. We’ve now opted to purchase a ‘no cold callers’ plaque to prevent them from visiting in future. If they choose not to comply and continue to harass us, I will be taking this further; perhaps even deciding as a community to set up a ‘no cold calling zone’ with the Local Authority if need be.