Dr Ito Clinic

Patient Guide

Dr Ito Clinic Patient Guide
Published
01/04/2008

Reviewed
2/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi ItoPage | 1 of 12

Dr Ito Clinic
Contents
Introduction ............................................................................................................................................ 3
Dr Ito’s Belief for Treating Patients Suffering from “PAIN” .................................................................... 4(a)The Summary of the statement of purpose................................................................................ 5
Aims & Objectives ............................................................................................................................... 5
Relevant Qualifications & Experience of Registered Provider & Responsible Individual ................... 5
Treatment & Service Provided ............................................................................................................ 5
Patient consultation ............................................................................................................................ 5Complaints .......................................................................................................................................... 5
Respect for Privacy & Dignity of Patients ........................................................................................... 6(b)The Terms and Conditions in respect of services ....................................................................... 7
1. Treatments and services Dr ITO Clinic provides ......................................................................... 7
2. Treatments NOT offered ............................................................................................................. 8
3. Children and Teenagers .............................................................................................................. 8
4. Pregnant women......................................................................................................................... 8
5. Charges........................................................................................................................................ 8Standard Form of Consent for the Provision of Services and Facilities ............................................ 10(c)The Complaints Resolution Procedure ..................................................................................... 11(d)The results of consultation - Review of Quality of Treatment and Other Services .................. 11(e)How to obtain Inspection Reports ............................................................................................ 11
Useful Telephone Numbers, Address, Email address ........................................................................... 12

Dr Ito Clinic Patient Guide
Published
01/04/2008

Reviewed
2/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi Ito
Page | 2 of 12

Dr Ito Clinic
Introduction
Dr Ito Clinic recognises its duty of care to the patients;
 Involvement and information
 Personalised care and treatment
 Safety and safeguarding
This Patient Guide sets out the way in which Dr Ito Clinic manages its practice with the aim ofpatients centred, ensuring safety and quality of services. The Patient Guide is drawn up
according to; the Health and Social Care Act 2008(Regulated Activities) Regulations 2014
 the Care Quality Commission (Registration) Regulations 2009This guide informs the individual how Dr Ito Clinic implements the policies, procedures andprotocols in place to ensure the safety and efficacy of the services on offer.
This information is reviewed at least once a year; the review details are recorded andmonitored. (This document's review details are recorded at the bottom of each page)

Dr Ito Clinic Patient Guide
Published
01/04/2008

Reviewed
2/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi ItoPage | 3 of 12

Dr Ito Clinic
Dr Ito’s Belief for Treating Patients Suffering from “PAIN”

At Dr ITO Clinic, its aim is to provide patients suffering from any kinds of “PAIN” ahigh standard of “Pain Management Care” with Consulting, Nerve Blocks,Medications and Surgical Treatments.

Dr Ito believes that taking necessary and sufficient time to listen to patients’complaints is of crucial importance, by which very important information can berevealed and, at the same time, patients can feel relieved. Furthermore, Dr Ito is
assigned the important task of not only treating or alleviating “Pain”, but also
detecting hidden diseases which cause the “Pain”, sometimes with cooperation fromdoctors specialized in other fields such as Surgery, Gynaecology or Internal
Medicine. This is the reason why “PAIN” is referred to as the second vital signnowadays.

Dr Ito is fully aware that all patients with “Pain” are / have been living
uncomfortable lives both Physically and Mentally. Hence, all the more, all patients
must be treated with respect kindness and care whilst in the clinic. Dr Ito will act in a
professional manner and will maintain patients’ confidentiality at all times.

.

Dr Ito Clinic Patient Guide
Published
01/04/2008

Reviewed
2/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi Ito
Page | 4 of 12

Dr Ito Clinic(a)The Summary of the statement of purpose

Aims & ObjectivesThe main aim of Dr Ito’s practice is to relieve and manage pain and in doing so he takes aholistic approach to ensuring his diagnosis includes assessment of underlying factors fromother disease processes.
Dr Ito at Dr Ito Clinic recognises his obligations under the Health and Social Care Act
2008(Regulated Activities) Regulations 2014, the Care Quality Commission (Registration)
Regulations 2009 to have in place appropriate safeguards and quality assurance
arrangements for clients in his care. In keeping with the aims of the Act, he recognises thefundamental principles that guide the policies and the procedures in place and upon which
the day-to-day operation of Dr Ito Clinic will depend.
Relevant Qualifications & Experience of Registered Provider & Responsible
Individual
Dr Ito, qualified as a doctor in Japan, is registered as a doctor with the General MedicalCouncil (GMC) in the UK and is also a consultant anaesthetist on the specialist register. Dr Itois the sole practitioner in the clinic being the registered provider and the manager of theclinic. Dr Ito has experience in the speciality of pain management both in the UK and Japan.
Treatment & Service Provided
Dr Ito provides private medical services for patients for the management and relief of pain.
This includes assessment and diagnosis as well as treatment plans. Some diagnostics tests
such as X-Ray are carried out in other nearby facilities. Patients are seen in a private
consulting room and treatments are carried out in a separate treatment room to ensure thepatients privacy and dignity are maintained in comfortable surroundings.
Dr Ito Clinic can assure 100% not to discriminate against race, colour, religion, disability orsexuality.
Dr Ito Clinic does not treat or see children and adolescents. Patients are advised not to bring
their children to the clinic.
Dr Ito is committed to providing equality of services to all people including disabled and lessable people.
Dr Ito provides Home Visits for the patients who have difficulties coming to the clinic.
Patient consultation
The patient’s views are sought and used to inform Dr Ito Clinic’s provision of treatment andcare/service. Consultation between Dr Ito and the patients is undertaken in two primaryways;
1. Direct feedback and 2. Annual Survey
Complaints
Dr Ito Clinic Patient Guide
Published
01/04/2008

Reviewed
2/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi ItoPage | 5 of 12

Dr Ito Clinic
Dr Ito has a positive outlook to managing complaints and maintaining effective
communication with people raising complaints or concerns. Dr Ito will manage any
complaint professionally and ensure all matters are investigated. Please see “Dr Ito Clinic
Complaint Policy & Procedure” for further details.

Respect for Privacy & Dignity of Patients
Dr Ito Clinic places the rights of its patients at the forefront of its philosophy of care.
We seek to advance these rights in all aspects of the environment and the services weprovide and to encourage the patients to exercise their rights in full. We recognise that thepatients who undergo procedures and treatments have the right to privacy. We therefore
strive to maintain privacy for the patients.
For further information, a copy of The Statement of Purpose of Dr ITO Clinic is available to all
patients, potential patients or their representatives on request or it can be downloaded fromour website.
http://www.dritoclinic.co.uk/styled-2/(Dr Ito Clinic website “Download” section)

Dr Ito Clinic Patient Guide
Published
01/04/2008

Reviewed
2/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi ItoPage | 6 of 12

Dr Ito Clinic(b)The Terms and Conditions in respect of services

1. Treatments and services Dr ITO Clinic provides
Dr Ito will give the patients a full explanation on account of the treatment you need, ‘Why you
need it’, and ‘advantages and disadvantages include any side effects’.
Treatments on offer at Dr Ito Clinic are as follows;

Treatments Provided
InvestigationsBlood and Urine and Pathology services (by The London Clinic Pathology Dep.)
Ultrasound, ECG (In-house)
X-ray, Echocardiogram, CT scans, MRI and MRA (MR Angiography) test can be scheduled atPrincess Grace Hospital, 30 Devonshire Street, 108 Harley Street or London Imaging Centre, 11-12
Wimpole Street
Pain Management Consultations
Lower back pain
Limb pain and/ or a sense of numbness such as Sciatic Neuralgia
Frozen shoulder and shoulder pain
Neck pain and/or arm pain/numbness
A complex regional pain syndrome (CRPS) such as so-called Phantom Pain
Herpes Zoster and painful peripheral vascular disease
Any kinds of neuralgia
Fractures, Dislocations and Sprains
Alleviating pain from skin problems such as Skin/ Subcutaneous infections
Treatment Offered
Regional Nerve Block Injection
Nerve blocks: regional nerve blocks including Epidural block
Most of the Peripheral nerve blocks
Joint injections including Facet joint, Knee joint and Shoulder joint block
Trigger point block
Epidural injections/block
Caudal injection/block
Intra-venous sympathetic nerve block for CRPS
Wound Care Treatment to control/manage pain
Medical and pharmaceutical treatment of pain management
Dr ITO Clinic provides medicines; such as painkillers, muscle relaxants to control/manage pain
Some treatments require advanced X-ray facility. In such conditions, Dr Ito will make a referral
to the relevant Hospitals;
o The Princess Grace Hospital

Dr Ito Clinic Patient Guide
Published
01/04/2008

Reviewed
2/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi ItoPage | 7 of 12

Dr Ito Clinico The London Clinic
o 108 Harley Streeto London Imaging Centre
Depending on the type of the treatment, the patient might need bed rest after the treatment
for their safety. For example, please allow at least one hour after Epidural Injection. Dr Ito will
inform the patient the estimated time they need to rest each time, but it might vary depending
upon their condition. Dr Ito welcomes the enquiries and questions from patients before visiting.

2. Treatments NOT offered
Dr ITO Clinic does not have facilities for emergency medicine. Patients with suspected fatal
condition, or who are acutely unwell are advised to attend their nearest A&E department.
Patients requiring inpatient or day case care will have their admission arranged to their chosenhospital or clinic as appropriate.
3. Children and Teenagers
Dr Ito does not treat or see person under 18 years old (children and teenagers).
4. Pregnant women
Pregnant women are strongly advised to avoid Pain Management Treatment.
Any kind of pain treatment and medication can more or less affect the condition of the mothers
and the unborn babies. Pain management techniques could cause serious low blood pressure to
the mother, or medicines used in pain management can easily pass the placenta, causing someadverse effects on the baby in the womb.
5. Charges
Dr ITO Clinic will make all efforts to negotiate with all insurance companies, hospitals and otherproviders in order to offer single point invoicing. This will usually mean that a patient attending
the clinic will receive an itemised invoice from the clinic for all aspects of health care arranged
via the clinic irrespective of where it has taken place. Dr Ito intends this will provide you with asimpler method of settling accounts.
Dr ITO Clinic can accept Cash, Cheque or Debit/Credit Card payment (Visa, MasterCard,Maestro, Discover, Diners Club International, and JCB) and bank transfer. The account cheques
are made payable to Dr Ito Clinic.

Dr Ito Clinic Patient Guide
Published
01/04/2008

Reviewed
2/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi Ito
Page | 8 of 12

Dr Ito Clinic
Dr ITO Clinic – Standard Service Fee (from 1st January 2019)
Consultation

Up to 30 minutes

Thereafter

£200
£300

£75 / 30minutes£150 / 30minutes

£120
£200

£45 / 30minutes£75 / 30 minutes

Pain Management Specialist
Out of Practice Hours
Consultant Physician
Out of Practice Hours

Pain Management Treatment / Operation
Lumbar Epidural Block

From £1,000

Thoracic Epidural Block

From £1,200

Cervical Epidural Block

From £1,400

Caudal Epidural Block

From £700

Sacroiliac Joint Block

From £300

Stellate Ganglion Block

From £500

Shoulder bursa Block

From £400

Cervical Facet Joint Blocks (up to 3 Joints)

From £600

Lumbar Facet Joint Blocks (up to 3 Joints)

From £400

US Guided selective Spinal Root Block

From £1000

Trigger Points Block (up to 6 points)

From £400

Accessory Nerve Block

From £500

US Guided Deep Cervical Nerve Block

From £800

Sciatic Nerve Block

From £500

Shoulder Joint Pumping + Joint Distension (US Guided)

From £900Joint Block

From £200

Ultrasound for treatment

From £100

Post Treatment Management & Monitoring£50 / 30 minutes

Day Surgery
Wound care

From £200

Incision and drainage

From £200

Minor operations; subcutaneous tumour removal etc.

From £300

Examination/Test
Pre/Post Treatment Physical & Neurological Examination

From £50

UltrasoundFrom £200

Blood Test

From £60

Prescription/Dispensing
Medical Report

From £20
From £40

OthersDr Ito Clinic Patient Guide
Published
01/04/2008

Reviewed
2/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi ItoPage | 9 of 12

Dr Ito Clinic
Standard Form of Consent for the Provision of Services and Facilities

Dr Ito Clinic Patient Guide
Published
01/04/2008

Reviewed
2/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi ItoPage | 10 of 12

Dr Ito Clinic(c)The Complaints Resolution Procedure
This Complaints Procedure sets out the way in which Dr ITO Clinic manages its practice with theaim of; Takes the patients opinions and feelings very seriously.
 Continuously striving to improve the service he provides for his patients.
 Understands that in order to achieve this, the feedback from his patients is essential.
 Keen to listen to any dissatisfaction the patients may have experienced when the patients’
expectations have not been met at Dr ITO Clinic. Dr Ito can then make the necessarychanges to ensure Dr ITO Clinics’ services and its care are improved
Dr Ito aims to provide an excellent level of service to his patients, however there may beoccasions when the patients feel he did not meet their expectations. In such cases, Dr Ito always
tries his very best to resolve the situation to the patient’s satisfaction.
Our “Complaint Policy and Procedure” is available online on our website and at our clinic.

(d) The results of consultation - Review of Quality of Treatment andOther Services(e)

The annual review of quality of medical consulting, treatment and quality of other service
are undertaken by Dr Ito as the results of consultation for the year.

How to obtain Inspection Reports

The latest report of The Care Quality Commission Inspection is available online to the public.
http://www.cqc.org.uk/directory/1-110069536

Dr Ito Clinic Patient Guide
Published
01/04/2008

Reviewed
2/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi ItoPage | 11 of 12

Dr Ito Clinic
Useful Telephone Numbers, Address, Email addressDr Takashi Ito, Individual and responsible manager, Registered Manager
Address: 96 Harley Street, London W1G 7HY United Kingdom
Tel: +44 (0)20 7637 5560
Fax: +44 (0)20 7935 9141
E-mail: t.ito@dritoclinic.co.uk
info@dritoclinic.co.uk

Care Quality Commission: the independent healthcare regulator
CQC National Customer Service Centre
Citygate Gallowgate Newcastle upon Tyne NE1 4PA
Online Form: http://www.cqc.org.uk/contact-us
Helpline telephone: 03000 616161

The General Medical Council Fitness to Practise Directorate
Fitness to Practise, General Medical Council, 3 Hardman Street, Manchester M3
3AWHelpline telephone: 0161 923 6602

The Independent Doctors Federation
3rd Floor 218 Strand London WC2R 1AT
Email: info@idf.uk.net
Telephone: 020 3696 4080
http://www.idf.uk.net

Dr Ito Clinic Patient Guide
Published
01/04/2008

Reviewed
2/10/2018

Reviewed by
Kayo Koitabashi

Authorised by
Dr Takashi Ito
Page | 12 of 12