Clinics

Bill sees patients in the out-patient setting of The County Clinic. He holds clinics on Tuesdays, Wednesdays and the second and fourth Thursdays in the month although additional clinics are often arranged where possible.

Bill is happy to see patients with a range of medical conditions but his practice is predominantly Knee, Foot and Ankle and Sports-related injuries.

Bill receives requests to see between 600-700 new patients every year. Around 40% of patients travel from outside of Northamptonshire to visit the clinic and over a quarter of patients attend for second opinions having seen a Consultant elsewhere with their problem. Approximately 10% of Bill’s patients are elite athletes.

Bill’s PA/Practice Manager Gill (01604 795414) will be happy to arrange an appointment for you. It is desirable for your appointment request to be accompanied by a referral letter from your GP or treating Physiotherapist.

About your visit

He was caring and brilliant and got the time frame right

— Jessica Ennis. 2012 Olympic Heptathlon Gold Medalist
  • Investigations

    The County Clinic is equipped to organise blood and other appropriate tests as part of your assessments. The majority of tests are processed by the Pathology Department at Northampton General Hospital.

  • Imaging

    Part of your management and assessment will probably include imaging, e.g. X-rays, Ultrasound scans, MRI scans and CT scans. Bill has close links with Radiologists in all parts of the country, who have specific expertise in specialist areas. Bill will advise you on the appropriate Imaging form, Centre, and, if, necessary Radiologist, to investigate your condition. The images from most centres in the country can be electronically transferred for Bill to review.

  • Insurance Companies and Self-funding

    Bill sees patients privately who either are self-funding or privately insured. Bill is recognised by all the major healthcare insurance providers, but you are advised to check with your insurer before making an appointment or arranging any onward investigations or treatments,

    The patient is responsible for ALL of their Consultant’s fees even if you have health insurance and that YOU have the financial contract with your surgeon not your insurance company- this is explained well in the FIPO website

  • Bill has undertaken Medico-legal work in conjunction with legal firms since 1985. He has experience of both Personal Injury Assessment and Clinical Negligence. Over 30 years, Bill has worked with both the Plaintiff and Defendant and attended conferences in Chambers and given Expert Evidence in Court.

    From 2003-2006, Bill was a member of the British Orthopaedic Association’s Professional Practices Committee and from 2008-2014 the Medico-Legal Committee.

Specialist Clinics

As well as General Orthopaedic Clinics, Bill has Specialist Clinics for the management of:

    • Ankle sprains,
    • Heel Pain,
    • Achilles problems,
    • Application of Extra-Corporeal Shockwave Therapy (ESWT)
    • Injection clinics
    • Ultrasound sessions are provided on site on a weekly basis by an experienced musculoskeletal radiologist, Dr Charles Hardingham on behalf of BMI Three Shires Hospital. This gives Bill the opportunity, when required, to attend the imaging examination for the purpose of assessment and management decision making.

Children

Bill does not see children under 10 years of age but works closely with his Paediatric Orthopaedic colleague, Mr Rajan Natarajan.

Follow up appointments are usually made at the time of the previous appointment. However, in cases returning following investigations, e.g. scans, the patients are asked to liaise with Bill’s office to ensure that the results and reports have been received.

With the major improvements in communications and technology, there has been an increasing number of requests for electronic and telephone medical consultations. However this does create problems:

    • There are concerns of data protection over the transmission of sensitive medical information when not given face-to-face
    • Prof Ribbans cannot give advice to patients he has never met or examined for their particular problem.
    • Many requests concern matters for which a proper clinical review is required to provide a full professional opinion.
    • Consultations for Imaging reviews are best undertaken where Prof Ribbans can demonstrate on the images any problems identified.
    • Emails tend to be dealt with during less busy times in the week and therefore there can be a delay in response.
    • The major healthcare insurance providers do not recognise non face-to-face consultations.