Hi all, I've been following this thread with interest. I think a lot depends on the individual hospital, be it public or private. I've had experiences at both ends of the spectrum.
I live in a large regional centre, whose health system serves a population probably in excess of 600 000 people. There are 3 publicly funded bcn's plus a specialist metastatic bcn.
I had neoadjuvant chemo, and self referred to to the bcn's, as I knew I could. In our first phone conversation, after leaving 2 or 3 messages, I was told I could ring and make an appointment with one of them. When I went to do this, it wasn't that easy, but did eventually get an appointment. The nurse I met was very pleasant, professional, helpful. I was told if I needed to see them again, to come in to their drop in clinic, held one afternoon per week on a day I worked, which meant i would need to take time off work to go. I was also told I could call or email, and someone would get back to me. I'm still waiting for a callback on at least 2 messages I left..... over 2&1/2 years ago. Emails didn't get a response until I started mentioning the possibility of making a complaint.
I was a public patient for chemo and radiotherapy.
I opted to have my surgery as a private patient in a state capital. I met a bcn pre-op on the day of surgery. Because I was from out of town, my surgeon kept me in for longer than standard, in case I neede further surgery, which I did. Other than the weekend, I saw one of the 3 bcn's at that hospital every day of my stay, both individually, and with my surgeon. I rang them a few times with concerns down the track. I had a weekly call from them for the first few weeks, then monthly, gradually dropping off to 6-8 weeks between calls until well over 12 months after my surgery. They were fantastic. I only wished I'd lived closer to be able to visit them at times with my concerns.
I know that I can still attend the local drop in clinic if I need to. And they were the ones who told me not to wait for my scheduled appointment when my lympoedema was developing, before anything obvious happened, so I thank them for that.
I guess what I'm trying to say is that you can also have a good experience with bcn's in the private sector, and a poor experience in the public sector, or vice versa. A lot can dependon work load and pressures, although as patients we shouldn't need to know about that stuff.