I would also say contact the surgeon first, you may have to go through Spire for the first consultation, but i think after that you can talk with the surgeon about what hospital you want to be treated at. Most of the time it shouldn't be a problem to have private treatment at your local nhs hospital, as long as the consultant has all the right paper work etc and a contract in place to be able to treat patients in the private patients unit. I know a friend who was advised to have the surgery in the private unit attached to the local nhs hospital. so i would say go for it