I have had my appointment and he was extremely helpful. He took an overview of my hip and my foot, which is what is needed.
He said that, although the changes on my hp x-ray might be described as "moderate", the position of the osteo-arthritis (inner side) is one that causes more symptoms than the x-rays might suggest. He says that a hip op would have a 95% chance of relieving my symptoms. He would do it under spinal plus "light general anaesthetic." He said that spinal anaesthesia has transformed hip surgery.
He looked at the blessed foot and at the last letter from the specialist hospital. He thinks the foot has deteriorated in the meantime, and that if I get re-referred there with my foot I should ask for a re-assessment rather than just to be put on the waiting list for the previously planned surgery. He was clear that the foot surgery has nothing liken the same certainty of outcome as the hip, and that my limp and pain and need for a stick could be permanent, with or without surgery.
But he did not think that my limp due to my foot would compromise a hip replacement.
I now have to decide what to do. I am tempted to use the money my Dad left me to go private for my hip surgery - I would be able to have it done sooner and I could be sure it would be done by this chap in whom I have some faith. It would also mean it would all be done with before some major musical commitments that I have.