Diagnosed and confused!!

Frankilu: in my experiences, the way the NHS is structured, to see a specialist/comsultant you need a referral from a GP. So you probably need to go back to the GP or the GP Practice with whom you are registered. Give them a copy of results and recomendations from the Private Rheumatologist that you have seen. A few years ago I was able to go directly to a Consultant, but that was only because he had treated me before and agreed to see me without a new GP referral. Where I live, I cannot even see a private specialist without referral from a GP (usually from the NHS GP) . A couple of years ago I had to go to a private GP service and request referral to their Consultant, as my NHS GP refused to refer me). I paid GBP 100 for a 60 second consultation with the private GP solely to get a referral to the private Consultant. This was not for psoriasis I must add, but for a worn-out hip. Even though I had health insurance, my NHS GP at the time refused to refer me. She is no longer my GP (or the GP that I make appointments with) , and I was lucky to find a very good doctor in the same practice. (in my local practice of about 15 GPs, you are not restricted to which GP you consult. I try to see the same person generally for continuity, but I do not even know who is actually my registered GP. I registered with the practice 21 years ago). good luck.

You may be sorted out by now...but have you got specific PSA symptoms ? It can mimic so many other conditions.