Limb reconstruction

The Royal National Orthopaedic Hospital NHS Trust (RNOH) receives clinical referrals to our specialist, tertiary neuro-musculoskeletal services from primary, secondary and tertiary care institutions regarding both NHS and private patients.

The RNOH Limb Reconstruction service uses ‘PATHPOINT’, an electronic referral and pathway management system, for all Consultant-led referrals from secondary and tertiary care organisations. We accept referrals for:

• Congenital bone dysplasias
• Congenital deformities of the foot
• Shortening and deformity in association with generalised bone conditions
• Fracture non-union
• Post-traumatic limb deformity
• Bone infection (osteomyelitis and fracture-related infection)

General Practitioners should refer to RNOH using the UK Electronic Referral System (ERS). Referrals are accepted from GPs via the NHS e-referral system.

To submit a referral to Limb Reconstruction and Bone Infection Service, please access the 'PATHPOINT' link (within your Secure hospital network) and follow the steps below:

1. Register with your personal NHS email address for a PATHPOINT account to manage your referral/s

2. Log in to your account with your credentials by clicking the 'PATHPOINT' link

3. Input your referring organisation and patient ID details

4. Click the drop-down list of referral pathway forms and select "Tertiary Limb Reconstruction referral" (For all adult and paediatric limb reconstruction referrals) OR “Tertiary limb reconstruction bone infection referral” (For bone and joint infection) and click "Go to referral form" to launch the form

5. Fill in all fields of the​​​​ referral form and click save.

 
NB: You will receive notification emails to your NHS email account from PATHPOINT from the (insert name of RNOH sub-speciality team) with updates about the status of your referral if further information is required. 

To give your feedback or for any further questions, please email the relevant contact below: 

PATHPOINT Technical Support: support@openmedical.co.uk 
Feedback to RNOH Project Team: rnoh.communicationsdept@nhs.net 

For more details on the PATHPOINT system, please click here

Referrals from Consultants can be emailed to rnoh.paediatricbooking@nhs.net 

Secretary to Mr Calder and Mr Wright, 020 3947 0541

Secretary to Mr Goodier, Mr Marks and Ms Tissingh, 020 8909 5802

Limb Reconstruction

• Mr Peter R Calder - Paediatric orthopaedics, adult and paediatric congenital deformity correction and limb reconstruction.
• Mr David Goodier - Mr Goodier has pioneered Limb Reconstruction treatment using the Ilizarov and other external fixators, as well as deformity correction, management of...
• Mr Jonathan Wright - Paediatric orthopaedics (excluding spine). Congenital and acquired limb deformities in children and adults.
• Miss Elizabeth Tissingh - Adult limb reconstruction and bone infection

Based at RNOH, this fellowship provides an excellent higher training opportunity in all aspects of Limb Reconstruction in a world renowned tertiary referral centre for orthopaedic surgery. This will include experience with management of internal and external fixation, circular frames, lengthening nails and management of bone infection.

The successful candidate will experience the full range of adult and paediatric limb reconstruction surgery. The placement provides excellent opportunities for clinical and professional development. Throughout the duration of the fellowship the candidate will be expected to engage in the planning and delivery of services as well in research and service improvement projects.

This post does not attract an NTN, but is suitable for a candidate who has passed the FRCS (Tr & Orth) or equivalent, and is looking for subspecialty experience in complex elective limb reconstruction, management of congenital and acquired deformity and bone infection. Applicants must have full GMC registration with a licence to practice prior to the start of employment.

The fellowship is for 12 months, starting in April of each year. The job is usually advertised on NHS jobs in March, a year in advance, but enquiries are welcomed throughout the year.

Informal discussions are encouraged

Fellowship Supervisors: Mr Jonathan Wright, Mr Peter Calder, Mr David Goodier, Miss Elizabeth Tissingh. Please contact jayne.norton2@nhs.net for enquiries.