Have your say on plans for orthopaedic services

Date: 09 September 2016

Your local NHS is considering changes to non-emergency inpatient orthopaedic surgery for adults in south east London. 

Currently, patients from south east London have orthopaedic surgery, such as repairing or replacing hip and knee joints, carried out at seven different inpatient hospital sites.

The proposal being considered is to develop a clinical network that will ensure standards are consistently excellent and that clinicians share learning and expertise.

We are also considering the proposal to develop two elective orthopaedic centres. These centres would be shared facilities which all the NHS hospitals in south east London would use.

Local surgeons would carry out both routine and complex surgery (excluding spinal procedures) at these centres, in a highly specialised environment supported by a dedicated team. Patients would benefit from better quality and reduced risk of infection, surgery would be less likely to be cancelled and their length of stay in hospital would be shorter. Importantly, the evidence also suggests they will have a better outcome from their surgery.

The remaining sites in south east London would stop providing this planned adult inpatient orthopaedic surgery.

Under these proposals the location of most orthopaedic care would not change. Emergency orthopaedic surgery (supporting A&E departments), day case procedures, outpatient and follow-up appointments would continue to be provided from the same sites as today.

These ideas are the result of several years of planning and take into account the views of many different people, including health care professionals and patient representatives.

The local NHS is trying to address a number of issues: we have some excellent services but the standard of care isn’t the same for every patient; surgery is cancelled too often and some patients wait too long for their procedure, which affects their experience; demand is increasing so we need to find a way to care for a lot more people in the future than we do today; the money available to the NHS is limited so we must find a cost effective way of providing these services.

Nothing has been decided yet. Before any changes could be made there would be a full public consultation, which could take place later in 2016.

You can find out more at

  • Summary:

    Your local NHS is considering changes to non-emergency inpatient orthopaedic surgery for adults in south east London

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