The Royal Orthopaedic Hospital NHS Foundation Trust is one of the largest specialist
orthopaedic units in Europe. It provides elective orthopaedic surgery for the West Midlands and
is a national and international referral centre for orthopaedic oncology.
There are 25 consultants, 7 Staff Grade Doctors, 5 Anaesthesia Associates (AAs) and 2 trainee AAs. Three of the Consultants are also pain consultants.
The rota is nominally 1 in 7. The rota is a partial shift and is compliant with existing worktime regulations. The rota is hugely flexible as the emergency and out of hours workload is relatively low
with no ED to support. We try to
minimise the amount of time spent covering HDU and maximise theatre training opportunities.
Trainees are largely supernumerary in what is overwhelmingly a consultant-delivered service allowing trainees considerably more flexibility than they
might have elsewhere.
We have 14 theatres with two recovery areas. Attached to theatres is a day-case unit and a High Dependency Unit with 8 adult beds. There are 5 adult
wards. It has changed a little since Covid though lack of beds is still a rare cause of cancellation which leads to efficient and satisfying working
Currently we provide anaesthetic services for:
Spinal Deformity (scoliosis)
Major oncology resections
Non-deformity spinal surgery
Young adult hip
Primary and Revision arthroplasty
Arthroscopy (soft tissue)
Foot & Ankle
There is a strong interest in regional anaesthesia within the department and the consultant-heavy service allows trainees to move around the theatre
suite performing blocks. With application and organisation it should be possible to perform 50-100 blocks during a 3-month attachment, some
trainees have managed many more.
Trainees are also welcome to join lists for major orthopaedic oncology and spinal lists. Those trainee anaesthetists with an interest in
Spinal/Neuroanaesthesia are welcome to join spinal lists, some of which include one-lung anaesthesia.
The department runs the Pre-Op Assessment Clinic and has 10 consultant sessions for this.
Trainees are welcome to attend POAC for experience of decision making in a relatively isolated unit. The Pain Service can also accommodate trainees
with an interest.
We support training relating to Orthopaedic, Regional, Day Case, Sedation, POM and Pain.
Trainees will be released from clinical duties if desired to attend Deanery Teaching, both for Final FRCA and post-fellowship.
Having relatively few trainees also provides excellent opportunities for completion of quality improvement projects, meeting relatively high level
managers and the experience that brings. A number of our trainees have presented posters at anaesthetic meetings and gained useful experience in the way NHS management works.
Trainees interested in coming to the ROH are very welcome to visit the department. Please contact the College Tutor or Clinical Lead by email (see
The Royal Orthopaedic Hospital NHS Foundation Trust
Bristol Road South
Telephone (Main): 0121 685 4000
Dept: 0121 685 4232
Dr Jim Brunning (College Tutor): email@example.com
Dr Tony Sutherland (Clinical Lead): Tony.firstname.lastname@example.org
Jo McCaffrey (Anaesthetic PA): email@example.com