Royal Orthopaedic Hospital

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 23 consultants and 5 Staff Grade Doctors. There are additionally 3 pain consultants. The rota is nominally 1 in 7 with the other 2 slots available for trainees. The rota is a partial shift and is compliant with existing worktime regulations. The 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.


We have 10 theatres with a 14-bay recovery area. Attached to theatres is a 21-bed day-case unit and a High Dependency Unit with 8 adult & 2 paediatric beds. There are 4 adult wards and one paediatric ward. For paediatric surgeries, we currently operate only on children > 5yrs/20kg.


Trainees are largely supernumerary in what is overwhelmingly a consultant-delivered service allowing trainees considerably more flexibility than they might have elsewhere.


Currently we provide anaesthetic services for:


  • Spinal Deformity (scoliosis): Adult and paediatric;
  • Non-deformity spinal surgery (adults);
  • Orthopaedic Oncology: Adult and paediatric;
  • Paediatric Spasticity;
  • Young Adult Hip Surgery;
  • Primary and Revision arthroplasty;
  • Arthroscopy (soft tissue) Adults and adolescents;
  • Paediatric Orthopaedics/Limb deformity
  • Hand surgery;
  • 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 a bit of effort it should be possible to perform 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 trainees are welcome to join the POAC service to gain experience towards the Perioperative Medicine Module. The Pain Service can also accommodate trainees and there is a Local Pain Medicine ES supporting Intermediate-level pain training.


We can support training towards completion of Orthopaedic, Regional, Day Case, POM and Pain modules. Trainees will automatically be released from clinical duties to attend Deanery Teaching, both for Final FRCA and post-fellowship.


Having relatively few trainees also provides good opportunities for completion of quality improvement projects; a number of our trainees have presented posters at anaesthetic meetings.


Trainees interested in coming to the ROH are welcome to visit the department. Please contact the College Tutor or Clinical Lead by email (see below).

Contact Details

The Royal Orthopaedic Hospital NHS Foundation Trust
Bristol Road South
B31 2AP


Telephone (Main): 0121 685 4000


Hospital Website

Key Contacts

Dr Jim Brunning (College Tutor):

Dr Simran Minhas (Clinical Lead):

Jo McCaffrey (Anaesthetic PA):

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