Hip Replacement Monitor Survivorship X-Rays Migration Loosening Metal on Metal Cobalt Chrome Blood Levels MRI MARS
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Acute Knee Clinic

Assessment of Sporting Knee Injuries, Fractures of the patella, tibial plateau or osteochondral fractures, Arthroscopy, ACL PCL or multiligament reconstruction,  Menisectomy & Meniscal Repair

Cotswold Knee Clinic

Assessment of Sporting Knee Injuries, Management of Arthritic Knee Pain, Arthroscopy, ACL ligament reconstruction, Menisectomy & Meniscal Repair, Microfracture, Knee Replacement and Revision of failed Knee Replacement

Cotswold Hip Clinic

Specialist Hip Clinic: Diagnosis of Hip Pain, Sports Injuries, Hip Replacement, Revision of failed Hip Replacements, Surgery for problems after Hip Fractures

Hip Review Clinic

Specialist Hip Review: Assesment of painful, loose or unstable Hip Replacements, Metal on Metal Hips, Cobalt and Chrome levels, MRI scanning when necessary, Hip Revision Surgery for failed Hip Replacements, Surgery for problems after Hip Fractures

Teaching zone

A reference specifically for busy General Practitioners, Physiotherapists, Nurses and other medical professionals

I am always happy to hear patient feedback as this is important to allow improvements to the service. Patient opinion is recognised as key to refining the "patient experience" and is now a core part of doctors revalidation.

However, I feel uncomfortable about using patient testimonials as advertising. Any surgeon undertaking life changing surgery can select some eloquent patients to say nice things. Even a few patients who feel they didn't get the best treatment from another surgeon and were saved by a second opinion. I feel publishing these chosen stories is an insult to the readers intellect.

It is very reasonable to seek some assurances before selecting a Hospital or a Surgeon. Information regarding Hospitals performance is notoriously difficult to apply for patients with a specific problem. There are published comparisons, but they tend to focus on administrative targets, rather than clinical results. Joint replacement outcomes are monitored by National Joint Registry and any surgeon with significantly inferior results is investigated.

Like many surgeons I am happy to allow publication of my results from the National Joint Registry. (Please see their page for my most up to date results.)

Mortality below average for case mix
Mortality average for case mix

The process of training and appointment of Consultant Surgeons in NHS Hospitals (rather than treatment centres) is closely regulated by government and the Royal College of Surgeons. All permanent NHS consultants will on the Specialist Register and hold a Certificate of Completion of Training (CCST) if trained in the UK, or a Certificate of Eligibility for Specialist Registration (CESR) for those with equivalent training from abroad.

Acceptance on to the Specialist Register is annotated in the General Medical Council entry for each registered doctor. I would recommend you seek a Consultant who is on the Specialist Register and has been appointed to an NHS Hospital through a formal Advisory Appointments Committee supervised by the Royal College of Surgeons.

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