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Information for referrers

In 2019, North London Partners in health and care worked with providers of elective orthopaedic care in north central London, to design a new model of care. The overall aim, which draws on international evidence, was to reduce waiting times and minimise cancellations by the creation of elective orthopaedic centres which separated planned and emergency care.

Proposals for this new model were subject to a public consultation, which ran from January – April 2020. A final decision, which approved the proposals, was made in September 2020. The new model of care will come into effect from April 2021.

The description of services here applies to all orthopaedic services with the exception of paediatric and spinal services.

North Central London Elective Orthopaedic Network offers excellence in orthopaedic care, research and education. 

It is provided by North Middlesex University Hospital NHS Trust, Royal Free London NHS Foundation Trust, Royal National Orthopaedic Hospital NHS Trust, University College London Hospitals NHS Foundation Trust and Whittington Health NHS Trust.

The Network has been created to improve the care offered to patients.  It is based on partnership working between hospital trusts.

Working together in this way means patients can receive timely, high-quality care. Clinicians from across hospitals will work together as a single team, have joint training and education, and hospitals can share their facilities, opening up access to more dedicated beds and operating theatres.

There are two partnerships for planned orthopaedic care that patients can choose from:

  • University College London Hospitals working with Whittington Health
  • Royal Free London (Barnet Hospital, Chase Farm Hospital, Royal Free Hospital) working with North Middlesex University Hospital

Patient information and a short animation has been produced to explain this choice to patients.

UCLH/Whittington Health Partnership

Outpatient appointments could take place at University College Hospital or The Whittington Hospital.

Day surgery could take place at University College HospitalGrafton Way Building or The Whittington Hospital

Inpatient surgery will take place at University College Hospital Grafton Way Building

North Middlesex University Hospital / Royal Free London Partnership

Outpatient appointments could take place at Barnet Hospital, Chase Farm Hospital, Edgware Community Hospital, Finchley Memorial Hospital, North Middlesex University Hospital or the Royal Free Hospital.

Day surgery could take place at Chase Farm Hospital or North Middlesex University Hospital

Inpatient surgery will take place at Chase Farm Hospital

Royal National Orthopaedic Hospital is part of the NCL Elective Orthopaedic Service and will take referrals for complex orthopaedic care.

Patients will choose between the two partnerships and will receive the same high-quality care wherever they go. They will continue to have the choice of out-of-area  and private providers.

Royal National Orthopaedic Hospital NHS Trust

Royal National Orthopaedic Hospital (RNOH) will take referrals for complex orthopaedic care, including revision surgery.  RNOH also receives referrals for spinal operating and children.  If referrers are unsure if a referral is appropriate, advice and guidance on eRS can be used for any questions.