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​South east London health committee to decide on whether to launch public consultation on improving orthopaedic care 


A committee set up to make decisions about the commissioning of health services in south east London will meet to decide whether a public consultation should begin on plans for improving orthopaedic care.




South East London NHS Committee in Common

29 November 2016

9am – 11am

Room Imagine 2, Prospero House, 241 Borough High Street, London, SE1 1GA


There will be a limited time slot during the meeting for questions from members of the public. Please submit questions in advance by emailing by midday on 28 November 2016.




The NHS in south east London has been considering a proposal to improve adult inpatient orthopaedic surgery. The proposal, developed by senior clinicians as well as patient representatives and other stakeholders, is to consolidate these services into two elective orthopaedic centres based at existing NHS hospital sites in south east London.


Elective orthopaedic centres would have dedicated theatres and ring-fenced beds, which all orthopaedic consultants would use to carry out inpatient surgery. This proposal would be tested against existing plans that hospital trusts have to deliver high quality care and meet increasing patient demand, without consolidating to fewer sites.


Proposals from local hospital trusts on where to locate elective orthopaedic centres have been evaluated and the recommendation to the Committee in Common will be to consult the public on three options, with no preferred option.


·       Guy's Hospital and Lewisham Hospital

·       Guy's Hospital and Orpington Hospital

·       Lewisham Hospital and Orpington Hospital


The Committee will decide whether or not to proceed to public consultation for 14 weeks starting in early December and running into 2017.


The proposal will only affect planned adult inpatient orthopaedic operations (around 6,870 procedures per year). This could result in 2,300 to 3,600 people having their surgery carried out at a different hospital site in the future.


Emergency cases, day case operations and outpatient appointments will continue at existing sites.


The Committee has previously agreed that for the orthopaedic centre proposal to go forward it will have to demonstrate:


  • that it does not destabilise any hospital
  • that it has no impact on the functioning of A&E departments
  • that it is affordable and makes a positive financial contribution.


Dr Jonty Heaversedge, GP and chair of NHS Southwark Clinical Commissioning Group, said: "Following the committee's decision we hope south east London residents get involved and give their views during the consultation. These ideas are the result of several years of planning in south east London and take into account the views of many different people, including health care professionals and patient representatives.

"By bringing these operations together into two elective orthopaedic centres for south east London, we would be able to accept many more cases than we currently can, patients would have more certainty that their operation will go ahead, they will have a shorter stay in hospital and, perhaps most importantly, the evidence suggests they will have a better outcome from their surgery."


No changes could be made to services until the results of the consultation have been considered, which is likely to be in early Summer 2017.


Read more about the proposals at