North London Partners in health and care

NHS in north central London agrees to create two new centres for planned orthopaedic surgery


The Governing Body of North Central London CCG, the NHS in north central London has agreed a plan to set up two new centres for planned orthopaedic operations – such as hip and knee replacements – for local patients. 

The plan draws on national and international evidence, which shows that separating planned care from emergency care can significantly improve quality. It also minimises last-minute cancellations and helps to tackle waiting lists; something made worse by the Covid-19 pandemic.

Two partnerships for orthopaedic surgery have been formed by local NHS Trusts: UCLH and Whittington Health will work together to provide inpatient and day surgery across the partnership. North Middlesex University Hospital will work with the Royal Free London, with inpatient surgery at Chase Farm and day surgery at both sites. Outpatient appointments and pre-surgery patient education classes will also happen across these hospitals.

Patients will have a choice between the two partnerships, which will be responsible for the majority of planned routine orthopaedic surgery for patients living in Barnet, Camden, Enfield, Haringey and Islington and some neighbouring areas.   A network of orthopaedic experts from across all hospitals will work together to implement ongoing improvements for patients and ensure patients have a high-quality, consistent experience wherever they have their care.

The Royal National Orthopaedic Hospital (RNOH) will continue to work as part of the network, performing super-specialist orthopaedic surgery.

These centres will be separate from emergency departments, preventing the last-minute cancellations that have occurred in the past, when planned operations had to be cancelled due to emergencies. Emergency orthopaedic care services will remain unchanged. 

Further information on the review, including responses to the consultation, can be found at:

Papers and a recording of the CCG Board Meeting are available at: