Trauma & Orthopaedics Services
Trusted processes for elective recovery across the NHS
Our Understanding of Trauma and Orthopaedics
Trauma and Orthopaedics (T&O) is one of the highest-demand specialties within the NHS, encompassing the diagnosis, treatment, and rehabilitation of musculoskeletal conditions, trauma injuries, and elective procedures such as joint replacements. Rising referral rates, an ageing population, and the prevalence of conditions such as osteoarthritis continue to increase pressure on elective pathways, leading to long waits and patient backlogs.
The impact of delays in T&O can be significant. Patients waiting for joint surgery, for example, often experience severe pain, reduced mobility, and diminished quality of life. Timely access to trauma and elective orthopaedic services is therefore critical to restoring function, improving wellbeing, and supporting the wider health system.
At NCI, we recognise that Trauma and Orthopaedics requires experienced multidisciplinary teams, rigorous governance, and seamless integration with local services.
Our Approach to
T&O Insourcing
- Hip and knee surgery (including joint replacement)
- Shoulder and elbow surgery
- Hand and wrist surgery
- Foot and ankle surgery
- Spine services (elective and trauma support)
- Paediatric orthopaedics
- Outpatient new and follow-up clinics
- Pre-operative assessment
- Day case and inpatient operating lists
- Trauma operating support and on-call cover (as required)
- Post-operative follow-up and rehabilitation input
Consultant-Led Expertise
All activity is led by Consultant Orthopaedic Surgeons with extensive NHS experience across trauma, elective, and subspecialist practice. They are supported by anaesthetists, theatre practitioners, outpatient nurses, and physiotherapists to deliver complete pathways of care.
Pathway Integration
Our clinicians provide capacity across a wide range of orthopaedic subspecialties, including:
Elective and Trauma Support
We deliver additional capacity for:
Governance & Quality
Patient safety is at the centre of our model. We align with NICE and British Orthopaedic Association (BOA) guidance, with clear governance structures, incident reporting, and outcome monitoring. All data and performance metrics are shared with partner Trusts for transparency.
Key Benefits of
NCI’s T&O Support
Rapid mobilisation of consultant-led orthopaedic teams
Significant reduction in RTT backlogs and long waiters for joint replacement and subspecialty procedures
Seamless integration with Trust systems, policies, and governance structures
Transparent, competitive pricing with no hidden costs
Focus on local recruitment, minimising travel and supporting environmental sustainability