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Trauma and orthopaedic services

From fractures to complex surgery 

Due to increased demand on the hospital due to the COVID-19 pandemic we are having to make significant changes to our services which may require cancellation of appointments.


New patients:

We have taken the decision to cancel all new appointments that were booked. We are accepting new referrals via the National eRS service but will not be booking referrals at this time.  All new patients will remain on our waiting list and we will contact you when we are able to resume services.

If you have any concerns regarding your condition please contact the person who referred you to our service.

Existing patients:

We are attempting to contact all patients with a future scheduled appointment. In some cases we are changing appointments to a telephone consultation, and in certain circumstances, a video appointment. Some appointments may be cancelled without a future date being arranged at this stage.

If we cancel your appointment you will remain on our waiting list in the order that you were due to be seen and we will contact you in due course. All existing patients are being reviewed by the consultant and some patients may be discharged back to their GP and we will write to you if this is the case.

All patients:

If you have an appointment booked and have not heard from us to confirm within three days of your scheduled appointment please contact us by emailing

If you are unable to use email or your query is urgent, please call 020 7188 0808 option 2.

Our phone lines are very busy and there may be a wait for your call to be answered.

If you are an existing patient who has previously been seen in our service and need advice from the clinical team please see below for the appropriate option.

Contact us by email for: 

  • any queries regarding your appointment or the contact details we have for you. Please ensure you include your full name and hospital number with a brief description of your query
  • clinical advice regarding your continued care. Please include your full name and hospital number with a description of your query so we can ensure it goes to the most appropriate person.

Contact us by telephone on 020 7188 0808, option 2 only:

  • if you need urgently discuss your clinical condition
  • if you don't have access to email or our website.

You will be unable to leave a message on this number and you may have to wait a while to be answered. This is why we would prefer you to email if at all possible.

Patients attending for physiotherapy

We have cancelled all outpatient physiotherapy appointments at Guy's and St Thomas' hospitals and in the community.

If you have any queries about how to progress your rehabilitation and you had your surgery no more than eight weeks ago please contact us on

If you had your surgery more than eight weeks ago please contact the musculo-skeletal outpatient services on If you had a previous appointment with them, they can book you a telephone appointment.

Please include your name date of birth or hospital number and what surgery you had in your email.

Please visit our frequently asked questions.

For GPs

We are doing everything we can to support GPs and your patients during the COVID-19 pandemic. If you need advice from our clinical team please use the current advice and guidance channels including e-RS advice and guidance for written communication.

We are in the process of expanding our Consultant Connect service to speak to an orthopaedic clinician and the details of this will appear here soon.

e-RS referrals

We would encourage you to contact our clinical team through advice and guidance before making a referrals. We are vetting all referrals but please attach the referral letter at the point of referral/within 24 hours. We will be contacting urgent patients but we are not currently booking routine patients and so there may be a significant delay before seeing your patient. Please consider this before making any referral as our capacity to see new patients is very limited.

Please visit our frequently asked questions to view some queries we are receiving from our patients.


Service overview

We are one of London's leading orthopaedic departments, with a wide range of specialist services, and are a member of the Specialist Orthopaedic Alliance. We treat patients from the hospital’s catchment area of Southwark and Lambeth, as well as patients referred to us from across south east London, Kent and Sussex. We have specialist interests in:

  • hip and knee replacements, including complex and revision jointKnee being bandaged replacements
  • knee ligament reconstruction, including isolated anterior cruciate (ACL) reconstruction and multiple ligament injury
  • surgery for young adult hip disorders, including hip arthroscopy and major pelvic osteotomy
  • spinal surgery, including cervical spine (neck) surgery, and the treatment of metastatic disease and infection of the spine
  • foot and ankle surgery, including ankle replacements, ankle arthroscopy and joint fusions in the foot and ankle
  • shoulder and elbow surgery, including shoulder and elbow replacements and revision joint replacements, and shoulder and elbow arthroscopic techniques
  • hand and wrist surgery, including wrist arthroscopy, hand and wrist joint replacements/fusions, scaphoid non union surgery, tendon transfers and rheumatoid hand surgery
  • fractures and acute musculoskeletal injury, including the treatment of patients with pathological fractures of the long bones.

News from our team

Read the latest news from the trauma and orthopaedic services.

  • Orthopaedics Centre of Excellence

    The Trust is pleased to announce a partnership with Johnson and Johnson that will enable the development of a new Orthopaedics Centre of Excellence at Guy’s Hospital.

  • Joint replacement surgery for patients with base of thumb osteoarthritis

    Mr Gidwani, consultant orthopaedic hand surgeon at Guy’s Hospital, now offers younger patients with base of thumb arthritis a new treatment option: a Maia thumb joint replacement.

    Having learnt the Maia technique from the two leading proponents in the UK, Mr Gidwani can now offer this procedure to patients from Lambeth, Southwark and Wandsworth. As it is a relatively new technique, the directorate governance team have been involved, and patient outcomes are being carefully monitored.

    The main potential advantages of a joint replacement are a quicker recovery, more natural thumb motion and function, and avoidance of the risk of painful impingement of the thumb metacarpal on the scaphoid. The main disadvantages include a risk of dislocation of the prosthesis, and eventual loosening of the implants. If the replacement fails, the option of a trapeziectomy is still possible.

    To refer patients to be considered for this technique, please send a named referral to Mr Sam Gidwani via the NHS e-Referral service.


Tel: 020 7188 0808

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