Proposal to improve orthopaedic surgery in north west London

Patients and local people across north west London are being asked for their views on a proposal to create a centre of excellence for inpatient orthopaedic surgery at Central Middlesex Hospital, Park Royal.

The four acute NHS trusts in north west London would like to bring together most of their routine, inpatient orthopaedic surgery - primarily hip and knee replacements - completely separated from emergency care services. This would mean that:

  • patients would have faster and fairer access to surgery
  • care would be of a consistently high quality, benefitting from latest best practice and research as well as clinical teams highly skilled in their procedures
  • care would be provided more efficiently so that more patients could be treated at a lower cost per operation
  • patients would have better outcomes and experience, with much less chance of having their operation postponed.

The acute NHS trusts also believe this approach would help attract and keep great staff who love their jobs and continue to build their skills and expertise.

A public consultation on the proposal is now open and will run until Friday 20 January 2023. Find out more at

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