Enable Recite me Accessibility Tools:
Accessibility Options
To find out more, please see here.

Clinical staff member putting on a plaster cast on a patient's wrist

The Trauma and Orthopaedic Business Unit is part of the Surgical Business Centre.

TThe unit offers a comprehensive range of services for patients with bone and soft tissues conditions, providing joint replacements, including revisions, hip, knee, shoulder, foot, ankle and spinal surgery.

The unit also cover acute trauma for the North East Surrey area and a tertiary specialist unit in the application of Ilizarov frames and external fixation for complex trauma and bone non-union surgery.

  • • For more information about the tertiary specialist unit for the management of complex trauma and non-union, including how to refer a patient online, please visit our Limb Reconstruction webpages.


Our Facilities at the Trust

The Unit works on both sites, Ashford and St. Peter’s Hospitals, offering a dedicated ring-fenced MRSA-free environment on Dickens Ward at Ashford Hospital where planned elective surgery takes place.

At St. Peter’s there is the Rowley Bristow Orthopaedic Unit, which has its own dedicated services; orthopaedic outpatient clinics, pre-admission clinics, fracture clinics, dedicated radiology suite, plaster room, and admission office. St. Peter’s Hospital in-patients are mainly trauma patients but also admit elective patients who have complex medical needs; these are nursed on Swan Ward (01932 723220 / 01932 723221).

At Ashford there is the Tennyson Unit, which combines therapies and orthopaedic services in one location (including fracture clinics, plaster room, orthopaedic pre-assessment, clinical podiatry and the joint school). Most of our elective surgery is offered from Ashford Hospital and there a few outpatient clinics provided from within the main outpatient department.


About the Clinical Team

The team consists of 19 orthopaedic consultants, 1 Associate Specialist, 1 podiatrist, 1 complex trauma fellow, 1 lower limb fellow, 1 upper limb fellow, 6 trainee registrars and one trust grade registrar, and 15 junior doctors, supported by Service Manager, matron, trauma nurse practitioner, fractured neck of femur nurse, 11 advanced scope practitioners and physiotherapist clinical specialists, nurse-led pre-admission team and 2 Care of the Elderly consultants.

Within the ward environment, the ward manager has a team of trained and in-training nurses, with physiotherapists and physiotherapy assistants, occupational therapists and a discharge co-ordinator. Consultants undertake daily ward rounds and there are daily multidisciplinary (MDT) business meetings and monthly subspecialty MDT meetings.


Consultants Service

Consultants Service
Mr. Constant Busch Hip and knee surgery
Mr. David Elliott Reconstructive Trauma and knee surgery
Mr. Oscar Garcia-Casas Spine surgery, trauma
Mr. Rohit Gupta Upper limb surgery, trauma
Mr. Ziad Harb Foot & ankle surgery, complex trauma & deformity correction
Professor Mohamed A. Imam Upper Limb surgery and trauma
Mr. Abdel Hassan Knee surgery and ligament reconstruction
Mr. Josh Jacob Hip and knee surgery, trauma
Mr. Arshad Khaleel Complex trauma & deformity correction, hip, foot & ankle surgery
Mr. Dean Michael Hip and knee surgery
Mr. Jonathan Monk Hip surgery
Mr. Ali Narvani Shoulder and elbow surgery
Mr. Ioannis Polyzois Upper limb surgery and trauma
Mr. Vishal Prasad Spine surgery and trauma
Ms. Tanya Sarkhel Upper Limb and hand surgery
Mr. Paul Trikha Knee Surgery, Arthroscopy, Ligament Reconstruction
Mr. Evangelos Tsialogiannis Hip and knee surgery and trauma surgery
Mr. Ashwin Unnithan Hip and knee surgery, trauma
Mr. Amit Vats Hip and knee surgery and trauma surgery


Our Managers:

Associate Director of Operations Mr Matthew Tambling
General Manager Mr Jason Lane
Service Manager Ms Smita Shetty


There are a number of other specialist nurses who provide support to patients, relatives and the ward teams, including:

  • Acute Pain Team
  • Chronic Pain Team
  • Diabetes Specialist Nurse
  • Senior Specialist Nurse in Wound Management
  • Rheumatology Specialist Nurse
  • Palliative Care Team
  • Parkinson Disease Specialist Nurse


The Trust is committed to the development of all staff and the unit has its own Clinical Practice Educator who works closely with the Matron to facilitate the training and development programme. All new staff are required to attend Trust Induction, plus individualized local induction. The unit accepts student nurses from the faculty of Health and Medical Sciences, University of Surrey. There are also close links with the post-graduate centre and voluntary services who allocate places for work-experience students and volunteers.


Protecting Your Online Privacy
Protecting Your Online Privacy

This Ashford and St Peter's website uses cookies to track visitor numbers. Find out more in our Cookies Policy and Privacy Policy. You can also read our Accessibility Statement and Privacy Notice for your information.