Joint reconstruction: Hip

RNOH are leaders in the treatment and research of all problems associated with the hip in adults. This service includes the diagnosis and treatment of problems arising from hip disorders that started in childhood and the full range of surgery for arthritis.

The unit performs a large number of revision hip replacements each year for patients from across the UK and is recognised for its specialist expertise in this area. A wide range of techniques is used including cemented and uncemented fixation as well as extensive experience in custom-made prostheses using CAD CAM technology. 


  • Primary replacement
  • Revision surgery
  • Hip reconstruction
  • Joint revision
  • Osteotomy

The Royal National Orthopaedic Hospital NHS Trust (RNOH) receives clinical referrals to our specialist, tertiary neuro-musculoskeletal services from primary, secondary and tertiary care institutions regarding both NHS and private patients.

The Royal National Orthopaedic Hospital NHS Trust (RNOH) receives clinical referrals to our specialist, tertiary neuro-musculoskeletal services from primary, secondary and tertiary care institutions regarding both NHS and private patients.

From Monday 14 March 2022, the RNOH Joint reconstruction service have committed to using ‘PATHPOINT’, an electronic referral and pathway management system, an electronic referral and pathway management system, for all Consultant-led referrals from secondary and tertiary care organisations.

General Practitioners should continue to refer to RNOH using the UK Electronic Referral System (ERS)- please see below.

PATHPOINT offers significant benefits to referrers:

  • Secure, streamlined, electronic referral forms
  • Receive updates and notifications in real time
  • Increased visibility of all referrals and triage outcomes

For further information on the PATHPOINT system, please click here

To submit a referral to Joint Reconstruction Hip service, please access the 'PATHPOINT' link (within your Secure hospital network) and follow the steps below:

1. Register with your personal NHS email address for a PATHPOINT account to manage your referral/s

2. Login to your account with your credentials by clicking the 'PATHPOINT' link

3. Input your referring organisation, and patient PID details

4. Click the drop down list of referral pathway forms and select "Tertiary Joint Reconstruction Hip​​​​​​​ referral" and click "Go to referral form" to launch the form

5. Fill in all fields of the Tertiary Joint Reconstruction​​​​​​​ Hip​​​​​​​ referral form and click "Save Tertiary Joint Reconstruction​​​​​​​ Hip​​​​​​​ referral"

NB: You will receive notification emails to your NHS email account from PATHPOINT from the Joint Reconstruction​​​​​​​ Hip​​​​​​​ team with updates about the status of your referral if further information is required. 

To give your feedback, or for any further questions, please email the relevant contact below: 

PATHPOINT Technical Support: 

Metal-On-Metal Referrals

The RNOH multi-disciplinary team (MDT) for patients with painful metal-on-metal bearings in hip replacements can be found via this link: Painful Metal on Metal Hip Replacement

GP Referrals

We accept referrals from GPs via the NHS e-referral system.

Please call the unit on 020 3947 0041

Clinical Nurse Specialists: Telephone 020 8909 5279

There are two fellowship positions for post CCT surgeons, with FRCS (Tr&Orth) or equivalent, wishing to undertake further training in complex hip and knee surgery.

The fellow will spend one year at the RNOH rotating between the consultants.

For further information or to arrange a visit please contact

Download the full job description


Hip and knee replacement, rehabilitation and cartilage transplantation

Mr Will Aston - Surgical treatment of arthritis, including cartilage transplantation, arthroscopic knee surgery, knee and hip replacement surgery, complex hip and...

Professor Tim W R Briggs - Bone and soft tissue sarcomas. Complex hip and knee surgery. Complex revision hip and knee surgery. Cartilage transplantation.

Mr Richard Carrington - Primary and revision hip and knee replacement. minimally invasive primary hip and knee replacement, cartilage transplantation and knee surgery.

Mr James Donaldson - Primary, complex primary and revision hip replacements. Partial and total knee replacements, complex primary and revision knee replacements.

Professor Alister Hart - Revision hip surgery. Optimising function and survival of hip and knee replacements for patients with arthritis.

Mr Chethan Jayadev - Primary, complex primary and revision hip and knee replacements. Partial knee replacement. Infected hip and knee replacements. Knee preservation...

Mr Rob McCulloch - Primary and complex primary hip and knee replacements. Revision hip and knee replacements. Periprosthetic joint infection.

Mr Jonathan Miles - Revision hip and knee replacement. Sports injuries to the knee. Complex hip and knee replacement. Customised implants. Cartilage injuries. 

Mr Simon Newman - Hip arthroscopy. Pelvic and femoral osteotomies. Primary and complex total hip replacement. Minimally invasive hip surgery. Hip preservation surgery.

Mr Rob Pollock - Bone tumours, soft tissue sarcoma, primary and revision hip and knee and cartilage transplantation.

Professor John Skinner - Hip replacement and revision surgery. Knee replacement and revision surgery. Bone and soft tissue sarcoma surgery; resection and reconstruction.

Mr Erden Ali - Primary, complex and revision hip and knee replacements, Hip and Knee Surgery, Knee arthroscopy