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Fracture Clinics

Checked: 21-05-2024 by Rob Adams Next Review: 21-05-2026

Fracture Clinics - Referral

UHBW and NBT have regular fracture clinics for trauma and unplanned orthopaedic care. Referrals usually come via A & E but can also be made by GPs directly. These services are usually for upper and lower limb injuries only. Other injuries or more urgent cases should be referred to A & E or local MIUs as appropriate.

BRI: Refer via T&O Fracture Clinic RAS on e-Referral

NBT: tel 0117 414 2701 or email: fractureclinicappointments@nbt.nhs.uk

Please note: NBT Ortho do not see Hand trauma injuries at the Fracture Clinic, they should be sent to Plastic Surgery.

If a hand injury is <3 weeks old the GP should ring via Southmead switchboard and speak to the SHO on call (Plastic) ideally WHILE PATIENT IS WITH THEM but if not the GP should still phone the SHO, and they will be given an immediate apt.

If hand injury >3 weeks old patient should be referred via ERS to Plastic Surgery.

WGH: Refer via email to: WGHOrthopaedicsecretaries@UHBW.nhs.uk

RUH, Bath: Refer via email to: ruh-tr.OrthopaedicOutpatients@nhs.net Contact number: 01225 825602

Acute Knee and Shoulder Clinics

Please see Acute Knee and Shoulder Clinics section for advice on referral to this service.

Spinal Fractures

See also the Osteoporotic Vertebral Fracture page for details.

Potential, stable thoracic and lumbar fractures should be referred to:

Spinal Fracture Trauma - Orthopaedics - Southmead RAS - RVJ

Priority - URGENT
Specialty - Orthopaedics
Clinic - Fracture - Non Emergency

If unstable or more urgent, refer via the ‘Refer a Patient’ Neurosurgery portal. Please see the Neurosurgery page for further information.

Fracture Liaison Service

Please see the Fracture Liaison Service page for services that are designed to identify new patients of 50 years and over who have sustained a possible fragility fracture.

Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

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