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Royal National Orthopaedic Hospital (Bolsover Street)

Overall: Good read more about inspection ratings

45-51 Bolsover Street, London, W1W 5AQ (020) 8954 2300

Provided and run by:
Royal National Orthopaedic Hospital NHS Trust

Latest inspection summary

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Background to this inspection

Updated 22 March 2019

The Royal National Orthopaedic Hospital NHS Trust (the RNOH) is a specialist orthopaedic hospital located in Greater London. It has two locations, one in Stanmore and another (an outpatient only facility) in Bolsover Street located two minutes away from Great Portland Street Tube station.

The RNOH consider themselves to be the largest orthopaedic hospital in the United Kingdom (UK), and a leader in the field of orthopaedics both in the UK and world-wide.

The RNOH is a major teaching centre and around 20% of orthopaedic surgeons in the UK received training there.

Outpatient services are provided at both the Stanmore site and at the central London outpatient assessment centre in Bolsover Street. In addition to general orthopaedics, they have specialist clinics dealing with bone tumours, scoliosis, metabolic disease, rheumatology, urology, spinal injuries, specialist shoulder conditions and sports injuries.

Inpatient facilities are provided at the Stanmore location where they have 220 inpatient beds on 13 wards. The hospital has nine operating theatres and a six-bedded recovery unit. Patients requiring special monitoring after surgery are accommodated in either the high dependency unit, or intensive care unit, which had 12 beds.

In October 2016 RNOH commenced some redevelopment work in recognition of the fact that their estate was very old. In July 2018 they completed phase one of that work. This new building will provide new wards for adult surgery, a children’s ward and a private patients ward.

Overall inspection


Updated 22 March 2019

Royal National Orthopaedic Hospital (Bolsover Street) is an outpatient only facility. This is the only core service we inspected.

We previously inspected outpatients jointly with diagnostic imaging so we cannot compare our new ratings directly with previous ratings.

We rated safe, caring, responsive and well led as good. We do not rate the effective domain for outpatients.

Outpatients and diagnostic imaging

Requires improvement

Updated 15 August 2014

The service was safely managed caring and effective but it required improvement in being responsive and well-led. The building was purpose built for outpatients and accommodated a variety of patient needs.

Patient records were available for at least 99% of appointments; they were transported and stored securely.

21% of the clinics started late. There was no key performance indicator for sending out clinic letters following consultation to patients and their GPs. A significant proportion of letters were not sent out for over one month. There was an exception within the trust that letters regarding patients who had cancer would be sent out within 48 hours. The leadership team were aware of the issues but had not addressed them as they were not responsible for the clinical divisions who booked appointments.