Preparing for surgery

Accepting your surgery date

Your surgery date is the earliest date that your surgeon is able to offer you. If you wish to accept this date, please contact the Admissions Department on 0800 073 1919 (Monday – Friday, 8:30am to 4:30pm) to confirm your acceptance.

If you are not able to accept the date offered, please ring 0800 073 1919 (Monday – Friday, 8.30am to 4.30pm) as soon as possible.

Nutrition

Good nutrition is important in the weeks leading up to your surgery or treatment; a well-balanced diet helps you to recover more quickly and reduces the risk of complications.

Increase the amount of protein you eat in the weeks before and after your surgery. Good sources of protein include grilled white and red meat, fish, cheese, milk, yoghurt, soya, nuts and seeds.

Try to drink 8 – 10 glasses of water per day in the weeks before and after your surgery. This will help your wound to heal well, make you less tired and help you to recover more quickly. If you are normally on a restricted fluid intake, please consult medical staff before changing your fluid intake.

Click here to find more information about preparing for surgery 

Information on Joint replacement  

Amplitude patient outcomes portal

 
Amplitude is a quick and easy way for you to track your progress. It's online set of simple questions that you will answer before and after your surgery. Amplitude is important because:
  • It allows you to track the progress you are making
  • It helps us to monitor you and provide you with the best support
  • It enables us to learn and offer even better care to our patients

How to use Amplitude

patientportal.roh.nhs.uk

When you arrive for your appointment you can check yourself in using our check-in kiosk. Alternatively visit the outpatient reception desk where you can be checked in. Your appointment letter contains the details and location of the clinic you are attending. If you need to ask any questions, talk to your receptionist or look out for one of our friendly volunteers who will be happy to help.

Please be aware that you may not always be seen by the consultant named on your letter but by a member of their team. Who you see will depend on your specific requirements. All of our staff are experienced and professional and will make sure you receive the best care possible.

Outpatient waiting times

We aim to keep waiting times as short as possible however there are times where delays occur. Your consultant and care team try to give enough time to each patient to fully examine, explain and discuss treatment options.

You don’t have to stay in the outpatients department while you wait. If you would like to stretch your legs or get a hot drink in our cafe, simply take one of our buzzers with you and we’ll buzz you when you’re due for your appointment.

The Pre-operative Assessment Clinic

If you and your consultant decide that surgery is the right option, you may be asked to attend a pre-operative assessment. Pre-operative assessment is the first step in checking that you are healthy and suitable for your surgery. A blood sample and swabs will be taken and you will complete a questionnaire. Provided you meet the requirements we will aim to give you a date for your surgery within three months.

If you and your consultant decide that surgery is the right option, but you are not asked to go pre-operative assessment, you will attend a pre-operative assessment appointment at a later date.

Appointment support

If you need support with your outpatient appointment, please call our main switchboard on 0121 685 4000. Alternatively, call our PALS team (Patient Advice and Liaison Service) on 0121 685 4128 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

Planning your visit

It’s a good idea to plan your visit in advance so that you can arrive on time and feel prepared. Our address is:

The Royal Orthopaedic Hospital NHS Foundation Trust
Bristol Road South
Northfield
Birmingham
B31 2AP

Download a map of our hospital site

Parking (cashless options available)

APCOA Connect offers cashless payment options at the Hospital; pay by phone, pay by SMS, pay by web and pay by app. The benefits are the freedom to pay for parking from anywhere and the ability to extend a parking stay without returning to the vehicle. You don’t need to be a registered user to pay via APCOA Connect.

Registration

Registration is quick, simple and free. Once registered, you can use phone, SMS, smartphone app or website parking payment options. Any calls to the standard phone parking service are much quicker and simpler because they will already know most of the details needed for your parking.  Once you are registered you can pay and extend your parking by SMS message and view your parking history online at www.apcoaconnect.com

The Royal Orthopaedic Hospital Car Park location code is 4012

First time users

  1. Call 01895 262122 as soon as you have parked your vehicle
  2. You will need the car park's Location Code - 4012, the length of your stay (for parking code see below) and your payment card details.
  3. Reply to the text with your Vehicle Registration Number. Your parking is now paid.

Pay by phone: 01895 262122

Pay by text: 68680

Pay by web www.apcoaconnect.com

Pay by App – download the Apcoa Connect App from the app store to your phone or mobile device

Parking tariff

Up to 2 hours                    Parking Code 120             £3.80

Up to 5 hours                    Parking Code 300             £5.00

Up to 24 hours                  Parking Code 801             £7.50

Blue Badge Holders should select the £3.80/up to 2 hours tariff to access the 5 hours concession. Please note a 30p convenience fee will be added to your parking tariff.

For more information please see the parking attendant on-site, call 0345 301 1151 or visit the APCOA Connect website at www.apcoaconnect.com 

Blue Badge Holders charges

Blue Badge Parking in designated parking spaces will no longer be free of charge. A rate of £3.30 will be available for all blue badge holders which will cover a period of up to 5 hours. This concession is not limited to the designated disabled parking bays but for all parking bays in the Hospital patient and visitor car parks.

Discounts for Multiple Visits

Tickets for longer periods can be purchased from the ward or department you are visiting. Please ask one of the team. The charges are as follows.

  • 7 day ticket: £14.00
  • 28 day ticket: £40.00

Physiotherapy, Oncology and Paediatric patients attending two or more appointments per week can apply for a separate weekly ticket:

  • 7 day ticket: £7.00

Forms are available from the ward or department you are visiting, the welcome desk or from the car park kiosk located in the main hospital car park. Please note, weekly tickets cannot be purchased in advance.

If you have any questions about parking, please contact the car park team on 0121 685 4201

Public transport

Getting here by bus

The National Express West Midlands Services 61, 98, 63 all run from the City Centre, along Bristol Road and stop outside the Hospital gates.

At peak times (before 9.30 am and after 3.30 pm -6.30 pm, Monday - Friday) buses run every 4 minutes.

During off-peak times (9.30 am to 3.30 pm, and after 6.30 pm, Monday - Friday) buses run every 15 minutes. There is a reduced service on Sundays. The 98 service also stops off at University Hospitals Birmingham in Edgbaston.

The First Direct Bus service number 144 runs from the City Centre, every half hour to Bromsgrove and Worcester and stops outside the hospital.

Use the Network West Midlands journey planner

Getting here by train

The closest train station to The Royal Orthopaedic Hospital is Northfield Train Station. Please be advised that the station is approximately 1.2 miles from the hospital, a distance which may be unsuitable for some visitors. 

Use the Network West Midlands journey planner

Amplitude patient outcomes portal

 
Amplitude is a quick and easy way for you to track your progress. It's online set of simple questions that you will answer before and after your surgery. Amplitude is important because:
  • It allows you to track the progress you are making
  • It helps us to monitor you and provide you with the best support
  • It enables us to learn and offer even better care to our patients

How to use Amplitude

patientportal.roh.nhs.uk

When you arrive for your appointment you can check yourself in using our check-in kiosk. Alternatively visit the outpatient reception desk where you can be checked in. Your appointment letter contains the details and location of the clinic you are attending. If you need to ask any questions, talk to your receptionist or look out for one of our friendly volunteers who will be happy to help.

Please be aware that you may not always be seen by the consultant named on your letter but by a member of their team. Who you see will depend on your specific requirements. All of our staff are experienced and professional and will make sure you receive the best care possible.

Outpatient waiting times

We aim to keep waiting times as short as possible however there are times where delays occur. Your consultant and care team try to give enough time to each patient to fully examine, explain and discuss treatment options.

You don’t have to stay in the outpatients department while you wait. If you would like to stretch your legs or get a hot drink in our cafe, simply take one of our buzzers with you and we’ll buzz you when you’re due for your appointment.

The Pre-operative Assessment Clinic

If you and your consultant decide that surgery is the right option, you may be asked to attend a pre-operative assessment. Pre-operative assessment is the first step in checking that you are healthy and suitable for your surgery. A blood sample and swabs will be taken and you will complete a questionnaire. Provided you meet the requirements we will aim to give you a date for your surgery within three months.

If you and your consultant decide that surgery is the right option, but you are not asked to go pre-operative assessment, you will attend a pre-operative assessment appointment at a later date.

Appointment support

If you need support with your outpatient appointment, please call our main switchboard on 0121 685 4000. Alternatively, call our PALS team (Patient Advice and Liaison Service) on 0121 685 4128 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

<p>It’s a good idea to plan your visit in advance so that you can arrive on time and feel prepared. Our address is:</p>
<p style="padding-left: 30px;">The Royal Orthopaedic Hospital NHS Foundation Trust<br /> Bristol Road South<br /> Northfield<br /> Birmingham<br /> B31 2AP</p>
<p><a href="http://roh.nhs.uk/images/Map_of_ROH.pdf" target="_blank">Download a map of our hospital site</a></p>
<h2>Parking</h2>
<p>Patients and their visitors are able to park for the first 20 minutes in the Hospital car parks for free. You will be required to obtain a ticket from the Pay and Display Machine when making use of the free 20 minutes parking. Valid tickets must be displayed at all times.</p>
<p>The Pay and Display machines accept coins or card payments only. Patients and patient visitors are advised, where possible, to have the correct change when attending the hospital.</p>
<p>For more than 20 minutes parking, the charges are as follows:</p>
<ul>
<li>Up to 2 hours: £3.30</li>
<li>Up to 5 hours: £4.50</li>
<li>Up to 24 hours: £7.50</li>
</ul>
<h2>Blue Badge Holders charges</h2>
<p>Blue Badge Parking in designated parking spaces will no longer be free of charge. A rate of £3.30 will be available for all blue badge holders which will cover a period of up to 5 hours. This concession is not limited to the designated disabled parking bays but for all parking bays in the Hospital patient and visitor car parks.</p>
<h2>Discounts for Multiple Visits</h2>
<p>Tickets for longer periods can be purchased from the ward or department you are visiting. Please ask one of the team. The charges are as follows.</p>
<ul>
<li>7 day ticket: £14.00</li>
<li>28 day ticket: £40.00</li>
</ul>
<p>Physiotherapy, Oncology and Paediatric patients attending two or more appointments per week can apply for a separate weekly ticket:</p>
<ul>
<li>7 day ticket: £7.00</li>
</ul>
<p>Forms are available from the ward or department you are visiting, the welcome desk or from the car park kiosk located in the main hospital car park. Please note, weekly tickets cannot be purchased in advance.</p>
<p>If you have any questions about parking, please contact the car park team on 0121 685 4201</p>
<h2>Public transport</h2>
<h3>Getting here by bus</h3>
<p>The National Express West Midlands Services 61, 98, 63 all run from the City Centre, along Bristol Road and stop outside the Hospital gates.</p>
<p>At peak times (before 9.30 am and after 3.30 pm -6.30 pm, Monday - Friday) buses run every 4 minutes.</p>
<p>During off-peak times (9.30 am to 3.30 pm, and after 6.30 pm, Monday - Friday) buses run every 15 minutes. There is a reduced service on Sundays. The 98 service also stops off at University Hospitals Birmingham in Edgbaston.</p>
<p>The First Direct Bus service number 144 runs from the City Centre, every half hour to Bromsgrove and Worcester and stops outside the hospital.</p>
<p><a href="http://jp.networkwestmidlands.com/centro/XSLT_TRIP_REQUEST2?language=en&amp;timeOffset=15" target="_blank">Use the Network West Midlands journey planner</a></p>
<h3>Getting here by train</h3>
<p>The closest train station to The Royal Orthopaedic Hospital is <a href="http://www.nationalrail.co.uk/stations/NFD/details.html" target="_self">Northfield Train Station</a>.&nbsp;Please be advised that the station is approximately 1.2 miles from the hospital, a distance which may be unsuitable for some visitors.&nbsp;</p>
<p><a href="http://jp.networkwestmidlands.com/centro/XSLT_TRIP_REQUEST2?language=en&amp;timeOffset=15" target="_blank">Use the Network West Midlands journey planner</a></p>
<h2>Amplitude patient outcomes portal</h2>
<div>
<div>&nbsp;</div>
<div>
<div><a href="https://patientportal.roh.nhs.uk/" target="_blank">Amplitude</a> is a quick and easy way for you to track your progress. It's online set of simple questions that you will answer before and after your surgery. <a href="https://patientportal.roh.nhs.uk/" target="_blank">Amplitude</a> is important because:</div>
<ul>
<li>It allows you to track the progress you are making</li>
<li>It helps us to monitor you and provide you with the best support</li>
<li>It enables us to learn and offer even better care to our patients</li>
</ul>
<h3>How to use <a href="https://patientportal.roh.nhs.uk/" target="_blank">Amplitude</a></h3>
<ul>
<li>At hospital: when you visit us you can use <a href="https://patientportal.roh.nhs.uk/" target="_blank">Amplitude</a> on one of our kiosks in the orange zone. Alternatively, log in to <a href="https://patientportal.roh.nhs.uk/" target="_blank">Amplitude</a> on your phone, tablet or laptop:&nbsp;<a href="https://patientportal.roh.nhs.uk/" target="_blank">patientportal.roh.nhs.uk</a></li>
<li>At home: log in to Amplitude on your phone, tablet or laptop: <a href="https://patientportal.roh.nhs.uk/" target="_blank">patientportal.roh.nhs.uk</a></li>
</ul>
</div>
<h3><a href="https://patientportal.roh.nhs.uk/" target="_blank">patientportal.roh.nhs.uk</a></h3>
</div>
<div id="_mcePaste" class="mcePaste" data-mce-bogus="1" style="position: absolute; left: 0px; top: -25px; width: 1px; height: 1px; overflow: hidden;">
<p style="font-size: 16px; font-family: OpenSansLight;">When you arrive for your appointment you can check yourself in using our check-in kiosk. Alternatively visit the outpatient reception desk where you can be checked in. Your appointment letter contains the details and location of the clinic you are attending. If you need to ask any questions, talk to your receptionist or look out for one of our friendly volunteers who will be happy to help.</p>
<p style="font-family: OpenSansLight;">Please be aware that you may not always be seen by the consultant named on your letter but by a member of their team. Who you see will depend on your specific requirements. All of our staff are experienced and professional and will make sure you receive the best care possible.</p>
<h2 style="font-family: OpenSansLight; line-height: 26px; text-rendering: optimizeLegibility; font-size: 26px;">Outpatient waiting times</h2>
<p style="font-family: OpenSansLight;">We aim to keep waiting times as short as possible however there are times where delays occur. Your consultant and care team try to give enough time to each patient to fully examine, explain and discuss treatment options.</p>
<p style="font-family: OpenSansLight;">You don’t have to stay in the outpatients department while you wait. If you would like to stretch your legs or get a hot drink in our cafe, simply take one of our buzzers with you and we’ll buzz you when you’re due for your appointment.</p>
<h2 style="font-family: OpenSansLight; line-height: 26px; text-rendering: optimizeLegibility; font-size: 26px;">The Pre-operative Assessment Clinic</h2>
<p style="font-family: OpenSansLight;">If you and your consultant decide that surgery is the right option, you may be asked to attend a pre-operative assessment. Pre-operative assessment is the first step in checking that you are healthy and suitable for your surgery. A blood sample and swabs will be taken and you will complete a questionnaire. Provided you meet the requirements we will aim to give you a date for your surgery within three months.</p>
<p style="font-family: OpenSansLight;">If you and your consultant decide that surgery is the right option, but you are not asked to go pre-operative assessment, you will attend a pre-operative assessment appointment at a later date.</p>
<h2 style="font-family: OpenSansLight; line-height: 26px; text-rendering: optimizeLegibility; font-size: 26px;">Appointment support</h2>
<p style="font-family: OpenSansLight;">If you need support with your outpatient appointment, please call our main switchboard on 0121 685 4000. Alternatively, call our PALS team (Patient Advice and Liaison Service) on 0121 685 4128 or email&nbsp;<span id="cloak44787"><a href="mailto:This email address is being protected from spambots. You need JavaScript enabled to view it." style="color: #59bde6;">This email address is being protected from spambots. You need JavaScript enabled to view it.</a></span></p>
</div>

The day of your surgery

Once you have checked in with Reception you will be called through to our Day Case Suite which is where you will be staying until you are discharged. Depending on how many patients are listed for day cases you may have a short wait in reception until you are taken through.

From there you will have your pre-operative assessment to check that you are prepared and healthy enough for your procedure. 

Following your pre-operative assessment, you will be taken to theatres for your treatment or stay in the Day Case Unit for your injections.

Relatives and friends are more than welcome to wait in the Reception Area with you until you called through to the Day Case Bays. We also have a restaurant where relatives/friends are welcome to wait if they do not wish to wait in Reception. Café Royale, the newly furbished restaurant, is situated on the first floor of the Treatment Centre (down the corridor from X-ray), serving hot and cold meals and drinks, light refreshments and snacks.

Opening times
Mon - Fri 7.30am-6.00pm
Sat 8.00am-1.30pm

Breakfast Service
Mon-Fri 8.00am-10.30am
Sat 8.30am– 10.30am

Lunchtime Service
Mon-Fri 12.00-2.00pm
Sat 12.00-1.30pm

Please note: There is currently no restaurant service on Sundays.

WRVS kiosk
There is a WRVS kiosk, in the new Outpatients Department where you can purchase hot or cold drinks, snacks, magazines, newspapers and toiletries.

Mon to Fri : 8.00am to 6.00pm
Sat and Sun : 10.30am to 4.00pm

Snack trolley
WRVS run a trolley service to the wards on a daily basis, selling newspapers, confectionary, snacks, cold drinks and toiletries.

Your admission time

Please remember your admission time is not the time you will have your procedure, but it allows for you to be admitted, speak to the medical team and ensures you are safely prepared for your procedure.

The order of the operating list is not confirmed until the day of admission so you could be waiting some hours before your procedure. Please ask any staff for updates as you want them. Once you have had your procedure and you are back on ADCU you will be monitored for approximately two hours and then you will be discharged.

Throughout this process relatives are more than welcome to receive updates from the receptionist or contact us on 0121 685 4080.

Patient experience surveys

You may be asked to complete a patient experience survey during your stay. This will help us to contiunually improve patient experience at our hospital. Please take part in these surveys and give us your honest opinion. 

Visting at the weekend

The Admissions and Day Case Unit (ADCU) is closed over the weekend. If your surgery or treatment has been scheduled for a weekend, your appointment letter should indicate which Ward to arrive at.

If you arrive at the main entrance of the Hospital, there is a free phone available at the reception desk in front of you. You can use this phone to contact the Porters Lodge for support. Alternatively, contact the Wards directly:

  • Porters Lodge: 0121 685 4044
  • Ward 1: 0121 685 4282
  • Ward 2: 0121 685 4090
  • Ward 3: 0121 685 4012
  • Ward 10: 0121 685 4010
  • Ward 11: 0121 685 4011
  • Ward 12: 0121 685 4050

Toilet facilities

At the weekend there are toilets available to use in outpatients department at the main hospital entrance, to the right of the entrance. Ther is also a toilet available to use outside Ward 3. The toilet facilities in the restaurant are open on Saturday morning until 2pm when the restaurant closes.

Restaurant facilities 

The restaurant is open on Saturday mornings from 7:30am - 2pm. If you visit on a Sunday and require refreshments, please bring them with you.

 

During your stay

What to expect

When you arrive, please check in with our reception team. After you have checked in you will wait in our waiting area until you are called. As you wait, you may be asked to complete some paperwork; we’ll help you with this.

Please note, the admission time on your letter is not the same time of your surgery. Your admission time is earlier to ensure you are admitted, have a chance to chat with those who will care for you and feel prepared for your procedure.

There are ten theatres at our hospital and we see lots of patients every day; please don’t be concerned if someone is called in before you. The order of our operating list is not confirmed until the day of admission, so you may have to wait for a few hours for your procedure. Please ask a member of our team for updates.

Naturally, you’ll want to tell your family and friends which ward you will be on after your surgery so they can visit you. In some cases you may not be allocated a ward until after your surgery. Your friends and family can ask for updates from one of our team who will tell them which ward you will be on after your surgery. Please note that throughout your procedure, your friends and family can receive updates about your progress from one of our reception team. Alternatively, call 0121 685 4080.

During your time in hospital, you may be asked the same questions by several people. This is routine, and ensures that correct information about you is checked and available at each stage of treatment.

Questions to ask

We know that for most people, having a surgery or treatment can be worrying. We want to make sure you know exactly what will happen to help you feel calm and in control. If you have a question, please ask. Here are some common questions we are often asked:

  • What will I feel like after the operation?
  • How long will the effects of the anaesthetic last?
  • Will I feel any pain after the operation?
  • How will my pain be managed after the surgery?
  • What should I do and who should I tell if I'm in pain?
  • What are the visiting arrangements?
  • Will I return to the same ward after the surgery?
  • When will I see the consultant?
  • When can I expect to go home after the operation?
  • When will I be told of any results of samples taken?
  • Extra help from social services

If you think you might need extra help from Social Services when you return home after your surgery or treatment, please make sure that you discuss this with us during your pre-operative assessment. With your consent we will refer you to the Social Services Department who can help you to be safe and independent at home

Contacting a hospital Chaplain

We offer Chaplaincy services to our patients. Our dedicated Prayer Room is located opposite Ward 1 on the ground floor. The Prayer room is always accessible so patients and visitors are welcome to use it whenever they like. It contains various aids to religious practice as well as a Muslim wash area.

A Chaplain is available by request; please ask one of your care team who will arrange this for you.

Personal belongings

Storage space is very limited in ADCU and on the ward. Your luggage will be kept in a lockable locker measuring length 60cm x width 40cmx height 30cm (23 x 15 x 11 inches) for the safekeeping of your belongings whilst you are in theatre. Therefore we ask you to only bring a bag which will fit in to the lockable space. Your bag will be transferred to your ward following your operation/procedure. Please arrange for additional items to be brought in by your visitors as required. Please leave valuable items such as jewellery, large amounts of cash and electrical items at home. Please note that electrical items cannot be used without being safety checked by the hospital.

What to bring check list

  • Your usual medication in labelled boxes.
  • Wash bag with small toiletries-soap, shower gel, toothbrush and paste, shaving items, etc.
  • Glasses/contact lenses/hearing aid/ dentures and denture pot.
  • Set of modest nightwear (long night shirt/pyjamas and dressing gown).
  • Set of loose fitting, comfortable day wear (avoid zips and tight fitting clothes).
  • Underwear.
  • Slippers/indoor shoes (preferably not backless or flip-flop style).
  • Book, magazine, pen, puzzle book.
  • Small amount of cash.
  • On the day of your admission

The Admission Unit (ADCU) is located via Gate A where there are drop off facilities in Car Park A ( limited to 20 minutes). The entrance to ADCU is a short walk from the car park. If you require assistance ( e.g. wheelchair) you can contact the porters on the phone located opposite the Courtyard Garden.

If you are brought in by a relative or friend, they can accompany you to the admission reception, where you will be booked in and handed in to the care of the ADCU team. Please ensure your relative or friend is aware that there is waiting space for patients only in ADCU.

Relatives/friends wishing to stay on site are kindly asked to leave the Admissions Unit and are welcome to use the restaurant facilities in the main hospital building (see p7-8 for details). Long stay parking is available at Gate C.

Relatives are free to contact ADCU for updates on 0121 685 4080

What to expect in ADCU

Once you are booked in you will be asked to take a seat and will be seen by members of the team prior to surgery. This is to ensure that you are fully aware of the procedure and that nothing has changed in regards to your health. since your last visit or assessment.

After you are seen by the team, Theatres will be informed that your pre-admission checks have been completed. Before your procedure you will be called through to the changing area. Your privacy and dignity is very important to us. With this in mind, the unit has individual changing cubicles for you to use prior to your procedure. Staff will be available to support you and answer any questions that you might have. As a measure to help prevent infection you will be given a pack of wipes with instructions of use. Personal belongings will be stored on the unit until they are sent to the ward on which you will spend the remainder of your stay

Infection prevention and control

Infection prevention and control is a high priority. Our infection control team are there to help but there are some things you can do yourself to reduce the risk of infection and enhance the recovery process.

Find out more about infection prevention here

Medication information on coming into hospital

What do I need to bring with me?

You will be given a green medication bag at your pre-operative assessment appointment to put all your medication in. On admission, please bring in all the medication that you take, including tablets, liquids, capsules, creams, eye drops, inhalers, patches, sprays, injections, and any other medication you may have bought from a chemist, supermarket or health food store. If you have any tablet organiser boxes (dosette), please also bring these in.

If you have a repeat prescription request slip normally attached to the green NHS prescription from your GP, please also bring this with you. Wherever possible please ensure that all medication is in its original box with a label attached to it that explains how you correct medication is prescribed for you during your hospital stay.

How will I take my medication?

When you come into hospital, your medication will be stored in a medication locker next to your bed. Your medication will be reviewed by the doctor and a pharmacist. The nurse will give them to you as prescribed or you may be able to give them to yourself as you would at home. If you choose to do this, you will be given a key to your medication locker and you will have the responsibility for this.

Before you are able to participate in this self-administration scheme, you will be required to discuss with your nurse and pharmacist exactly what self-administration involves and what the possible benefits are.

For safety reasons, identified criteria must be met and there are certain times during your stay that it is not appropriate to be self-administering your medication, e.g. following recovery from a general anaesthetic. Self-administration is not compulsory and you must not feel that you have to take part even if asked.

If you are asked and agree to take part, then before starting a trained member of the nursing staff or the ward pharmacist will explain:

  • The self-administration process
  • Which medicines you will be taking
  • Dosages
  • Possible side effect

What happens if my medication runs out or changes?

If your medication runs out, a further supply will be dispensed from our pharmacy department.

If the dosage of any medication has changed then the pharmacy team will supply a new pack or re-label your own pack with new instructions on how to take or use your medication. If any medication has been stopped, then these will be removed and destroyed by pharmacy, where consent has been given.

If you are not happy for the removal and destruction of any stopped medication then we would ask you to make arrangements for these to be sent home with relatives or friends. These should not be used during your stay as any deviation from what is prescribed by the hospital doctors can be potentially harmful to your health.

Speech and language therapy

If you are having an operation the team will discuss beforehand how that may affect your speech or swallowing, then to help you regain, as much as possible, your ability to eat, drink and talk after surgery.

If you are experiencing speech, language, voice and /or swallowing problems during your stay, you may be seen by a speech and language therapist. They will assess, diagnose and provide appropriate management for these difficulties.

Additionally, if you or a relative notice any swallowing and/or communication problems, please ask the ward staff to refer to the speech and language therapy team.

Physiotherapy

Following your surgery you may be seen by a physiotherapist or given a physiotherapy information sheet. Physiotherapy is a very important part of your post-operative treatment and will speed up your recovery. Physiotherapy helps to restore movement to near normal as possible as well as building strength in the muscles around the area where you have had surgery. Physiotherapy treatment can range from:

  • Advice and education about your surgery
  • Exercises
  • Assessing mobility and issuing of walking aids
  • Stairs assessment
  • Hydrotherapy

It is very important that you follow the advice and exercises that you are given by the physiotherapists so that you get the best outcome from your surgery.

Find out more about Physiotherapy here

Occupational therapy

You may be seen by an Occupational Therapist (OT) before you come in to the hospital for certain orthopaedic procedures. The OT will review your home situation and discuss precautions which you may need to follow after your operation. They also identify and order equipment which you may need for your safe discharge home from the hospital.

Please note: Equipment is ordered from stores outside of the hospital and may take some time to be delivered.

Find out more about Occupational Therapy here

Pain

You will be assisted with pain control after your operation. You will be given additional advice if you are on long-standing painkillers prior to admission, on patches or strong opiates. You will be advised about any post-operative pain concerns.

When you go home you will be given pain killers which should last you for up to a week. Information on how to take your painkillers will also be given to you. If you still require pain relief after this time you will need to see your GP who will discuss further options with you.

Preventing blood clots

What are hospital-associated blood clots?

A hospital-associated blood clot occurs in patients when they are in hospital, and up to ninety days after a hospital admission.

There are two kinds:

Deep vein thrombosis (DVT)
A DVT is a blood clot (also known as a thrombosis) that forms in a deep vein, most commonly in your leg or pelvis. It may cause no symptoms at all or cause swelling, redness and pain.

Pulmonary embolism (PE)
If a clot becomes dislodged and passes through your blood vessels it can reach your lungs, this is called a PE. Symptoms include coughing (with blood stained phlegm), chest pain and breathlessness. If left untreated a PE can lead to death.

Health professionals use the term venous thromboembolism (VTE), to cover both DVT and PE. If you develop any of these symptoms either in hospital or after your go home, please get medical advice immediately.

Are blood clots common?

Blood clots occur in the general population in about one in 1000 people every year. You may have heard about DVT in people who have been on an aeroplane, but you are much more likely to get a blood clot after going into hospital. In fact, about two thirds of all blood clots occur during or after a stay in hospital. Each patients risk is assessed on admission to hospital. If you are at risk, your doctor or nurse will talk with you about what will be done to offer you protection against clots.

Who is at risk?

Any unwell adult admitted to hospital is at risk. Other examples of factors that put people at greater risk include:

  • having an operation
  • a previous clot
  • a recent diagnosis of cancer
  • certain ‘sticky blood’ conditions such as antiphospholipid syndrome or Factor V Leiden
  • being overweight
  • being immobile
  • oestrogen-containing contraceptives and hormone replacement
  • significant injury or trauma during and after pregnancy

What can be done to reduce my risk?

Inflatable sleeves
You may be asked to wear calf or foot pumps; special inflatable sleeves around your legs or feet while you are in bed or sat still in a chair. These will inflate automatically and provide pressure at regular intervals, increasing blood flow out of your legs.

Stockings
In hospital, you might be measured and fitted with anti-embolism stockings for your legs. You should be shown how to wear them and told to report any new pain or discomfort in your feet or legs. Your stockings will be removed for a short time every day so that you can have a wash and check for any skin problems.

Blood thinners
Most patients at risk will be prescribed a small dose of an anticoagulant (blood thinner). These reduce the chance of having a blood clot by thinning your blood slightly. If you need to take these medicines when you leave hospital, you will be told how long to take them for. The blood thinner most often used is a type of heparin, which is given by injection. Please be aware that some ‘blood thinners’ are derived from animal origins. Please discuss with your nurse or doctor if this is a concern to you.

There may be reasons why some of the above are not suitable for you. To be effective, these methods of prevention must be used correctly and the course prescribed completed. If you have any questions or concerns, please ask your doctor or nurse.

What can I do to help myself?

If possible, before coming into hospital:

  • Keep a healthy weight
  • Talk to your doctor about contraceptive or hormone replacement therapy. Your doctor may consider stopping them in the weeks before an operation and will provide advice on temporary use of other methods if your usual contraceptive is stopped.
  • Do regular exercise

When in hospital:

  • Keep moving or walking and get out of bed as soon as you are able after an operation – ask your nurse or physiotherapist for more information
  • Ask your doctor or nurse: “What is being done to reduce my risk of clots?”
  • Drink plenty of fluid to keep hydrated.

What happens when I go home?

Until you return to your usual level of activity, you may need to wear anti-embolism stockings after you go home. Your nurse will tell you how to put them on and what you should check your skin for. If you need to continue anticoagulation injections at home, your nursing team will provide information and teach you how to do this. If you have any concerns make sure you speak to a nurse before you leave. It is important that you complete the prescribed course. If you develop any sign or symptoms of a clot at home, seek medical advice immediately, either from your General Practitioner (GP) or your nearest hospital’s emergency department.

Patient experience surveys

You may be asked to complete a patient experience survey during your stay. This will help us to contiunually improve patient experience at our hospital. Please take part in these surveys and give us your honest opinion.

Additional information

Click here for ward visiting times

Refreshments facilities

Café Royale, the newly furbished restaurant, is situated on the first floor of the Treatment Centre (down the corridor from X-ray), serving hot and cold meals and drinks, light refreshments and snacks.

Opening times
Mon - Fri 7.30am-6.00pm
Sat 8.00am-1.30pm

Breakfast Service
Mon-Fri 8.00am-10.30am
Sat 8.30am– 10.30am

Lunchtime Service
Mon-Fri 12.00-2.00pm
Sat 12.00-1.30pm

Please note: There is currently no restaurant service on Sundays.

WRVS kiosk
There is a WRVS kiosk, in the new Outpatients Department where you can purchase hot or cold drinks, snacks, magazines, newspapers and toiletries.

Mon to Fri : 8.00am to 6.00pm
Sat and Sun : 10.30am to 4.00pm

Snack trolleys
WRVS run a trolley service to the wards on a daily basis, selling newspapers, confectionary, snacks, cold drinks and toiletries.


Preparing to go home

Planning to go home starts before you even come into hospital. We understand that people want to get home as quickly as possible after their surgery or treatment; we want to make sure you’re healthy, safe and independent when you leave our care. In order to minimise delays, please ensure you have made arrangements for when you go home.

  • Make sure you have organised transport to take you from hospital to your home
  • Make sure you have enough food and toiletries at home as it may be difficult for you to visit the shops as you recover
  • Make sure the things you use a lot are easily accessible to you like your kettle for example. Arrange your home so that you can avoid unnecessary climbing, bending or reaching.
  • Make sure that your family, friends, carers or neighbours know that you may need some extra help as you recover
  • Make sure your heating is on and your electricity and water are running
  • Bring clothes and shoes to travel home in, including a coat. It may feel cold outside after spending time in the warm surroundings.
  • Check you have all of your belongings with you and that you have collected any valuables

Discharge

Discharge is the process of making sure you are healthy enough to leave the hospital and go home after your surgery. You will be assessed by our team. When everyone is happy with your recovery you will be discharged. Most people will be discharged in less than a week.

Our goal is to make sure you’re healthy and prepared for home. It’s a good idea to arrange some extra support at home from family or friends for the days following your discharge.

The Discharge Lounge

The Discharge Lounge is a comfortable space for patients who have left the ward and are about to go home. It is open Monday to Friday, 9am – 6pm and is staffed by two nurses. There are comfortable chairs to sit in and tea, coffee and biscuits.

The nurses in the Discharge Lounge will support you to feel ready for home. You can ask questions and they’ll be happy to answer. They will talk to you about:

  • How to care for your wound when you’re at home
  • How to use the medication you have been given
  • How to inject yourself at home (if necessary)
  • How to reduce the risk of blood clots (Venus Thromboembolism)
  • Whether you need the support of Royal Orthopaedic Community Scheme

The ROCS Team (Royal Orthopaedic Community Scheme)

The ROCS team is a team of specialist nurses and physiotherapists who work with orthopaedic patients in their own homes. The ROCS team help people to leave the hospital quicker and be independent at home.

You may be assessed by the ROCS team in the Discharge Lounge. They will ask you some questions and test your mobility on the stairs. If you both decide that you need some extra support at home, the ROCS team will visit you. 

Find out more about the ROCS team here

Wound healing

Should you develop any problems or concerns about your wound, please contact us for advice rather than contacting your GP on 0121 685 4354

The Wound Care helpline is staffed by experts in orthopaedics and wound care. They would much prefer you called and asked them a question than worry at home. There is an answer phone should you need to contact us outside normal working hours. We will contact you back as soon as possible; we return every call. Please leave your full name, the name of your consultant and if possible, your hospital number (which should begin with R followed by six or seven digits).

The Wound Care helpline is a fantastic service which has been nominated for national awards. Please use the helpline before contacting your GP.

Find out more about tinfection services here or watch the video below

 

Medication

The hospital pharmacy team and doctors will review your medication needs. They will make sure you have enough medication to last you 14 days. Any medication you brought with you will be returned if you need it. If you have any questions about using medication after your surgery, please speak to a member of your care team.

Physiotherapy

Following your surgery you may be seen by a physiotherapist or given some information. Physiotherapy is a really important part of your post-operative treatment and will speed up your recovery. It will help to restore your movement and build muscle strength.

Find out more about physiotherapy here

Amplitude patient outcomes portal

 
Amplitude is a quick and easy way for you to track your progress. It's online set of simple questions that you will answer before and after your surgery. Amplitude is important because:
  • It allows you to track the progress you are making
  • It helps us to monitor you and provide you with the best support
  • It enables us to learn and offer even better care to our patients

How to use Amplitude

patientportal.roh.nhs.uk

When you arrive for your appointment you can check yourself in using our check-in kiosk. Alternatively visit the outpatient reception desk where you can be checked in. Your appointment letter contains the details and location of the clinic you are attending. If you need to ask any questions, talk to your receptionist or look out for one of our friendly volunteers who will be happy to help.

Please be aware that you may not always be seen by the consultant named on your letter but by a member of their team. Who you see will depend on your specific requirements. All of our staff are experienced and professional and will make sure you receive the best care possible.

Outpatient waiting times

We aim to keep waiting times as short as possible however there are times where delays occur. Your consultant and care team try to give enough time to each patient to fully examine, explain and discuss treatment options.

You don’t have to stay in the outpatients department while you wait. If you would like to stretch your legs or get a hot drink in our cafe, simply take one of our buzzers with you and we’ll buzz you when you’re due for your appointment.

The Pre-operative Assessment Clinic

If you and your consultant decide that surgery is the right option, you may be asked to attend a pre-operative assessment. Pre-operative assessment is the first step in checking that you are healthy and suitable for your surgery. A blood sample and swabs will be taken and you will complete a questionnaire. Provided you meet the requirements we will aim to give you a date for your surgery within three months.

If you and your consultant decide that surgery is the right option, but you are not asked to go pre-operative assessment, you will attend a pre-operative assessment appointment at a later date.

Appointment support

If you need support with your outpatient appointment, please call our main switchboard on 0121 685 4000. Alternatively, call our PALS team (Patient Advice and Liaison Service) on 0121 685 4128 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

Recovery at home

Day-to-day living

As you recover it is important not to push yourself too hard. Give yourself some time to regain mobility and confidence. Here are a few things to avoid:

  • Avoid heavy housework for the first four weeks after you leave hospital
  • Avoid prolonged standing
  • Avoid heavy lifting or strenuous activities like digging or sport for a few months

Driving

Your consultant will advise you when it is safe for you to begin driving again after your surgery. The average amount of time is six weeks, although this will depend on your circumstances. You will need to let your insurance company know about your operation and may need to demonstrate that you can perform an emergency stop before you attempt to drive.

Washing

Most wound dressings we use are shower proof. We encourage you to have a shower. Please do not have a bath until your wound is completely healed, especially if your non-soluble stitches have not yet been removed.

  • Useful contact numbers
  • Main hospital switchboard: 0121 685 4000
  • Patient Advice and Liaison Service (PALS): 0121 685 4128
  • The ROCS Team (Royal Orthopaedic Community Scheme): 0121 685 4020
  • Out-of-hours support: 0121 685 4000 (ask the switchboard to connect you to bleep number 2627)
  • Pharmacy helpline: 0121 685 4160

Find out more

Click here to read our patient information about life after your surgery

Visit the NHS Choices website for more information about recovery after surgery

 

Amplitude patient outcomes portal

 
Amplitude is a quick and easy way for you to track your progress. It's online set of simple questions that you will answer before and after your surgery. Amplitude is important because:
  • It allows you to track the progress you are making
  • It helps us to monitor you and provide you with the best support
  • It enables us to learn and offer even better care to our patients

How to use Amplitude

patientportal.roh.nhs.uk

When you arrive for your appointment you can check yourself in using our check-in kiosk. Alternatively visit the outpatient reception desk where you can be checked in. Your appointment letter contains the details and location of the clinic you are attending. If you need to ask any questions, talk to your receptionist or look out for one of our friendly volunteers who will be happy to help.

Please be aware that you may not always be seen by the consultant named on your letter but by a member of their team. Who you see will depend on your specific requirements. All of our staff are experienced and professional and will make sure you receive the best care possible.

Outpatient waiting times

We aim to keep waiting times as short as possible however there are times where delays occur. Your consultant and care team try to give enough time to each patient to fully examine, explain and discuss treatment options.

You don’t have to stay in the outpatients department while you wait. If you would like to stretch your legs or get a hot drink in our cafe, simply take one of our buzzers with you and we’ll buzz you when you’re due for your appointment.

The Pre-operative Assessment Clinic

If you and your consultant decide that surgery is the right option, you may be asked to attend a pre-operative assessment. Pre-operative assessment is the first step in checking that you are healthy and suitable for your surgery. A blood sample and swabs will be taken and you will complete a questionnaire. Provided you meet the requirements we will aim to give you a date for your surgery within three months.

If you and your consultant decide that surgery is the right option, but you are not asked to go pre-operative assessment, you will attend a pre-operative assessment appointment at a later date.

Appointment support

If you need support with your outpatient appointment, please call our main switchboard on 0121 685 4000. Alternatively, call our PALS team (Patient Advice and Liaison Service) on 0121 685 4128 or email This email address is being protected from spambots. You need JavaScript enabled to view it.