Nuffield Orthopaedic Centre
Encyclopedia
The Nuffield Orthopaedic Centre (NOC) is an internationally recognised centre of excellence, providing care for patients with disabling or long-term musculoskeletal conditions and those suffering neurological disability. It
provides routine and specialist orthopaedic and rheumatological
services to the people of Oxfordshire
. Specialist services, such as the treatment of Osteomyelitis
and bone tumours
, and the rehabilitation
of those with limb amputation
or congenital deficiency
, and those with neurological disabilities
are provided for patients from across the UK and abroad.
Each year, more than 20,000 people are referred to the hospital with a range of conditions affecting bones and joints, including rheumatoid arthritis
, osteoporosis
, bone infection and bone cancer. Patients needing a new hip, shoulder or knee, or those with severe back pain or sports injuries
are just some of the conditions treated on a regular basis. Specialist services include children’s rheumatology services, limb reconstruction, spinal surgery and the treatment of primary malignant bone tumours and sarcomas.
The NOC also undertakes innovative rehabilitation work to assist those who have lost limbs, suffered a deformity, or who have neurological and neuromuscular problems through, for example, stroke
or head injury
at its renowned Oxford Centre for Enablement (OCE).
This modern, purpose-built hospital enables clinicians to deliver exceptional patient safety and infection control
standards maintaining its reputation for having among the lowest hospital acquired infection rates in the country.
The NOC has excellent infection prevention and control rates.
As a teaching hospital
NHS Trust, the NOC provides a large number of placements and fellowships for student doctors,
By 1929 the Wingfield Morris Hospital badly needed rebuilding and Lord Nuffield, then Sir William Morris
, donated £70,000 to build new nurses' quarters, seven new wards and a massage department. In 1936 Lord Nuffield announced his gift to Oxford Medical School which created five clinical chairs, and Professor G. R. Girdlestone became the first Professor of Orthopaedic Surgery in 1938.
During the Second World War the hospital was controlled by the War Office
. In 1948 it was designated as a regional orthopaedic centre and in 1956 it was re-named the Nuffield Orthopaedic Centre. From his appointment in 1966, Robert Duthie
led the centre, establishing its prestige and international reputation. He championed its independence and from the 1st April 1991 the Nuffield Orthopaedic Centre has been an NHS Trust
hospital.
The Botnar Research Centre based in the grounds of the NOC provides a unique opportunity for university researchers to work alongside clinicians taking research out of the laboratory and into hospital clinics. Working with the University of Oxford, the NOC aims to develop practical treatments for common conditions that have considerable impact on the lives of people of all ages.
The NOC Appeal raised £5.2 million towards the cost of the Botnar building and a further appeal has been launched by the Trustees to raise £7 million to build phase two of the Botnar Research Centre which will be devoted to clinical research and trials of new treatments for arthritis, rheumatoid arthritis, osteoporosis and orthopaedics, epidemiology, bioengineering and postgraduate teaching.
Following a successful joint bid to become a Biomedical Research Unit (BRU) in Musculoskeletal Disease, the NOC and the University’s Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences have received funding from the National Institute of Health Research to support a number of projects.
The Unit is undertaking research into themes including: progression of osteoarthritis; shoulder pain, soft tissue regeneration and repair; vitamin D supplementation in pregnancy for osteoporosis study; understanding and treating cartilage damage and early osteoarthritis of the hip; and development of surgical technology and surgical skills.
A new clinical trials unit is planned for development in 2010. This will support the BRU’s clinical research with patient studies to inform further developments in:
• Evaluating therapies in arthritis and osteoporosis
• Developing and evaluating new devices in orthopaedics
The surgeons and physicians who work at the Nuffield Orthopaedic Centre are among the world's leading experts in their field. They are heavily focused on the development and improvement of clinical practice, surgical technology and clinical practice.
provides routine and specialist orthopaedic and rheumatological
Rheumatology
Rheumatology is a sub-specialty in internal medicine and pediatrics, devoted to diagnosis and therapy of rheumatic diseases. Clinicians who specialize in rheumatology are called rheumatologists...
services to the people of Oxfordshire
Oxfordshire
Oxfordshire is a county in the South East region of England, bordering on Warwickshire and Northamptonshire , Buckinghamshire , Berkshire , Wiltshire and Gloucestershire ....
. Specialist services, such as the treatment of Osteomyelitis
Osteomyelitis
Osteomyelitis simply means an infection of the bone or bone marrow...
and bone tumours
Bone tumor
A bone tumor refers to a neoplastic growth of tissue in bone. Abnormal growths found in the bone can be either benign or malignant .-Classification:...
, and the rehabilitation
Physical medicine and rehabilitation
Physical medicine and rehabilitation , physiatry or rehabilitation medicine, is a branch of medicine that aims to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. A physician having completed training in this field is referred to as a...
of those with limb amputation
Amputation
Amputation is the removal of a body extremity by trauma, prolonged constriction, or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as malignancy or gangrene. In some cases, it is carried out on individuals as a preventative surgery for...
or congenital deficiency
Phocomelia
Phocomelia is an extremely rare congenital disorder involving the limbs . Étienne Geoffroy Saint-Hilaire coined the term in 1836....
, and those with neurological disabilities
Brain damage
"Brain damage" or "brain injury" is the destruction or degeneration of brain cells. Brain injuries occur due to a wide range of internal and external factors...
are provided for patients from across the UK and abroad.
Each year, more than 20,000 people are referred to the hospital with a range of conditions affecting bones and joints, including rheumatoid arthritis
Rheumatoid arthritis
Rheumatoid arthritis is a chronic, systemic inflammatory disorder that may affect many tissues and organs, but principally attacks synovial joints. The process produces an inflammatory response of the synovium secondary to hyperplasia of synovial cells, excess synovial fluid, and the development...
, osteoporosis
Osteoporosis
Osteoporosis is a disease of bones that leads to an increased risk of fracture. In osteoporosis the bone mineral density is reduced, bone microarchitecture is deteriorating, and the amount and variety of proteins in bone is altered...
, bone infection and bone cancer. Patients needing a new hip, shoulder or knee, or those with severe back pain or sports injuries
Sports injuries
Sports injuries are injuries that occur in athletic activities. In many cases, these types of injuries are often due to overuse or acute trauma of a part of the body when participating in a certain activity. For example, runner's knee is a painful condition generally associated with running, while...
are just some of the conditions treated on a regular basis. Specialist services include children’s rheumatology services, limb reconstruction, spinal surgery and the treatment of primary malignant bone tumours and sarcomas.
The NOC also undertakes innovative rehabilitation work to assist those who have lost limbs, suffered a deformity, or who have neurological and neuromuscular problems through, for example, stroke
Stroke
A stroke, previously known medically as a cerebrovascular accident , is the rapidly developing loss of brain function due to disturbance in the blood supply to the brain. This can be due to ischemia caused by blockage , or a hemorrhage...
or head injury
Head injury
Head injury refers to trauma of the head. This may or may not include injury to the brain. However, the terms traumatic brain injury and head injury are often used interchangeably in medical literature....
at its renowned Oxford Centre for Enablement (OCE).
This modern, purpose-built hospital enables clinicians to deliver exceptional patient safety and infection control
Infection control
Infection control is the discipline concerned with preventing nosocomial or healthcare-associated infection, a practical sub-discipline of epidemiology. It is an essential, though often under-recognized and under-supported, part of the infrastructure of health care...
standards maintaining its reputation for having among the lowest hospital acquired infection rates in the country.
The NOC has excellent infection prevention and control rates.
As a teaching hospital
Teaching hospital
A teaching hospital is a hospital that provides clinical education and training to future and current doctors, nurses, and other health professionals, in addition to delivering medical care to patients...
NHS Trust, the NOC provides a large number of placements and fellowships for student doctors,
History
The Nuffield Orthopaedic Centre is internationally famous for its work in a range of important services and attracts patients from a wide area. It began in 1871 as the Wingfield Convalescent Centre. During the First World War it was a military hospital and was expanded by building a fresh air annexe of wooden buildings.By 1929 the Wingfield Morris Hospital badly needed rebuilding and Lord Nuffield, then Sir William Morris
William Morris, 1st Viscount Nuffield
William Richard Morris, 1st Viscount Nuffield GBE, CH , known as Sir William Morris, Bt, between 1929 and 1934 and as The Lord Nuffield between 1934 and 1938, was a British motor manufacturer and philanthropist...
, donated £70,000 to build new nurses' quarters, seven new wards and a massage department. In 1936 Lord Nuffield announced his gift to Oxford Medical School which created five clinical chairs, and Professor G. R. Girdlestone became the first Professor of Orthopaedic Surgery in 1938.
During the Second World War the hospital was controlled by the War Office
War Office
The War Office was a department of the British Government, responsible for the administration of the British Army between the 17th century and 1964, when its functions were transferred to the Ministry of Defence...
. In 1948 it was designated as a regional orthopaedic centre and in 1956 it was re-named the Nuffield Orthopaedic Centre. From his appointment in 1966, Robert Duthie
Robert Duthie
Robert Buchan Duthie, CBE FRCSE FRCS was a US-born British orthopaedic surgeon who established the prestige of the Nuffield Orthopaedic Centre in Oxford and built its leading reputation for musculoskeletal medicine. He developed novel methods of injury management and contributed to teaching and...
led the centre, establishing its prestige and international reputation. He championed its independence and from the 1st April 1991 the Nuffield Orthopaedic Centre has been an NHS Trust
NHS Trust
A National Health Service trust provides services on behalf of the National Health Service in England and NHS Wales.The trusts are not trusts in the legal sense but are in effect public sector corporations. Each trust is headed by a board consisting of executive and non-executive directors, and is...
hospital.
Research
The NOC has a long-standing reputation in research and development, and teaching and training with excellent facilities on site. It works closely with university partners, and the University of Oxford has its Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences located within the hospital – it is the largest academic clinical department in orthopaedics in the UK.The Botnar Research Centre based in the grounds of the NOC provides a unique opportunity for university researchers to work alongside clinicians taking research out of the laboratory and into hospital clinics. Working with the University of Oxford, the NOC aims to develop practical treatments for common conditions that have considerable impact on the lives of people of all ages.
The NOC Appeal raised £5.2 million towards the cost of the Botnar building and a further appeal has been launched by the Trustees to raise £7 million to build phase two of the Botnar Research Centre which will be devoted to clinical research and trials of new treatments for arthritis, rheumatoid arthritis, osteoporosis and orthopaedics, epidemiology, bioengineering and postgraduate teaching.
Following a successful joint bid to become a Biomedical Research Unit (BRU) in Musculoskeletal Disease, the NOC and the University’s Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences have received funding from the National Institute of Health Research to support a number of projects.
The Unit is undertaking research into themes including: progression of osteoarthritis; shoulder pain, soft tissue regeneration and repair; vitamin D supplementation in pregnancy for osteoporosis study; understanding and treating cartilage damage and early osteoarthritis of the hip; and development of surgical technology and surgical skills.
A new clinical trials unit is planned for development in 2010. This will support the BRU’s clinical research with patient studies to inform further developments in:
• Evaluating therapies in arthritis and osteoporosis
• Developing and evaluating new devices in orthopaedics
The surgeons and physicians who work at the Nuffield Orthopaedic Centre are among the world's leading experts in their field. They are heavily focused on the development and improvement of clinical practice, surgical technology and clinical practice.
Wiki links
- Oxford Clinic for Specialist Surgery — private orthopaedic hospital adjacent to the Nuffield Orthopaedic Centre