Fracture Clinic - GHNHSFT

Fracture Clinic - What's New - November 2017

Forms and contact details for referrals to the Fracture Clinic have changed.

Changes to the process will ensure an orthopaedic consultant review of all fractures. This will be done electronically (without patient present) within 72 hours of referral. Patients will be contacted by telephone to agree their management plan.


If uncertain whether urgent referral is required, discuss with the On-Call Registrar.

A suspected fracture or a serious soft tissues injury that does not need immediate management by a Minor Injury Unit (MIU) or Emergency Department (ED) should be referred to the Fracture Clinic.

X-rays should have been completed and, upon review by the GP, indicate a suspected fracture.

If uncertain about reviewing x-rays or diagnosing injury, refer patient to local Minor Injury Unit (MIU) or Emergency Department (ED).

All suspected fractures or other serious soft tissue injuries should be referred using the Trauma referral form for orthopaedic consultant review of the injury by Gloucestershire NHS Foundation Trust.

Please note that the quality of the review is dependent on the quality of the information provided by GPs within the referral form.

Email referral at

Fax referral number 0300 422 5270

Alongside referring the patient, also give the patient a copy of the Fracture Clinic information letter found here.

People who suffered their injury overseas should be referred to the Fracture Service, noting on the referral form that initial treatment was overseas.

The initial review is at the orthopaedic consultant triage of the injury.

All patients will be provided with an evidence-based management plan specific to their particular injury.

This could include:

1. Telephone call with a clinician to agree a management plan

2. A face to face fracture clinic appointment

3. Additional radiography to guide appropriate management

If a face to face appointment is required, patients will be offered a range of appropriate countywide clinic options.

If a patient needs additional support following discharge, they should contact the Trauma Clinic on 0300 422 5269 or by email at

Management post discharge could include referral to Physiotherapy, if that were beneficial to reduce long term complications and aid recovery.

V2 code V2 Term V3 code V3 Term (TPP practices)
8HTo Referral to Fracture Clinic XaNIj Referral to Frature Clinic


Completion Date

November 2017

Review Date

October 2018

Pathway Leads

Name Role Organisation Email
Adele Jones Senior Commissioning Manager Gloucestershire Clinical Commissioning Group
  Trauma and Orthopaedics General Manager Gloucestershire NHS Foundation Trust  
Mr William Mason Trauma and Orthopaedics Fracture Service Lead Gloucestershire NHS Foundation Trust

Please follow the resource link below to the referral form. Alongside referring the patient, also give the patient a copy of the Fracture Clinic information letter found here.

Trauma and Orthopaedic Department GHT

The Trauma and Orthopaedic Department offers a full range of services for both adults and children including treating disorders of the body's bones, joints, ligaments, muscles, and tendons.

In addition to the numerous Consultant led clinics, specialised nurse and physiotherapy led clinics are also held and the plaster room provides a specialised service to patients requiring plaster casts, braces and splints.

Information leaflets are available for many of the conditions seen in the department.

Inpatient and Day Case Services are based at:

  • Gloucestershire Royal Hospital - Ward 3A, Ward 3B, & Day Surgery Unit
  • Cheltenham General Hospital - Alstone Ward, Dixton Ward & Ryeworth Ward
  • Stroud General Hospital – Princess Anne Ward
  • Tewkesbury Hospital - Severn Ward & Elmbury Suite

For details on outpatient clinics and contact details please follow the Resource Link below.