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Trauma and orthopaedic surgery

Trauma and orthopaedic (T&O) surgeons diagnose and treat conditions of the musculoskeletal system including bones and joints and structures that enable movement such as ligaments, tendons, muscles and nerves. 

You’ll work with patients of all ages, often in a district general hospital or possibly in specialist centres or orthopaedic hospitals.

F2 female doctor checking patient arm

Life as a trauma and orthopaedic surgeon 

You’ll spend around 40% of your time in surgery and the rest in outpatient clinics, the emergency department and assessing/monitoring patients before and after surgery. This is a rewarding specialty where your work can bring rapid relief from pain and discomfort for patients. 

You’ll work on trauma to the musculoskeletal system, such as broken, fractured or dislocated bones and soft tissue injuries. These could be caused by anything from a low energy fracture in an older patient to multiple injuries caused by a road traffic accident. 

Your orthopaedic work will include the replacement of whole joints such as knees and hips following damage due to osteoarthritis or rheumatoid arthritis. You’ll also treat congenital and degenerative conditions of the musculoskeletal system, often in babies and children, as well as infections and tumours.  

Your surgical work is specialised and varied. Some operations are very quick, for example a spinal injection, whereas other operations, to stabilise someone’s neck or straighten a spine, may take several hours. You could work as part of a trauma team alongside emergency department doctors, anaesthetists, general surgeons and specialist nurses. You’ll also work independently.  

You will use the latest technologies such as minimally invasive techniques for diagnosis and surgery and computer-aided navigation during surgery which enables 3D mapping of a joint. This is exciting for you and highly beneficial for your patients with reduced scarring and recovery time. 

You can expect to be on-call for trauma emergencies and to sometimes work out-of-hours on long surgical procedures, more so than in some other surgical specialties.  

How much can I earn? 

You’ll first earn a salary when you start your foundation training [1] after medical school.  Find out details of current salary ranges for foundation and specialty training, SAS doctors [2] and consultants on the 'Pay for doctors' [3] page. 

How about the benefits? 

  • make a difference 
  • flexible and part-time working 
  • high income early in your career   
  • work anywhere in the world   
  • excellent pension scheme 
  • good holiday entitlement 
  • NHS discounts in shops and restaurants 

Must-have skills 

  • excellent communication skills to manage a wide range of relationships with colleagues, and patients and their families  
  • emotional resilience, a calm temperament and the ability to work well under pressure  
  • teamwork and the capacity to lead multidisciplinary teams  
  • problem-solving and diagnostic skills  
  • outstanding organisational ability and effective decision-making skills  
  • first-class time and resource management for the benefit of patients  
  • a high degree of manual dexterity  
  • superb hand-eye co-ordination, excellent vision, and visuospatial awareness  
  • physical stamina to cope with the demands of surgery  

Entry requirements 

Your first step is medical school. Typically, you’ll need excellent GCSEs and three A or A* passes at A level including chemistry for a five-year undergraduate degree in medicine. Many medical schools also ask for biology and others may require maths or physics.   

If you already have a degree, you could study for a four-year postgraduate degree in medicine.  

You’ll need to pass an interview and admissions test. You’ll be asked to show how you demonstrate the NHS values such as compassion and respect.  

Some medical schools look to recruit a mix of students from different backgrounds and geographical areas, so your educational and economic background and family circumstances could be considered as part of your application. 

"It was a placement in a children’s hospital towards the end of my specialist training that made me decide on paediatric T&O as my sub-specialty. I immediately loved the warm and welcoming atmosphere in the hospital, and working with children."

Read Emily's story [4]. 

What are my chances of starting a career in trauma and orthopaedics? 

In 2020 there were 715 applications for 125 specialty training places, (a competition ratio [5] of 5.72). There are currently 2,654 trauma and orthopaedic surgeons working in the NHS in England.  

How to become a trauma and orthopaedic surgeon 

After medical school, you’ll join the paid two-year foundation programme [6] where you’ll work in six placements in different settings.  

After your foundation programme, you can apply for paid specialty training [7] to become a trauma and orthopaedic surgeon, which will take a minimum of eight years. 

You may be able to train part time, for example for health reasons or if you have family or caring responsibilities.  

Where a career in trauma and orthopaedics can take you 

You could:  

  • specialise or conduct research in areas such a particular part of the body for example shoulder/elbow, joint reconstruction such as hip or knee, paediatric surgery, sports injury or complex trauma surgery 
  • teach medical students or postgraduate students in training  
  • get involved in research at universities, the NHS or private sector
  • Find a vacancy

    • Consultant Trauma and Orthopaedic Surgeon - Lower Limb Arthroplasty

      Oswestry, SY10 7AG

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
      Apply now on NHS Jobs for Consultant Trauma and Orthopaedic Surgeon - Lower Limb Arthroplasty job (opens in a new window) [8]
    • Medical Secretary - Trauma and Orthopaedics

      Colchester, CO4 5JL

      Salary:
      £24625.00 to £25674.00
      Type:
      Fixed-Term
      Employer:
      East Suffolk and North Essex NHS Foundation Trust
      Apply now on NHS Jobs for Medical Secretary - Trauma and Orthopaedics job (opens in a new window) [9]
    • Senior Arthroplasty Fellow - Trauma and Orthopaedics

      Sutton Coldfield, B75 7RR
      Birmingham, B9 5SS
      Solihull, B91 2JL

      Salary:
      £61825.00
      Type:
      Fixed-Term
      Employer:
      University Hospitals Birmingham NHS Foundation Trust
      Apply now on NHS Jobs for Senior Arthroplasty Fellow - Trauma and Orthopaedics job (opens in a new window) [10]
    • Team Lead Physiotherapist -Trauma and Orthopaedics

      Brixton, SE5 9RS

      Salary:
      £54320.00 to £60981.00
      Type:
      Permanent
      Employer:
      King's College Hospital NHS Foundation Trust
      Apply now on NHS Jobs for Team Lead Physiotherapist -Trauma and Orthopaedics job (opens in a new window) [11]
    • Specialist Physiotherapist Trauma and Orthopaedics and Vascular

      London, W2 1NY

      Salary:
      £44806.00 to £53134.00
      Type:
      Fixed-Term
      Employer:
      Imperial College Healthcare NHS Trust
      Apply now on NHS Jobs for Specialist Physiotherapist Trauma and Orthopaedics and Vascular job (opens in a new window) [12]
    • Senior Clinical Fellow in Trauma and Orthopaedics

      Barnet, EN5 3DJ

      Salary:
      £61825.00
      Type:
      Permanent
      Employer:
      Royal Free London NHS Foundation Trust
      Apply now on NHS Jobs for Senior Clinical Fellow in Trauma and Orthopaedics job (opens in a new window) [13]
    • Locum Consultant Trauma & Orthopaedic Surgeon

      Grimsby, DN33 2BA

      Salary:
      £105504.00 to £139882.00
      Type:
      Fixed-Term
      Employer:
      Northern Lincolnshire and Goole NHS Foundation Trust
      Apply now on NHS Jobs for Locum Consultant Trauma & Orthopaedic Surgeon job (opens in a new window) [14]
    • Senior Trauma Fellow in Trauma & Orthopaedics

      Leeds, LS1 3EX

      Salary:
      £70425.00
      Type:
      Fixed-Term
      Employer:
      Leeds Teaching Hospitals
      Apply now on NHS Jobs for Senior Trauma Fellow in Trauma & Orthopaedics job (opens in a new window) [15]
    • Occupational Therapist - Trauma & Orthopaedics

      Margate, CT9 4AN

      Salary:
      £37338.00 to £44962.00
      Type:
      Permanent
      Employer:
      East Kent Hospitals University NHS Foundation Trust
      Apply now on NHS Jobs for Occupational Therapist - Trauma & Orthopaedics job (opens in a new window) [16]
    • Joint Plastics and Orthopaedics Hand Fellow

      East Grinstead, RH19 3DZ

      Salary:
      £63152.00
      Type:
      Fixed-Term
      Employer:
      Queen Victoria Hospital NHS Foundation Trust
      Apply now on NHS Jobs for Joint Plastics and Orthopaedics Hand Fellow job (opens in a new window) [17]
    • B6 Occupational Therapist - Trauma & Orthopaedics

      Ipswich, IP4 5PD

      Salary:
      £37338.00 to £44962.00
      Type:
      Permanent
      Employer:
      East Suffolk and North Essex NHS Foundation Trust
      Apply now on NHS Jobs for B6 Occupational Therapist - Trauma & Orthopaedics job (opens in a new window) [18]
    • Consultant in Trauma & Orthopaedics (Knee)

      Norwich, NR4 7UY

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Norfolk and Norwich University Hospital
      Apply now on NHS Jobs for Consultant in Trauma & Orthopaedics (Knee) job (opens in a new window) [19]
    • Locum Consultant Trauma & Orthopaedics (Lower Limb)

      Kettering, NN16 8UZ

      Salary:
      £105504.00 to £139882.00
      Type:
      Fixed-Term
      Employer:
      Kettering General Hospital NHS Foundation Trust
      Apply now on NHS Jobs for Locum Consultant Trauma & Orthopaedics (Lower Limb) job (opens in a new window) [20]
    • Consultant in Trauma & Orthopaedics - Hip & Knee Surgery

      Cardiff, CF64 2XX

      Salary:
      £106000.00 to £154760.00
      Type:
      Permanent
      Employer:
      Cardiff and Vale University Health Board
      Apply now on NHS Jobs for Consultant in Trauma & Orthopaedics - Hip & Knee Surgery job (opens in a new window) [21]
    • Locum Consultant Trauma & Orthopaedics (Hands and Wrist)

      Kettering, NN16 8UZ

      Salary:
      £105504.00 to £139882.00
      Type:
      Fixed-Term
      Employer:
      Kettering General Hospital NHS Foundation Trust
      Apply now on NHS Jobs for Locum Consultant Trauma & Orthopaedics (Hands and Wrist) job (opens in a new window) [22]
    • Consultant Orthopaedic Surgeon - Foot and Ankle

      Shepton Mallet, BA4 4LP

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      Practice Plus Group
      Apply now on NHS Jobs for Consultant Orthopaedic Surgeon - Foot and Ankle job (opens in a new window) [23]
    • Consultant in Trauma and Pelvic Surgery

      Manchester, M13 9WL

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Manchester University NHS Foundation Trust
      Apply now on NHS Jobs for Consultant in Trauma and Pelvic Surgery job (opens in a new window) [24]
    • Consultant in Anaesthesia: Trauma and Regional Anaesthesia

      Reading, RG1 5AN

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Royal Berkshire NHS Foundation Trust
      Apply now on NHS Jobs for Consultant in Anaesthesia: Trauma and Regional Anaesthesia job (opens in a new window) [25]
    • Senior Orthopaedic Practitioner

      Middlesbrough, TS4 3BW

      Salary:
      £29970.00 to £36483.00
      Type:
      Permanent
      Employer:
      South Tees Hospitals NHS Foundation Trust
      Apply now on NHS Jobs for Senior Orthopaedic Practitioner job (opens in a new window) [26]
    • Senior Orthopaedic Practitioner

      Guernsey, GY4 6UU

      Salary:
      £38744.00 to £49970.00
      Type:
      Permanent
      Employer:
      States of Guernsey
      Apply now on NHS Jobs for Senior Orthopaedic Practitioner job (opens in a new window) [27]
    • Advanced Physiotherapist - Orthopaedics

      London, SE1 2PR

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      HCA Healthcare UK
      Apply now on NHS Jobs for Advanced Physiotherapist - Orthopaedics job (opens in a new window) [28]
    • Physiotherapist - Orthopaedic/Outpatients

      Kendal, LA9 7RG

      Salary:
      £29970.00 to £36483.00
      Type:
      Permanent
      Employer:
      University Hospitals of Morecambe Bay NHS Trust
      Apply now on NHS Jobs for Physiotherapist - Orthopaedic/Outpatients job (opens in a new window) [29]
    • Senior Orthopaedic Physiotherapist

      Ormskirk, L39 2AZ

      Salary:
      £37338.00 to £44962.00
      Type:
      Fixed-Term
      Employer:
      Mersey and West Lancashire Teaching Hospitals NHS Trust
      Apply now on NHS Jobs for Senior Orthopaedic Physiotherapist job (opens in a new window) [30]
    • Orthopaedic Specialist Physiotherapist

      Chichester, PO19 6SE

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      University Hospitals Sussex NHS Foundation Trust (279)
      Apply now on NHS Jobs for Orthopaedic Specialist Physiotherapist job (opens in a new window) [31]
    • Assistant Orthopaedic Practitioner

      Cardifff, CF14 4XW

      Salary:
      £26928.00 to £29551.00
      Type:
      Permanent
      Employer:
      Cardiff and Vale University Health Board
      Apply now on NHS Jobs for Assistant Orthopaedic Practitioner job (opens in a new window) [32]
    • Major Trauma Rehabilitation Co-ordinator

      Middlesbrough, TS4 3BW

      Salary:
      £46148.00 to £52809.00
      Type:
      Permanent
      Employer:
      South Tees Hospitals NHS Foundation Trust
      Apply now on NHS Jobs for Major Trauma Rehabilitation Co-ordinator job (opens in a new window) [33]
    • Orthopaedics Clinical Fellow Doctor

      Braddan, IM4 4RJ

      Salary:
      £61825.00 to £70425.00
      Type:
      Fixed-Term
      Employer:
      Manx Care
      Apply now on NHS Jobs for Orthopaedics Clinical Fellow Doctor job (opens in a new window) [34]
    • Orthopaedic Practitioner (Plaster Technician)

      Ashford, TN24 0LZ

      Salary:
      £29970.00 to £36483.00
      Type:
      Permanent
      Employer:
      East Kent Hospitals University NHS Foundation Trust
      Apply now on NHS Jobs for Orthopaedic Practitioner (Plaster Technician) job (opens in a new window) [35]
    • Theatre Team Lead - Orthopaedics

      Sutton, SM3 9DW

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      Spire Healthcare Ltd
      Apply now on NHS Jobs for Theatre Team Lead - Orthopaedics job (opens in a new window) [36]
    • Strategic Senior Buyer - Orthopaedics

      Epsom, KT18 5AL

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      Nuffield Health
      Apply now on NHS Jobs for Strategic Senior Buyer - Orthopaedics job (opens in a new window) [37]
    • Theatre Practitioner (Orthopaedic Scrub)

      Eastleigh, SO53 2DW

      Salary:
      £38500.00 to £38500.00
      Type:
      Permanent
      Employer:
      Nuffield Health
      Apply now on NHS Jobs for Theatre Practitioner (Orthopaedic Scrub) job (opens in a new window) [38]
    • Orthopaedic - Junior Clinical Fellow

      Croydon, CR7 7YE

      Salary:
      £49909.00
      Type:
      Fixed-Term
      Employer:
      Croydon Health Services NHS Trust
      Apply now on NHS Jobs for Orthopaedic - Junior Clinical Fellow job (opens in a new window) [39]
    • Orthopaedic Shoulder & Elbow Fellow

      Basingstoke/Winchester, SO22 5DG

      Salary:
      Negotiable
      Type:
      Fixed-Term
      Employer:
      Hampshire Hospitals NHS Foundation Trust
      Apply now on NHS Jobs for Orthopaedic Shoulder & Elbow Fellow job (opens in a new window) [40]
    • Senior MSK/Orthopaedic Physiotherapist

      Chichester, PO19 8EL

      Salary:
      £40750.00 to £44750.00
      Type:
      Permanent
      Employer:
      Nuffield Health
      Apply now on NHS Jobs for Senior MSK/Orthopaedic Physiotherapist job (opens in a new window) [41]
    • Orthopaedic Foot & Ankle Fellow

      Basingstoke/Winchester, RG24 9NA

      Salary:
      £70425.00
      Type:
      Fixed-Term
      Employer:
      Hampshire Hospitals NHS Foundation Trust
      Apply now on NHS Jobs for Orthopaedic Foot & Ankle Fellow job (opens in a new window) [42]
    • Trauma Informed Therapist (Part-time Prisons)

      Salford, M3 7BB
      Millom, LA18 4NA

      Salary:
      £27810.00
      Type:
      Permanent
      Employer:
      We Are Survivors
      Apply now on NHS Jobs for Trauma Informed Therapist (Part-time Prisons) job (opens in a new window) [43]
    • Senior Clinical Fellow in Major Trauma

      London, W2 1NY

      Salary:
      Negotiable
      Type:
      Fixed-Term
      Employer:
      Imperial College Healthcare NHS Trust
      Apply now on NHS Jobs for Senior Clinical Fellow in Major Trauma job (opens in a new window) [44]
    • Ward Clerk - Ward M2 Orthopaedic

      Bebington, CH63 4JY

      Salary:
      £24169.00
      Type:
      Permanent
      Employer:
      Wirral University Teaching Hospitals NHS Trust
      Apply now on NHS Jobs for Ward Clerk - Ward M2 Orthopaedic job (opens in a new window) [45]
    • Orthopaedic Interface Service Admin Lead

      Bristol, BS39 7SB

      Salary:
      £26250.00 to £31500.00
      Type:
      Permanent
      Employer:
      HCRG Care Group
      Apply now on NHS Jobs for Orthopaedic Interface Service Admin Lead job (opens in a new window) [46]
    • Senior Physiotherapy Technical Instructor - Orthopaedics

      Haywards Heath, RH16 4EX

      Salary:
      £26530.00 to £29114.00
      Type:
      Permanent
      Employer:
      University Hospitals Sussex NHS Foundation Trust (279)
      Apply now on NHS Jobs for Senior Physiotherapy Technical Instructor - Orthopaedics job (opens in a new window) [47]
    • Lead Orthopaedic Scrub Theatre Practitioner

      Birmingham, B15 2FQ

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      HCA Healthcare UK
      Apply now on NHS Jobs for Lead Orthopaedic Scrub Theatre Practitioner job (opens in a new window) [48]
    • Band 4 Resuscitation and Trauma Course Coordinator

      Birmingham, B15 2TH

      Salary:
      £26530.00 to £29114.00
      Type:
      Permanent
      Employer:
      University Hospitals Birmingham NHS Foundation Trust
      Apply now on NHS Jobs for Band 4 Resuscitation and Trauma Course Coordinator job (opens in a new window) [49]
    • Theatre Practitioner - Opthalmics, Orthopaedics, ENT (Bank)

      Oxford, OX3 7RP

      Salary:
      £25.00 to £29.00
      Type:
      Bank
      Employer:
      Nuffield Health
      Apply now on NHS Jobs for Theatre Practitioner - Opthalmics, Orthopaedics, ENT (Bank) job (opens in a new window) [50]
    • Theatre Practitioner - Opthalmics, Orthopaedics, ENT (Bank)

      Oxford, OX3 7RP

      Salary:
      Negotiable
      Type:
      Bank
      Employer:
      Nuffield Health
      Apply now on NHS Jobs for Theatre Practitioner - Opthalmics, Orthopaedics, ENT (Bank) job (opens in a new window) [51]
    • Theatre Practitioner - Opthalmics, Orthopaedics, ENT (Bank)

      Oxford, OX3 7RP

      Salary:
      Negotiable
      Type:
      Bank
      Employer:
      Nuffield Health
      Apply now on NHS Jobs for Theatre Practitioner - Opthalmics, Orthopaedics, ENT (Bank) job (opens in a new window) [52]
    • Generic Therapy Assistant - Orthopaedics (Band 3)

      Steeton, BD20 6TD

      Salary:
      £24625.00 to £25674.00
      Type:
      Permanent
      Employer:
      Airedale NHS Foundation Trust
      Apply now on NHS Jobs for Generic Therapy Assistant - Orthopaedics (Band 3) job (opens in a new window) [53]
    • Consultant Clin'/Coun' Psychologist - Trauma Informed Approaches Lead

      London, SW1V 2RH

      Salary:
      £82462.00 to £93773.00
      Type:
      Fixed-Term
      Employer:
      Central and North West London NHS Foundation Trust
      Apply now on NHS Jobs for Consultant Clin'/Coun' Psychologist - Trauma Informed Approaches Lead job (opens in a new window) [54]
    • Clinical Specialist Occupational Therapist - Orthopaedics and Spines

      London, WC1N 3JH

      Salary:
      £61927.00 to £68676.00
      Type:
      Permanent
      Employer:
      Great Ormond Street Hospital for Children NHS Foundation Trust
      Apply now on NHS Jobs for Clinical Specialist Occupational Therapist - Orthopaedics and Spines job (opens in a new window) [55]
    • Senior Locally Employed Doctor in Paediatric Orthopaedics

      Manchester, M13 9WL

      Salary:
      £61825.00
      Type:
      Fixed-Term
      Employer:
      Manchester University NHS Foundation Trust
      Apply now on NHS Jobs for Senior Locally Employed Doctor in Paediatric Orthopaedics job (opens in a new window) [56]
    • Senior Fellow (SpR Level) in Upper Limb Orthopaedic Surgery

      Bristol, BS10 5NB

      Salary:
      £61825.00 to £70425.00
      Type:
      Fixed-Term
      Employer:
      North Bristol NHS Trust
      Apply now on NHS Jobs for Senior Fellow (SpR Level) in Upper Limb Orthopaedic Surgery job (opens in a new window) [57]
  • These organisations have further information about being a trauma and orthopaedic surgeon, particularly as your career progresses. Take a look.

    British Orthopaedic Association [58]

    British Orthopaedic Trainees Association [59]

    Future Orthopaedic Surgeons [60]

    Joint Committee on Intercollegiate Examinations [61]

    The Royal College of Surgeons of England [62]

    The Royal College of Surgeons of Edinburgh [63]

    Royal College of Physicians and Surgeons of Glasgow [64]

    And hear from people working as a trauma and orthopaedic surgeon:

    Consultant Trauma and Orthopaedic Surgeon [65]- Council member Royal College of Surgeons

    A career in trauma and orthopaedics [66]- Alexander F Young, Benjamin C Caesar, Lee A David 

Other roles that may interest you

  • Anaesthesia [67]
  • Emergency medicine [68]
  • Rheumatology [69]
  • Sport and exercise medicine [70]

Source URL:https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/surgery/trauma-and-orthopaedic-surgery

Links
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