Descriptor | Case study A | Case study B | Case study C |
---|---|---|---|
Setting | Orthopaedic trauma centre | Small hospital Trust split between two geographical sites. Therefore the orthopaedic services were separated across two hospital buildings | Large orthopaedic department with specialist trauma centre which received national referrals for complex hip implant revision surgery |
University link | Teaching hospital with a designated academic orthopaedic department located in a university owned building within the NHS hospital | None | Teaching hospital |
Participants | A majority of surgeons held joint posts between the NHS and the same university department. The staff conducted clinical effectiveness and cost-effectiveness research, mainly national randomised controlled trials of various techniques and treatments within orthopaedic surgery | Surgeons provided general orthopaedic services to the local population supported by a designated group of allied health professionals | Surgeons in the teaching hospital held contracts with the NHS hospital. A minority of surgeons held honorary contracts with one of the four universities in the region, i.e. they were not from the same academic department |