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Curriculum Vitae: Alan Norrish 1

Curriculum Vitae

Alan Norrish

BSc, MB BChir, LLM, PhD, FRCS (Tr & Orth), PGDip HSM

Consultant Trauma and Orthopaedic Surgeon

Clinical Governance Lead for Trauma and Orthopaedic Surgery

Deputy Clinical Director, Musculoskeletal Directorate

Cambridge University Teaching Hospitals

Department of Trauma and Orthopaedic Surgery

Box 37, Addenbrooke’s Hospital

Hills Road, Cambridge, CB2 0QQ

Surgical Advisory Committee in Orthopaedics, Great Britain and Ireland

Associate Lecturer, School of Clinical Medicine, University of Cambridge


Contents

Personal

Personal Details.......................................................................................... 3

Personal Statement..................................................................................... 3

Education and Qualifications....................................................................... 4

Membership of Learned Bodies................................................................... 5

Prizes and Grants...................................................................................... 6

Employment History

Current Employment.................................................................................. 8

Previous Consultant Experience.......................................................... 9

Training Employment Experience.............................................................. 13

Teaching Experience

Teacher training......................................................................................... 17

Teacher appointments................................................................................ 18

Examination roles................................................................................... 20

Clinical Experience............................................................................................. 21

Service Development………….................................................................. 22

Quality and outcomes................................................................................ 23

Management........................................................................................................ 24

Legal Training...................................................................................................... 25

Research

Current Research...................................................................................... 26

Past Research Activities........................................................................... 27

Publications............................................................................................... 28

Presentations............................................................................................ 32

Interests............................................................................................................... 36

References........................................................................................................... 37


Personal

Personal Details

Full name: Alan Norrish

Permanent Address: 245 Queen Edith’s Way

Cambridge

CB1 8NJ

Telephone: 07599 510391

Email: [email protected]

Date of Birth: 28th September, 1971

Nationality: British

Driving Licence: Full

GMC Registration: 4616270

Date admitted to Specialist Register: 31st July, 2007

Personal Statement

I am a Consultant in Orthopaedic and Trauma Surgery at the Cambridge University Hospitals NHS

Foundation Trust. In addition to my full-time clinical work I have also held a number of other leadership

positions. Past and present additional responsibilities have included of Specialty Lead for Trauma and

Orthopaedic Surgery, Deputy Director for the Musculoskeletal Directorate and Deputy Medical Director

of the Hospital. In addition to leadership, I maintain a strong research and medical education profile.

I have a very strong track record of undergraduate teaching and examining, both in Cambridge and

around the world. I hold an honorary contract as an Associate Lecturer at the University of Cambridge

where I have been heavily involved in undergraduate teaching and examining in a number of different

capacities. I have also been involved in medical education of undergraduates in a variety of different

fields across the world including Malawi, Zambia, Afghanistan, United Arab Emirates and Myanmar. I

love the challenge of helping undergraduate students to link basic science knowledge to practical skills

and to inspire them to develop new applications for this knowledge. Through my training in medical law

and ethics I also have a strong focus on the non-technical skills of a career in medicine including

communication, professionalism and clinical governance.


My medical education roles have also given me considerable expertise in postgraduate medical

training. Nationally, I sit on the board of the ‘Surgical Advisory Committee for Trauma and Orthopaedic

Surgery of Great Britain and Ireland’, the national body that advises the General Medical Council

regarding specialist registration in trauma and orthopaedic surgery.

My research interests are in the sub-specialist area of orthopaedics that I practice: complex lower limb

trauma and infection requiring complex circular frame reconstruction, hip and knee joint replacement

and revision surgery, sports knee surgery and ligament reconstruction. I have over 400 citations in

Google Scholar from 40 publications.

Education

1984-1988 O Levels: Limassol Grammar School, Cyprus

1988-1990 A and S Levels: Monkton Combe School, Bath

1991-1993 Second MB: Charing Cross & Westminster Medical School, London

1993-1994 Intercalated BSc: University of London

1994-1999 MB/PhD programme: Magdalene College, University of Cambridge

2003-2007 Master of Laws (LLM): Cardiff Law School, Cardiff University

2011-2015 Management Studies, Keele Management School, Keele University

Qualifications

1994 BSc (Hons), Pharmacology and Medical Science (First Class)

University of London

1999 MB BChir (Distinction in Surgery)

University of Cambridge

1999 PhD, Wellcome Trust Centre for Molecular Mechanisms in Disease


2002 MRCS

At the Royal Colleges of Surgeons in both Edinburgh & Glasgow


2006 FRCS (Trauma and Orthopaedics)

Elected to fellowship at the Royal College of Surgeons, Edinburgh

I have also been elected as a Fellow of the Royal College of Surgeons of England in

2016

2007 LLM, Master of Laws degree in Medical Law (Distinction Awarded)

Cardiff Law School, University of Cardiff

2015 PG Dip HSM, Postgraduate Diploma in Health Service Management

Keele School of Management, Keele University

Membership of Learned Bodies (past and present)

Fellow of the British Orthopaedic Association

Fellow of the Academy of the European Federation of National Associations of Orthopaedics

and Traumatology

International Affiliate member of the American Academy of Orthopaedic Surgeons

Member of AO Trauma International

Member of British Trauma Society and the Orthopaedic Trauma Society

Member of the International Society of Orthopaedic and Trauma Surgery

Founder Member of the Faculty of Medical Leadership and Management

Fellow of the Royal College of Surgeons of Edinburgh

Fellow of the Royal College of Surgeons of England

Member of World Orthopaedic Concern

Member of British Limb Reconstruction Society

Member of British Association of Surgery of the Knee

Member of the British Hip Society

Affiliate Member of the Chartered Management Institute

Member of the European Bone and Joint Infection Society

Member of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy

Fellow of the Royal Society of Medicine


Prizes and Grants

Prizes

Undergraduate Prizes

1993 Arthritis and Rheumatism Council BSc Scholarship Award (£4500)

1993 Psychology Prize, Charing Cross and Westminster Medical School

1994 Astra Prize in Pharmacology, Award for the best BSc score

1994 Wellcome Foundation Vacation Scholarship Award (£1000)

1999 Distinction in Surgery in the final MB exam

Postgraduate Prizes

1995-1998 Medical Research Council PhD Funding Award (£18000)

1995-1998 James Baird Clinical School PhD Funding Award (£15000)

2003 Annual Cambridge Orthopaedic Prize: best orthopaedic research paper

2003 Annual Michael Bastow Audit Prize for best Hospital-wide audit paper

2004 East Anglian Orthopaedic Club 2nd Prize for best research paper

2007 Annual Cambridge Orthopaedic 2nd Prize: orthopaedic research paper

2007 Distinction (highest mark) in Master of Laws degree in Medical Law

Travelling Fellowship Awards

2004 Cutner Travelling Fellow: Competitive award from the

Royal College of Surgeons of Edinburgh

2004 Treloar Gauvain Travelling Fellow

Award from the World Orthopaedic Concern

2004 British Orthopaedic Foot Surgery Society Travelling Fellow

2005 British Orthopaedic Foundation Travelling Fellow

Competitive Annual Award from the British Orthopaedic Association


2005 Ellison Cliffe Travelling Fellow

Competitive Annual Award from the Royal Society of Medicine

2005 Ethicon Foundation Travelling Fellow

Award from Royal College of Physicians and Surgeons of Glasgow

Research and Training Grants

2005 – pres. Research and Training in Developing World Orthopaedic Surgery

Tropical Health Education Trust (from UKAid) 2013-2016

Grant leader for major project grant in Yangon General Hospital, Myanmar

£250,000

This grant is to develop education in a major national teaching hospital for 3 years. I

coordinate volunteers from a number of different disciplines to go and develop ways of

enhancing undergraduate and postgraduate medical teaching in this fascinating country.

Past industry sponsors for research and education projects, where I have been

the sole recipient:

Biomet Merck Ltd. (£5000), Synthes Ltd. (£400), De Soutter Medical Ltd. (£1000),

Arthrex Ltd. (£500), Orthodynamics Ltd. (£500), Zimmer Ltd. (£5000), Joint

Replacement Instrumentation Ltd. (£2000), Stryker Ltd. (£5000)

Employment History

Current Employment

1/9/10 – present: Consultant Trauma & Orthopaedic Surgeon

Deputy Clinical Director, Musculoskeletal Directorate, 2013-present

Specialty Lead for Patient Safety and Clinical Governance, 2016-present

Speciality Lead for Trauma and Orthopaedic Surgery, 2013-2016

Acting Deputy Medical Director, 2015

Associate Lecturer, School of Clinical Medicine 2013-present


Cambridge University Hospitals NHS Foundation Trust

Addenbrooke’s Hospital, Hills Road, Cambridge, CB2 0QQ

I enjoy my part in leading and working in this major trauma centre as an orthopaedic surgeon. I have a

particular clinical interest in complex trauma, polytrauma, nonunion of fractures and bone infections. I

also have interests in undergraduate teaching, medical management and leadership. With regard to

the latter, I have introduced a number of innovative new ways of working within our department that

has seen our efficiency increase. I have also overseen a significant expansion of the department. My

foremost current management project is working with a team to develop a ‘Musculoskeletal Institute’, a

£50m research, education and clinical hospital on the Cambridge Biomedical Campus.

With regard to undergraduate teaching, I was appointed as an Associate Lecturer on 1st March 2013.

Both before and after that time I have been involved with small group tutorials on a weekly basis for

students learning orthopaedics, giving lecturers on orthopaedics and hosting student selected

components (SSC) and overseas medical elective students with my team for intensive training. I have

also acted as examiner, both script marking and in objective structure clinical examinations (OSCEs) at

various levels. I have also been involved in selecting candidates to study medicine at Cambridge. I am

also a Clinical School ‘Preparing for Patients’ tutor and ‘Professional Practice Group’ facilitator. I have

also worked with the undergraduate Surgical Society to teach some basic clinical skills in local schools

to prospective medical students (part of a Royal College of Surgeons initiative) and to speak at their

annual conference. I have also acted as ‘University Representative’ at regional consultant interviews.

Previous Consultant Experience

1/8/07 – 31/8/10: Consultant Orthopaedic Surgeon, with Cure International

CURE International, 701 Bosler Avenue, Lemoyne, PA 17043, USA

After completing my training, I worked as a consultant orthopaedic surgeon for ‘Cure International’, an

international charity that runs a number of hospitals around the world (www.cureinternational.org). I

had contractual duties at three hospitals over the 3 years I worked for them, with postings in two

different locations – firstly in Africa (Hospital 1) and secondly in Afghanistan (Hospital 2) and the Middle

East (Hospital 3). I was heavily involved with supporting UK medical undergraduates on their medical

elective programmes in the countries where I worked.


1st Aug 2009 – 31st August 2010: Second Overseas Posting

Hospital 3: Middle East: United Arab Emirates and Oman

My primary duty in this post, comprising of 8 months of the 2009/2010 academic year, was to set a

Department of Orthopaedics at the Oasis Hospital in Al Ain, in the United Arab Emirates. During the

year I successfully completed this task. The Oasis Hospital is a charity hospital, located on the border

of the UAE and Oman, catering to all levels of society in both countries. As the first orthopaedic

surgeon at the hospital, my role included planning and purchasing all the equipment and establishing

procedures and policies necessary to run an orthopaedic department. I set about this with much

enthusiasm and during the year we saw over 1500 patients in this new department and performed a

significant number of surgeries. During its inaugural year, I gave the department a good reputation for

high quality orthopaedic surgery. Many patients travelled to our hospital from all over the country and

internationally for specialist surgery. From a professional point of view, as lead orthopaedic surgeon, I

learned much about the management of a successful orthopaedic unit during this year.

To further develop my interest in undergraduate medical education I taught basic clinical skills to

undergraduate medical students in tutorial groups of about 20 students at the University of the United

Arab Emirates as well as giving formal lectures to cover the orthopaedic syllabus of the

musculoskeletal component of the undergraduate course (60 students per year) at the University. In

addition I taught as Faculty on a number of postgraduate AOTrauma Principles and Operating Room

Personnel courses in Dubai and Kuwait.

Hospital 2: Afghanistan

A major component of my role in 2009/2010 was spending over 3 months at the Cure International

Hospital in Kabul, Afghanistan. I travelled there for 2-3 weeks every 2 months, making a total of 6 trips.

I had responsibility to restart an orthopaedic service, as well as to teach residents on the residency-

training programme. I regularly gave lectures to two family practice residency programmes in Kabul. In

addition, I gave lectures to and performed surgery at the Wazir Akbar Khan Orthopaedic Hospital (the

government stand-alone orthopaedic hospital), which is a national major trauma centre.

In Kabul the majority of my practice was complex trauma surgery, including war injuries and neglected

trauma – particularly nonunion, malunion and cases of bone infection. I would normally consult with

around 200 patients per 2 week trip and operate on about 30 patients. There was a significant training

element to the role and wherever possible I would work with local doctors.


In addition to treating the trauma, one of my goals in Kabul was to introduce knee arthroscopy as well

as hip and knee arthroplasty. At the time, the Cure International hospital was the only hospital for

Afghanistan nationals that performed knee arthroscopy, so many patients were referred. I also

performed a number of hip and knee replacements together with local surgeons, to ensure the

programme will continue. Whilst knee arthroscopy and hip and knee replacements are seen as routine

surgery in developed countries, until recently, they were not available in Afghanistan.

1st Aug 2007 – 31st July 2009: First overseas posting

Hospital 1: Beit Cure Hospital, Lusaka, Zambia

Consultant Orthopaedic Surgeon & Director of Research and Education

In Zambia, I arrived only months after the hospital buildings were opened. As part of my role, I helped

set up the hospital in terms of its referral base from the poor of Zambia and also the income-generating

private arm of the hospital. I was responsible for sourcing and purchasing the necessary orthopaedic

equipment and setting up some of the systems that make the hospital, and in particular the orthopaedic

department, run well.

In Zambia I had a very wide-ranging clinical practice within orthopaedics, with a significant amount of

time doing trauma and reconstructive orthopaedic surgery. This included: limb reconstruction work for

large bone defects following trauma, chronic osteomyelitis, tumours or congenital defects. In particular,

I started a circular frame service for problems that were difficult to manage by other means. During my

two years in Zambia I performed a significant number of circular frame surgeries. This was recognised

with an invitation to participate as faculty on a regional circular framing course in Malawi in May 2008. I

also did a wide range of trauma surgery and a significant amount of paediatric orthopaedic surgery –

including surgery on clubfeet, hip and knee problems and congenital hand deformities.

In addition to trauma surgery, I was able to introduce hip and knee arthroplasty to the hospital in

Zambia and I spearheaded a project called ‘Hips for Africa’ that was able to offer 20 free hip

replacements per year to the poorest of the poor who needed to have this operation, mainly young

patients with severe sickle cell anaemia causing necrosis of both hips. We were also able to put

together a knee arthroscopy stack and kit and did many knee arthroscopies. In addition, through a

loan, we were able to purchase a knee replacement kit and we started up an affordable knee

replacement service.


In Zambia I also performed many hundreds of operations, mainly for trauma, in remote mission

hospitals under difficult circumstances. None of these hospitals had a permanent orthopaedic surgeon

and so the patients were assembled for a regular visit by light aircraft, landing on bush strips with an

anaesthetist pilot. Operating in these circumstances with limited equipment has helped to make me a

versatile surgeon, and also taught me to know the limitations of what can be achieved.

As Director of Research and Education, I was responsible for the teaching hospital element of the Beit

Cure Hospital. We sponsored one African junior doctor to start his postgraduate training in orthopaedic

surgery. I also regularly taught at the weekly lecture meetings at the University Teaching Hospital in

Lusaka, where I was an Honorary Lecturer in Orthopaedics at the University of Zambia. I also set up

and ran a hospital teaching programme for the nurses and other members of the clinical staff at the

Beit Cure Hospital. I also set up and ran a medical elective program for student doctors from the UK

and Ireland. I regularly received students, several of who completed published research projects. Over

the 2 years I was in Zambia I hosted personally hosted over twenty international medical students for

their medical electives in Zambia.

Training Employment Experience Eastern Deanery Specialist Registrar Training Programme

Year 6 Specialist Registrar: Trauma and Orthopaedic Surgery

Aug. 2006 – Jul. 2007: Sub-specialty training in complex trauma surgery

and lower limb elective surgery

3 months of each sub-specialty area

Mr J Nolan: trauma surgery, complex hip arthroplasty & revision surgery

Mr P Hopgood: trauma surgery, sports knee arthroscopy & arthroplasty

Mr N Walton: trauma surgery, complex knee trauma

Mr J Albert: trauma surgery, complex foot and ankle trauma

At this time the Norfolk and Norwich University Hospital had one of the highest volumes of major

trauma in the East of England. This was the reason that I applied to spend my final, post FRCS (Orth),

year there. I was able to undertake a series of attachments designed to give a high volume ‘fellowship’

style training in complex adult lower limb surgery: particularly trauma surgery but also elective hip and

knee surgery. During this subspecialty training year I was taught to perform complex trauma surgery


around the knee and foot, in particular the management of periarticular trauma using minimally invasive

techniques, the treatment of os calcis and lis franc fractures and the treatment of complex

periprosthetic fractures. I completed a research project in the subspecialty field during my time there:

A. R. Norrish, Z. A. Jibri, P. Hopgood.. The LISS plate treatment of supracondylar fractures above a

total knee replacement: a case-controlled study. Acta Orthop. Belg., 2009, 75, 642-648.

Year 5 Fellowship: Trauma and Orthopaedic Surgery

Aug. 2005 – Jul. 2006 Overseas Travelling Fellowship in Malawi

Complex Adult Trauma and Orthopaedic Reconstructive Surgery in the Tropics

Trained under Prof Chris Lavy OBE and Mr J Harrison FRCS

This accredited fellowship was based at the Queens Medical Centre, the Malawi national major trauma

centre and also the Beit Trust Cure International Hospital over the road. The latter has gained

international fame for its volume and complexity of reconstructive cases. During the year, I performed

over 400 surgeries and completed a number of research projects. I was responsible for two weekly

trauma lists at the major trauma centre. During this fellowship year I became proficient in the

management of many aspects of complex trauma, particularly with fractures around the knee (18 tibial

plateau fractures performed) and foot. I also became proficient in the use of circular frames,

particularly for reconstructing bone defects after infection and trauma. One of my key projects was in

this area:

A. R. Norrish, C. P. Lewis, and W. J. Harrison, Pin-track infection in HIV-positive and HIV-negative

patients with open fractures treated by external fixation: a prospective, blinded, case-controlled study.

Journal of Bone and Joint Surgery (Br), Jun 2007; 89-B: 790 - 793.

The Beit Trust Cure International Hospital was also the only regional hospital able to do hip and knee

replacements as well as knee arthroscopy. In addition, I helped to set up the Malawi National Joint

Register for Hip and Knee arthroplasties, which boasts being the only National Joint Registry with

100% capture of all joints ever done in the country.

N. Lubega, N. C. Mkandawire, G. C. Sibande, A. R. Norrish, W. J. Harrison. Joint replacement in

Malawi: establishment of a national joint registry. Journal of Bone and Joint Surgery (Br). 2009, Vol

91-B, Issue 3, 341-343.



The Ipswich Hospital, Ipswich, Suffolk

Aug. – Feb. 2005 Trained by Mr D Sharp & Mr J Powell

Trauma and spine surgery

Feb. – Aug. 2005 Trained by Mr M Shanahan & Mr C Roberts

Trauma, upper limb and hand surgery


West Suffolk Hospital, Bury St Edmunds

Aug. – Feb. 2004 Trained by Miss S Deakin & Mr A Bedford

Trauma, paediatric, foot and ankle and general orthopaedics

Feb. – Aug. 2004 Trained by Mr A August & Mr M Porteous

Trauma and hip surgery


Queen Elizabeth Hospital, King's Lynn

Aug. – Feb. 2003 Trained by Mr N Coleman & Mr A Murray

Trauma, general orthopaedics and paediatric surgery

Feb. – Aug. 2003 Trained by Mr N Packer & Mr A Chakrabarti

Trauma, general orthopaedics and upper limb surgery


One year of credit was given by PMETB for my three year PhD research project into the prevention of

infection using molecular biology and genetic engineering to modulate the immune response to make it

more effective.


2000 – 2002: Basic Surgical Training

Cambridge Rotation: Based at Addenbrooke’s Hospital, this two year training rotation prepared junior

surgeons for their MRCS exam, which I obtained in two colleges at the first attempt.

Trauma & Orthopaedic Surgery: Senior House Officer, Addenbrooke’s Hospital

Feb. – Apr. 2002 Trained by Mr D Dandy, Mr D Edwards & Mr D Conlan

General Surgery: Senior House Officer, Addenbrooke’s Hospital, Cambridge

Aug. – Feb. 2002 Trained by Prof A Purushotham & Mr G C Wishart

Cardiothoracic Surgery: Senior House Officer, Papworth Hospital, Cambridge

Feb. – Aug. 2001 Trained by Mr F C Wells & Mr J Wallwork

Neurosurgery: Senior House Officer, Addenbrooke’s Hospital, Cambridge

Aug. – Feb. 2001 Trained by Mr P J Kirkpatrick & Mr A Waters

1999 – 2000 Preregistration Year: Cambridge University Teaching Hospitals Trust

House Physician, Hinchingbrooke Hospital, Huntingdon

Feb. – Aug. 2000 General Medicine: Dr S Matsiko

House Surgeon, Addenbrooke’s Hospital, Cambridge

Aug. – Oct. 1999 Vascular Surgery: Mr K Varty & Mr C Quick

Oct. – Dec. 1999 General Surgery: Prof J A Bradley & Mr P Gibbs

Dec. – Feb. 2000 Urology: Mr K N Bullock

Teaching Experience

I really enjoy teaching and it has been one of the highlights of my professional life. I have actively

sought out opportunities to develop my teaching skills and experience and this is apparent in the wide

range of teaching roles I have held.

TEACHER TRAINING

Teaching the Teachers to Teach

Feb. 2001 Madingley Hall, Cambridge

This well-established course included training on the giving of presentations, small group critique and

education theory.


Advanced Trauma Life Support (ATLS) Instructor Training

Sep. 2006 Royal College of Surgeons, London

This course includes training on teaching in small groups and educational theory. Passing it is a

prerequisite to attaining ‘ATLS Instructor’ status.

AOTrauma taskforce member

2012 – pres. Davos, Switzerland

I have been a faculty member of AOTrauma for a number of years (see below). In 2012 I was invited to

become an international taskforce member to design and implement a new curriculum for operating

room personnel training, encompassing both theory and skills. I have been working with a small team

to achieve this. We have had a lot of input from educationalists from the Zurich University. I have

learned much about teaching through this project. I annually attend as faculty on a course in Davos

Switzerland, teaching others how to be teachers.

TEACHING APPOINTMENTS: UNDERGRADUATE


Clinical Supervisor & MB/PhD Clinical Coordinator

2000 – 2004 School of Clinical Medicine, University of Cambridge

The Dean of the clinical school employs a number of clinical supervisors who have responsibility to

teach clinical students for one session (one and a half hours) per week. I taught 6 MB/PhD students on

this basis for all five years of their course.

Orthopaedic Clinical Tutor

2013 – pres Division of Trauma and Orthopaedics, University of Cambridge

Under the leadership of Prof McCaskie, Professor of Orthopaedics, I take a small group of 6 students

for teaching of orthopaedics on a weekly basis for 1 hour during their ‘Neurology, Rheumatology and

Orthopaedic’ attachment. I teach clinical examination, set and mark case studies.

‘Student Selected Component’ Tutor

2012-pres School of Clinical Medicine, University of Cambridge

This role involves working a single medical student towards the end of their training to design and

execute a research project. I have approximately students per year on this program.


‘Preparing for Patients’ Tutor


This involves introducing pre-clinical students to the ward in groups of ~15. They are introduced to

patients. They take a history and then report back to the group that I facilitate. This teaching takes

place regularly throughout the year.

‘Professional Practice Group’ Facilitator


In this role, I assess written work submitted by a small group of students about their experiences of

professional practice. We then meet to reflect on how these experiences can influence the way we

practice medicine for the better. The group meets regularly throughout the year.

Lecturer in Orthopaedics

2007-2009 University of Zambia, Lusaka, Zambia

During these 2 years in Lusaka, I was formally appointed by the University as a Lecturer. I regularly

taught undergraduates in musculoskeletal medicine.

TEACHING APPOINTMENTS: UNDERGRADUATE

AOTrauma International Faculty

AOTrauma, establishing in 1958, is the world’s largest independent international community of

surgeons, musculoskeletal researchers and operating room personnel. They are dedicated to

improving patient care and outcomes in musculoskeletal trauma through education. It enjoys an

outstanding reputation. I have been faculty on the following courses:

Sep 2005 AOTrauma Principles of Fracture Management for ORP, Malawi

Mar 2008 AO SEC Course on Nonoperative Fracture Treatment, Zambia

Mar 2009 AO SEC Course on Nonoperative Fracture Treatment, Zambia

Mar 2010 AOTrauma Principles of Operative Management, Kuwait

Mar 2010 AOTrauma Principles of Fracture Management for ORP, Kuwait

Oct 2010 AOTrauma Principles of Operative management, Dubai, UAE

Oct 2010 AOTrauma Principles of Fracture Management for ORP, Dubai, UAE

Jul 2013 AOTrauma Webinar: Patient Safety in the Operating Room, Switzerland


Nov 2013 AOTrauma Principles of Fracture Management for ORP, Basingstoke

Dec 2014 AOTrauma Faculty Education Training Program, Switzerland

Dec 2016 AOTrauma Faculty Education Training Program, Switzerland

EXAMINATION ROLES

Examiner for the College of Surgeons of East, Central and Southern Africa

Dec 2013 – pres

In this role I write MCQ questions for the exams and I examine candidates once a year for both the

membership exams and the fellowship exams in trauma and orthopaedic surgery.

Examiner for School of Clinical Medicine, University of Cambridge

Feb 2015 – pres

In this role I have been involved in script marking and in Objective Structured Clinical Examinations at

different stages of the clinical students progression.

Clinical Experience

Over the past 14 years of specialising in Trauma and Orthopaedic Surgery I have been involved in

many thousands of operations. Since obtaining my CCT in Trauma and Orthopaedic surgery I have

performed or trained others to perform more than 4000 operations as a consultant surgeon.

Complex trauma surgery experience

During the last eight years since qualifying as a Consultant, trauma surgery has been my main interest.

From Africa to Kabul I have treated a full range of patients with complex acute and chronic trauma,

often working in major/national trauma centres. I have a particular interest in the reconstruction of

nonunion, bone defects and bone infections with the use of circular frames.

Elective surgery experience

Knee: I have wide experience in elective knee surgery including unicompartmental and total knee

replacement, knee arthroscopy and anterior cruciate ligament reconstruction (including meniscal repair,

meniscectomy, chondroplasty and microfracture), extra-articular cruciate repair and posterolateral

corner repair and patella realignment surgery.


Hip: I have also developed considerable experience in elective hip surgery including hip replacement

and resurfacing, hip revision surgery and periprosthetic fracture surgery, hip decompression for

avascular necrosis, hip osteotomy and hip fusion.

Commitment to Continuing Medical Education

I have ensured that my practice has remained up to date by attending journal clubs, lectures, courses,

meetings and congresses. In all continuing professional development activities I have adopted a

reflective attitude to my own practice and often change procedures and protocols to ensure best

practice.

Clinical effectiveness

My clinical effectiveness is demonstrated through my professional development portfolio and through

annual personal development meetings in my Appraisal Meeting. I have been granted a General

Medial Council licence to practice until 2019.

Evidence-based medicine

I attend a monthly departmental journal club meeting, a number of annual congresses and regularly

read the journals in my field. Using an evidence-base, I have lead on the development of a number

clinical guidelines within my hospital and the region.

Service Development

I have initiated and led a number of services and initiatives, for example:

Virtual Fracture Clinic: all new fracture clinic patients (>1000 per year) receive care in a different way.

It is the single biggest departmental transformation project in recent years.

Taylor Spatial Frame Limb Reconstruction: this cutting-edge, software-guided limb reconstruction

service was built from scratch when I was appointed. It is a regional service and commissioned directly

by NHS England.

Megaprosthesis For Trauma: whole or large parts of bones are replaced for complex traumatic

conditions, to avoid amputation. Over the last 3 years I developed this novel regional service. Joined

by two other surgeons, we have successfully performed more than 20 such surgeries and monitor

outcomes.


Bone And Joint Infection Multi-Disciplinary Team: For 4 years I have helped lead the development

of a twice-monthly MDT with consultant plastic and orthopaedic surgeons and infectious disease

doctors. Many patients have benefited from this regional service.

Quality and Outcomes

I pride myself on the excellent quality of the clinical service I deliver, both personally and as part of a

department. Our outcomes and patient satisfaction rank amongst the best in both the country and the

world. For this reason, I continue to have a wide regional referral base for many complex and sub-

specialised conditions within the field of complex limb reconstruction.

Outcome data (national average: NA):

• Open fractures

Time to theatre 9.2 hours (NA 10.1 hrs)1

Consultant delivered treatment 76.1% (NA 68.1%)1

• Personal 90 day mortality after joint replacement (JR)2:

hip and knee: 0% (NA 0.5 & 0.3%)

• Personal 5 year revision rate (reoperation to change components) for JR:

hip: 1.3% (NA 2.7%), knee: 1.0% (NA 2.6%)

• Personal patient reported outcome measures compared to NA

(the higher the score the happier the patient)3:

‘Oxford Hip Score’: 25 point increase at 9 months (NA 21.3)

‘Oxford Knee Score’: 24 point increase at 6 months (NA 16.2)

Patient satisfaction

• ‘Family and Friends Test’ for our department: 84%4

• ‘You made a difference’ nomination

• Public commendation at a Trust Board meeting by Chief Executive

• Many letters & cards of thanks & three newspaper articles

Data sources

1. Trauma Audit & Research Network

2. National Joint Registry

3. MyClinicalOutcomes

4. NHS Choices


Management

I enjoy leadership and management and have received a significant amount of formal training in

accounting, legal and business management. I have achieved Postgraduate Diplomas & Masters

Degrees over recent years, in my own time and at my own expense, equipping me in a variety of

leadership domains:

LOCAL: as Specialty Lead for a 22 consultant-strong department over 3 years, I brought a high level of

clinical leadership, resulting in an enthusiastic, innovating and productive department that has received

many commendations.

I now act as a Deputy Clinical Director for the 40 consultant strong Musculoskeletal Clinical Business

Unit.

NATIONAL: leading on initiatives e.g. over the last 10 years, sitting on a number of national

committees such as: British Orthopaedic Association Education Committee, British Orthopaedic

Trainees Association Committee and the Steering Group for the Orthopaedic Competency Assessment

Program. I am now a member of the Specialist Advisory Committee for Trauma and Orthopaedic

Surgery of the Joint Committee of Surgical Training for the Combined Royal Colleges of Great Britain

and Ireland. I have special responsibility for the quality of higher surgical training in the North East

Deanery of England as Liaison Member.

INTERNATIONAL: I have been a full-time hospital director in Africa for 2 years and have led the

development of hospital departments in the Middle East and Afghanistan. I currently co-lead a £250K

project grant to improve the quality of trauma care through education in Myanmar and bringing many

benefits to the NHS.

I have the following affiliations:

• Chartered Management Institute

• British Orthopaedic Directors Society


I use my management skills in charitable work, sitting on the Board of Directors for following charities:

• Aid to Hospitals Worldwide (2010-2013)

• MercyFlyers (2010-2013)

• HoverAid UK Board (2013-2016)

• HoverAid International Board (2013 – 2016)

Professional offices held (last 10 years):

• National

British Orthopaedic Association Education Committee

Steering Group Member, National Orthopaedic Competency Assessment Program

British Orthopaedic Trainees Association: Education Rep.

British Orthopaedic Foot Surgery Society Education Committee

Selection Committee: Regional Core Training & National Specialist Training

Surgical Advisory Committee GB & Ireland

• International

AOTrauma International Taskforce Member

Tropical Health Education Trust, £250K grantholder

External Examiner: College of Surgeons of East, Central & Southern Africa

Legal Training

2003 – 2007 Master of Laws (LLM) degree, Legal Aspects of Medical Practice

This was a distance learning degree run by Cardiff Law School. The course is made up of students

from both law and medical backgrounds. Initially I passed my Basic English law exams and was then

able to pass on to specialised medical law. I completed all eight modules and then a 20,000 word

dissertation on the medical expert witness, an area that particularly interested me. I was awarded a

distinction for my aggregate mark and a grade A in the dissertation.

I regularly act for the courts as an expert witness in my field, having been instructed to give evidence in

both personal injury and clinical negligence cases.


Research

I am an active participant in well-organised clinical research through the CLRN, as seen below.

Additionally, I have a flair for developing innovative techniques to solve complex clinical problems. I

regularly present nationally and internationally on novel techniques for the treatment of bone & joint

infection and complex trauma, my sub-specialist interest.

My second area of research interest is in the treatment of orthopaedic conditions affecting developing

world countries. I have 9 publications from work that I have carried out on trips to Malawi, Zambia,

Afghanistan and Myanmar over the last 10 years.

CURRENT RESEARCH

2010-pres: Working with the Comprehensive Local Research Network (CLRN) as a:

Registered Investigator:

FaB ‘Fracture and Bisphosphonate’ national portfolio trial: I am one of two local surgeons involved in

the clinical evaluation of recruited patients

Active patient recruiter for following national clinical portfolio clinical trials:

HEALTH: Randomised trial comparing hip replacement to hemiarthroplasty for patients with hip

fractures

FAITH: Randomised trial comparing the treatment of hip fractures with screws vs screws and a plate

FixDT: Randomised trial comparing plate fixation to intramedullary nail fixation of distal tibial fractures

AIM: Ankle fracture trial, comparing operative vs non operative management in patients older than 60

WOOLF: Comparing different types of dressings for open fractures


PAST RESEARCH ACTIVITIES

1993 – 1994: Steroid regulation of inflammation and Lipocortin

This intercalated BSc project was supervised by Prof Buckingham of the Hammersmith Hospital. Using

protein assay techniques I discovered a dexamethasone-dependent cellular externalisation of a

protein called Lipocortin 1. Lipocortin is a powerful inhibitor of the phospholipase A2 enzyme involved

in inflammation and a potential novel drug target.

1994: The importance of Lipocortin in Rheumatoid Arthritis

This Wellcome Trust Vacation Scholarship was supervised by Prof JC Buckingham & Dr A Taylor of the

Hammersmith Hospital. Using various protein assays, tissue-specific differences in the distribution of

Lipocortin 1 in rheumatoid arthritis-susceptible and resistant rat strains were shown for the first time.

1994: Maternal and infant nutrition in rural western regions of Kazakhstan

Working with the charity World Vision, I was the leader of a team of medical students from all over the

UK who conducted a public health survey into the maternal and infant health, education and health

care services in rural communities. This involved much liaison work with local government officials and

development organisations.

1995 – 1998: World Health Organisation, International Leishmania Genome Project

As part of the project, I was sequencing genetic clones from an amastigote Leishmania cDNA library

(ESTs). I was responsible for developing new techniques to increase the throughput of EST

generation. I was also responsible for liaising with other members of the international network. This

collaborative group published two peer-reviewed papers on the Leishmania genome.

1995 – 1999: Modulating the immune response to infection by genetic engineering

This was my 3-year full time PhD project supervised by Prof J M Blackwell at the Cambridge Institute of

Medical Research. During this research, I gained proficiency in a wide range of molecular biological,

immunological and genetic engineering techniques. I discovered new genes by sequencing. These

were then constructed into expressible genetic constructs and injected into animals that were

subsequently given a clinical infection. The ability of different genes to modulate the immune response

of animals was thus tested. The techniques I developed represented an advance in the field of

functional genomics, an emerging field that, simply put, is designing experimental methods to utilise the

output of the genome sequencing projects. This type of basic research is applicable to a wide range of

clinical areas.


1999 – present: Clinical Research Projects

I have been involved in a number of clinical research projects throughout my surgical training and

beyond. It can be seen from the list of publications that many of these small projects, without large

outside sources of funding, have had interesting findings and have been presented locally, nationally

and internationally. Many have been published in peer-reviewed journals. It was such projects that

were awarded Annual Cambridge Orthopaedic Prizes (2003 and 2007).

2005 – present: Developing World Orthopaedic Research

I have had an interest in developing world research stemming back to my PhD work on tropical

parasites. More recently however I have been pursuing various research projects related to tropical

surgery.

Publications

Publications: on ‘Google Scholar’ I have 41 publications with 417 citations

https://scholar.google.co.uk/citations?user=buEqhmsAAAAJ&hl=en

Theses

1. Norrish, A. R. (1994). The Lipocortin 1-mediated early inhibitory action of glucocorticoids - studies

on Sprague Dawley and Lewis Rats. 39 pages, 105 references. BSc dissertation. Department of

Pharmacology, University of London.

2. Norrish, A. R. (1999). Functional genomics: from expressed sequence tags to DNA vaccines for

Leishmania. 240 pages, 472 references. PhD thesis. Cambridge Institute for Medical Research,

University of Cambridge, Notification in Cambridge University Reporter, 16 June 1999, pg

2.

3. Norrish, A. R. (2006). Changing times for the medical expert witness: the case for and against

immunity. LLM thesis 20,000 words, submitted December 2006. The Law School, Cardiff

University.

Book Chapters

1. Tew, D. & Norrish, A.R. A Surgeon’s Guide to Anaesthesia and Perioperative Care, Editors:

Sturgess, J. Davies, J & Valchanov, K. Chapter 19. Orthopaedic cases. Cambridge University

Press, July 2014, pp. 223-235. ISBN:9781107698079


Invited Contributions

1. D.J.W. Cash, A.R. Norrish, V. Khanduja. Establishing a link between Addenbrooke’s Hospital,

Cambridge and Yangon General Hospital, Myanmar. Bone & Joint Journal News; (2014) Issue 3,

6-8

2. H. Budd, B. Ollivere, A.R. Norrish. Capacity Building in developing world orthopaedics: can senior

trainees help? Bone & Joint 360, (2014) Vol. 3 Issue 4, 7-10

3. Norrish, A. R., Worthy Work : How to set up an advanced training fellowship abroad. Surgeons

News, Royal College of Surgeons of Edinburgh, Jan 2007 6:1, 46.

4. Norrish, A. R. ‘In the footsteps of Dr Livingstone’: a report of an advanced training fellowship in

Central Africa. Annals of the Royal College of Surgeons of England, 2006 (Suppl) 88: 306-307.

5. Norrish, A. R. The Orthopaedic Competency Assessment Project. British Orthopaedic News. 2005

British Orthopaedic Association.

Peer Reviewed Original Articles

6. H. Taki, M. Krkovic, E. Moore, A. Abood, A.R. Norrish. Chronic long bone osteomyelitis: diagnosis,

management and current trends. Br J Hosp Med (Lond). 2016 Oct;77(Sup10):C161-C164.

7. A. Punnoose, A.R. Norrish, A., I. Wellwood, & K. Pak (2015). The effectiveness of shockwave

therapy on achilles and patellar tendinopathy: a systematic review and meta-analysis.

Physiotherapy, 101, e1240.

8. T. Southorn, A.R. Norrish, K. Gardener, R. Baxandall Reducing the carbon footprint of the

operating theatre: a multicentre quality improvement report. J Perioper Pract. 2013 Jun;23(6):144-6

9. De Rosa A, Norrish A. (2012) The need for early treatment of clubfeet in peripheral hospitals in

sub-Saharan Africa: a survey of clubfoot management in Zambia. Trop Doct. 2012 Apr;42(2):125-

6. Epub 2012 Feb 15.

10. Norrish, A. R., Jibri, Z. A., Hopgood, P. (2009) The LISS plate treatment of supracondylar fractures

above a total knee replacement: a case-control study. Acta Orthop. Belg., 2009, 75, 642-648.

11. Lubega, N., Mkandawire, N. C., Sibande, G. C., Norrish, A. R., Harrison, W. J.. Joint replacement

in Malawi: establishment of a national joint registry. Journal of Bone and Joint Surgery (Br). 2009,

Vol. 91-B: 341-343.

12. Richardson, J., Hill, A. M., Johnston, C. J. C., McGregor, A., Norrish, A. R., Eastwood, D., and

Lavy, C. B. D.. Fracture healing in HIV-positive populations. Journal of Bone and Joint Surgery

(Br), 2008; Vol. 90-B: 988 - 994.

13. King, T., Le Quesne, H., Norrish, A. R.. Bilateral Panner’s disease and sickle cell anaemia: an

unusual case. Annals of African Surgery. 2008. Vol. 2, Jun. 47-49.


14. Norrish, A. R., Lewis, C. P., and Harrison, W. J.. Pin-track infection in HIV-positive and HIV-

negative patients with open fractures treated by external fixation: a prospective, blinded, case-

controlled study. Journal of Bone and Joint Surgery (Br), Jun 2007; 89-B: 790 - 793.

15. Norrish, A. R., Rao, J & Parker, M.. Prosthesis survivorship and clinical outcome of the Austin

Moore hemiarthroplasty: an 8 year mean follow-up of a consecutive series of 500 patients. Injury,

2006 Aug; 37(8): 734-9.

16. Norrish, A. R., Hanif, M., Sheikh, R. & Gadir, M.. The outcome of lumbar microdiscectomy

performed as a daycase procedure: a comparison of 67 consecutive patients undergoing surgery

on a daycase or inpatient basis. The Journal of One-Day Surgery. 2005 Vol. 15, No. 1, pg 74-76.

17. Clifton, R., Norrish, A. R., Howell F. R.. Reducing blood loss after total hip arthroplasty: A

prospective randomised controlled trial to evaluate the efficacy of temporarily clamping drains. Hip

International; 2005 15:108-111.

18. Johnston, P., Norrish, A. R., Brammer, T., Walton, N., Hegarty, T. A. & Coleman, N. P.. Reducing

methicillin-resistant Staphlococcal aureus (MRSA) patient exposure by infection control measures.

Annals of the Royal College of Surgeons of England. 2005 Mar; 87(2): 123-5.

19. Almeida, R., Gilmartin, B. J., McCann, S. H., Norrish, A. R., Ivens, A. C., Lawson, D., Levick, M. P.,

Smith, D. F., Dyall, S. D., Vetrie, D., Freeman, T. C., Coulson, R. M. R., Sampaio, I., Schneider, H.

& Blackwell, J. M.. Expression profiling of the Leishmania life cycle: cDNA arrays identify

developmentally regulated genes present but not annotated in the genome, Mol Biochem Parasitol,

2004 136: 87-100.

20. Almeida, R., Norrish, A. R., Levick, M., Vetrie, D., Freeman, T., Vilo, J., Ivens, A., Lange, U.,

Stober, C., McCann, S., Blackwell, J. M.. From genomes to vaccines: Leishmania as a model.

Philos Trans R Soc Lond B Biol Sci. 2002 Jan 29; 357 (1417): 5-11.

21. Evans, C., Harbuz, M., Ostenfeld, T., Norrish, A. R. & Blackwell, J. M.. Nramp1 is expressed in

neurones and is associated with behavioural and immune responses to stress. Neurogenetics

2001, 3 (2), 69-78.

22. Bastien, et al & Norrish, A. R. (The Leishmania Genome Network) The complete karyotype for

Leishmania major Friedlin. Parasitology Today 1998, 14, 301-303.

23. Clayton, C., et al & Norrish, A. R.. (The Leishmania Genome Network) Genetic Nomenclature for

Trypanosoma and Leishmania. Mol. Biochem. Parasitol 1998. 97, 221-224.

Peer-Reviewed Published Abstracts

24. S. Daivajna, M. Kaminaris, D. Giotikas, and A.R. Norrish (2013) Low-intensity pulsed ultrasound

(lipus) – an alternative treatment for non-union of long bone fractures? Bone Joint J 2013 vol. 95-B

no. supp 23 28


25. Kaminaris, M., Daivajna, S., Giotikas, D. & Norrish, A. The emerging role of RIA for the treatment

of chronic osteomyelitis: a useful adjunct to treatment. Bone Joint J 2013 95-B:(supp 23) 10.

26. H. Parwaiz R. Baidyaray A. Norrish (2012) Day surgery in orthopaedic trauma: The cost savings

and length of stay potential. Injury Extra; 43:10, 113

27. Giotikas, D., Daivajna, S., Kaminaris, M. & Norrish A. Management of recalcitrant osteomyelitis of

the native hip and pelvis with a two-stage debridement and a rectus femoris pedicled interposition

graft: a case report of four operations. Bone Joint J 2013 95-B:(supp 23) 15.

28. Norrish, A. R., Hanif, M. & Gadir, M.. A comparison of outcome between daycase or inpatient

single level lumbar microdiscectomy. Journal of Bone and Joint Surgery (Br) Suppl., Mar 2008; 90-

B: 14.

29. Johnston, P., Norrish, A. R., Brammer, T., Walton, N., Coleman N. P. & Hegarty, T. A.. Reducing

Methicillin-Resistant Staphylococcus Aureus (MRSA) patient exposure by infection control

measures. Journal of Bone and Joint Surgery (Br) Suppl., Mar 2008; 90-B: 16.

30. Norrish, A. R., Bates, J. H. J., Harrison, W. J.. Overgrowth causing limb length discrepancy in

chronic long bone osteomyelitis: a consecutive series of 42 patients. Journal of Bone and Joint

Surgery - British 2007, Vol 90-B, Issue SUPP_III, 521-522.

31. Carey Smith, R. L., Basu, R., Norrish, A. R., Porteous, M. J. L.. Occupational morbidity in

orthopaedic surgeons: a prospective controlled survey of 860 doctors. Journal of Bone & Joint

Surgery (Br) 2005 Mar; 87-B: 50.

32. Norrish, A. R., Rao. J. & Parker, M.. Austin Moore hemiarthroplasty for hip fractures: an eight-year

mean follow-up of a consecutive series of 500 patients. Journal of Bone and Joint Surgery (Br)

2005, Vol. 90-B: 9.

33. Norrish, A. R., Rao, J & Villar, R. N.. Heterotopic ossification: a prospective comparison between

hip resurfacing and total hip replacement. Journal of Bone & Joint Surgery (Br) 2004 Apr; 86-B: 81-

82.

34. Avakian, H., Murray, A. & Norrish, A. R.. Patients’ expectations and experience of informed

consent: a pre- and post-consent interview study. British Journal of Surgery 2003. Vol. 90, S1, pg

130-131.

35. Evans, C., Harbuz, M., Ostenfeld, T., Norrish, A. R. & Blackwell, J. M.. Behaviour and neuro-

immune stress responses are influenced by the Nramp1 gene. Brain, Behaviour and Immunity

2001, 15: 147.

36. Evans, C., Harbuz, M., Ostenfeld, T., Norrish, A. R., Blackwell, J. M.. Nramp1 is expressed in

neurones and influences behavioural and neuroimmune stress responses. Journal of Infection

2000, 40 (2) A28.

37. Evans, C., Norrish, A. R., Soo, S. and Blackwell, J. M.. The immunopathogenesis of Leishmania

donovani in Nramp1 congenic mice. Parasitology International 1998, 47 (1), 260.


38. Levick, M. P., Norrish, A. R. & Blackwell, J. M.. An expressed sequence tag approach to identify

novel vaccine targets for leishmaniasis. Acta Parasitologica Turcica 1997, 21:1, 27.

39. Norrish, A. R., Philip, J. G., Bolton, C., Taylor, A. D., Flower, R. J. & Buckingham, J. C.. Tissue-

specific differences in the distribution of Lipocortin 1 (LC1) in the disease susceptible (LEW/N)

and the disease resistant (F344/N) rat strains. Journal of Endocrinology 1994, 143, 91

Invited Lectures & Presentations to Learned Societies

40. Norrish, A. Late Reconstruction after Complex Trauma Using Ilizarov Frames. Cambridge Trauma

Conference. Cambridge, 2015

41. Giotikas, D & Norrish, A.R Two stage knee fusion and preservation of limb length with osteobridge

nail for the management of persistent periprosthetic infection. A case report. 5th Annual Oxford

Bone Infection Conference, Oxford, Mar 2015

42. Giotikas, D, Norrish, A.R., Krkovic, M. The use of the reamer-irrigator-aspirator and antibiotic

absorbable pellets with the Masquelet technique for the management of bone loss in complex open

lower limb fractures. Our early experience. 5th Annual Oxford Bone Infection Conference, Oxford,

Mar 2015

43. Norrish, A.R. Use of endoprostheses for distal femoral fracture management. Current challenges in

Knee Arthroplasty. Mar 2014

44. Sarker, S., Kharwadkar, N., Vindlacheruvu, M. & Norrish, A. The Relationship Of Time To Surgery

With Length Of Stay In Elderly Patients With Neck Of Femur Fractures. European Federation of

National Associations of Orthopaedics and Traumatology, London, 2014

45. Yip, G., Lewis, S., Norrish, A.R., Carrothers, A.D. & Hull, PD Capacity Planning For The

Implementation Of Major Trauma Centres: Impact On Orthopaedic Operating Time And Bed-Day

Usage. European Federation of National Associations of Orthopaedics and Traumatology, London,

2014

46. Ansari, A., Giotikas, D. & Norrish, A.R. Epidemiological Changes Of Trauma Related Admissions

To A Major Trauma Centre Over A Ten Year Period, European Federation of National Associations

of Orthopaedics and Traumatology, London, 2014.

47. Kaminaris, M., Daivajna, S., Giotikas, D. & Norrish, A. The emerging role of RIA for the treatment

of chronic osteomyelitis: a useful adjunct to treatment. British Orthopaedic Association Annual

Congress. Birmingham, Oct 2013.

48. Norrish, A. Damage Control Orthopaedics. CME on Trauma, Gajara Raja Medical College,

Gwalior, India Oct 2013

49. Norrish, A. Biomechanics of fracture fixation. 34th SICOT Orthopaedic World Congress, Hyderbad,

India, Oct 2013


50. Giotikas, D., Daivajna, S., Kaminaris, M. & Norrish, A. Management of recalcitrant osteomyelitis of

the native hip and pelvis with a two-stage debridement and a rectus pedicled interposition graft: a

report of four operations. British Orthopaedic Association Annual Congress. Birmingham, Oct

2013.

51. Crosby, J. & Norrish, A.R. The ‘orthopaedic’ pedicled rectus femoris interposition graft – a different

way to treat recalcitrant infection of the native hip and pelvis. Cambridge Orthopaedic Club, 2012

52. Nickerson, E., Mayhew, A., Coggle, S,. Corrah, T., Gouliouris, T., Aliyu, S., Carmichael, A.,

Norrish, A. & Torok, E. Management of bone and joint infections using outpatient parenteral

antibiotic therapy (OPAT) - the Cambridge experience. 2nd Annual Oxford Bone Infection

Conference, Oxford, Mar 2012

53. Nickerson, E, Norrish, A., Torok, E. An unfortunate series of events (osteomyelitis). 2nd Annual

Oxford Bone Infection Conference, Oxford, Mar 2012

54. Norrish, A.R., Instructional lecture at the British Orthopaedic Association Annual Congress, The

treatment of bone infection, Glasgow, Sept 2010.

55. Norrish, A. R., Lewis, C. P., Harrison, W. J. A lower energy mechanism for distal femoral growth

plate injuries in developing countries: a prospective study. Presented at the European Federation

of National Associations of Orthopaedics and Traumatology, Florence Italy, May 2007.

56. Norrish, A. R., Bates, J. H. J., Harrison W. J. Chronic long bone osteomyelitis and limb length

discrepancy: a prospective series of 42 patients. Presented at the European Federation of National

Associations of Orthopaedics and Traumatology, Florence Italy, May 2007.

57. Norrish, A. R., Lewis, C. P., Harrison, W. J. (2007) A prospective blinded case-controlled study

comparing external fixator pin track infection in HIV positive and negative patients with open

fractures. Poster presentation at the European Federation of National Associations of

Orthopaedics and Traumatology, Florence Italy, May 2007, published in conference proceedings.

58. Norrish, A. R., Bates J. H. J., Harrison W. J. (2007) Limb length discrepancy in chronic long bone

osteomyelitis: the effect of delayed presentation. Presented at the Cambridge/East Anglian

Orthopaedic Prize Day, Cambridge 2007.

59. Norrish, A. R., Matthews, E., Hopgood, P. (2007) The LISS plate for treatment of the supracondylar

periprosthetic fracture above a total knee replacement: a blinded, case-controlled outcome study.

Poster presentation at the European Federation of National Associations of Orthopaedics and

Traumatology, Florence Italy, May 2007, published in conference proceedings.

60. Norrish, A. R., Lewis C. P., Harrison W. J. A prospective, consecutive series of distal femoral

growth plate injuries: a phenomena of the developing world. Association of Surgeons of East Africa

2006, Tanzania, published in conference proceedings.

61. Norrish, A. R., Bates, J. H. J., Nyirenda, T., Harrison, W. J. Limb length discrepancy in chronic

osteomyelitis: a prospective series of 42 patients. Association of Surgeons of East Africa 2006,

Tanzania, published in conference proceedings.


62. Norrish, A. R., Lewis, C. P., Harrison, W. J. External fixation in HIV positive patients: a safe

alternative. Association of Surgeons of East Africa 2006, Tanzania, published in conference

proceedings.

63. Lubega, N., Norrish, A. R., Harrison, W. J. A joint replacement register for Africa: the Malawi

National Joint Registry Project. Association of Surgeons of East Africa 2006, Tanzania, published

in conference proceedings.

64. Norrish, A. R., Rao, J. & Parker, M. Austin Moore hemiarthroplasty: a viable alternative in selected

patients. Association of Surgeons of East Africa 2006, Tanzania, published in conference

proceedings.

65. Norrish, A. R., Clifton, R. & Howell, F. R. Reducing blood loss after total hip arthroplasty: a

prospective randomised controlled trial to evaluate the efficacy of temporarily clamping drains.

Association of Surgeons of East Africa 2006, Tanzania, published in conference proceedings.

66. Norrish, A. R., Kitkat, M., Norrish, M. & Deakin, S. The modulating effect of music on the

surgeon’s psychological state: a prospective randomised controlled trial. Association of Surgeons

of East Africa 2006, Tanzania, published in conference proceedings.

67. Norrish, A. R., Rao, J., Villar, R. (2005). A comparison between hip resurfacing and hip

replacement arthroplasty demonstrating the role of medullary osteogenic precursor cells in the

development of heterotopic ossification. Podium presentation at the British Orthopaedic

Association Annual Congress, 2005, published in conference proceedings.

68. Norrish, A. R., Carey Smith, R. L., Polli, M., Porteous, M. P. & Deakin, S. (2004).

A novel, versatile technique for two dimensional preoperative fracture planning with hospital digital

radiographs. Presented at the British Orthopaedic Association Annual Congress 2004,

Manchester, published in conference proceedings.

69. Norrish, A. R., Carey Smith, R. L., Bedford, A. F. (2004). Novel extraction technique for cement

spacer at second stage of revision for the infected knee arthroplasty. Presented at the British

Orthopaedic Association Annual Congress 2004, Manchester, published in conference

proceedings.

70. Norrish, A. R., Asif, M., Sheikh, R., Gadir, M. Microdiscectomy in the day surgery unit: a case-

controlled study of complications and outcome, Presented to East Anglia Orthopaedic Club,

Huntingdon 2004.

71. Norrish, A. R., Rao, J. & Villar, R. Understanding the biology of post-operative heterotopic

ossification through different forms of hip arthroplasty. Presented to East Anglia Orthopaedic Club,

King’s Lynn 2003.

72. Norrish, A. R., Avakian, H. & Murray, A. Patients’ expectations and experience of informed

consent: a pre- and post-consent interview study. Presented to the British Orthopaedic Association

Annual Conference, Birmingham 2003, published in conference proceedings.


73. Norrish, A. R., Rao, J. & Villar, R. Heterotopic ossification: a prospective comparison between hip

resurfacing and total hip replacement. Presented to the European Federation of Orthopaedics &

Trauma, Helsinki 2003, published in conference proceedings.

74. Norrish, A. R., Hanif, M. A., Sheikh, R., Gadir, M. The Outcome of Lumbar Microdiscectomy

Performed as a Day Case Procedure, 2003 British Association of Day Surgery Conference,

published in conference proceedings.

75. Norrish, A. R., Avakian, H. & Murray, A. Patients’ expectations and experience of informed

consent: a pre- and post-consent interview study: Presented to the Association of Surgeons of

Great Britain and Ireland Annual Congress, Manchester 2003, published in conference

proceedings.

76. Norrish, A. R., Rao, J. & Villar, R. Heterotopic ossification in hip arthroplasty: replacement versus

resurfacing: Presented to the British Orthopaedic Travelling Association Annual Meeting,

Cambridge 2003.

77. Norrish, A. R., Avakian, H. & Murray, A. Informed consent: a prospective analysis of quality and

quantity from the patients perspective: Presented at the Cambridge/East Anglian Orthopaedic

Prize Day, Cambridge 2003.

78. Norrish, A. R., Rao, J. & Villar, R. The development of heterotopic ossification after hip

arthroplasty: a prospective study of 80 patients: Presented to the Sesamoid Club Meeting, Norfolk

2003.

79. Norrish, A. R., & Gadir, M. Daycase microdiscectomy: a feasibility study: Presented to East Anglia

Orthopaedic Club, Hopton-on-Sea, Norfolk 2002.

80. Norrish, A. R. DNA vaccination with a novel Leishmanial gene: Presented at the London

Molecular Parasitology Club, London 1998.

81. Norrish, A. R. Novel vaccine pooling strategy for post-genome agenda: Presented at the World

Health Organisation Leishmania Genome Network Meeting, France 1998.

82. Norrish, A. R.. DNA vaccination with a novel Leishmanial gene: Presented at the British Society

for Parasitology, France 1998.

83. Norrish, A. R. Expressed sequence tag analysis of developmental stages for Leishmania major:

Presented at the British Society for Parasitology, France 1998.

84. Norrish, A. R. A more efficient way to gene discovery: expressed sequence tags, a high throughput

method: Presented at the World Health Organisation Leishmania Genome Network Meeting,

Istanbul, Turkey 1997.

85. Norrish, A. R. A genome based approach to vaccine development in Leishmania: Presented at the

MB/PhD Research Symposium, Cambridge 1997.


Interests

Family: We have three teenagers that I enjoy spending time with. We enjoy travelling and

experiencing other cultures.

Charity: I have sat on a number of charitable boards in the past, from the local parish church council

to International non-governmental organisations.

Sports: I played Rugby for School 1st XV, Charing Cross 1st XV & Magdalene College 1st XV. Past

sporting achievements include winning the London Hospitals Rugby Cup (1994) and representing Avon

County at shot-put. Currently I enjoy weight-training, walking, scuba diving and skiing on holiday.

References

Mr Phil Johnston

Consultant Trauma and Orthopaedic Surgeon

Dept of Orthopaedic and Trauma Surgery


Hills Road, Cambridge

CB2 0QQ

Tel.: 01223 274454

Fax.: 01223 216036

[email protected]

Dr Rakesh Tandon

Consultant Anaesthetist

Dept of Anaesthetics


Hills Road, Cambridge

CB2 0QQ

Tel.: 01223 217434

Fax.: 01223 217223

[email protected]

alan norrish - newa · trauma and infection requiring complex circular frame reconstruction, hip...

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