primary &
secondary care
Most patients with spinal symptoms will settle with conservative therapy over a 4-5 week period. If the patient fails to improve during this time then a neurosurgical spinal referral should be considered. Other indications for a surgical opinion include:
Severe unremitting pain of any duration that is uncontrollable with opiate analgesia
A progressive neurological deficit (evolving foot drop or sensory loss)
Cauda equina syndrome (indication for an emergency operation) (link)
Any red flag condition (link)
Below is a copy of a referral pathway for spinal pathology.
For further information please see the recent NICE guidelines on the management of back pain. (link)
**It is recommended that emergency NHS referrals are made via the referapatient.org website (link). This should be followed up with a call to the on call neurosurgical team on (01482) 875875 for advice on the emergency management and to confirm receipt of the referral.**
The Neurosurgical team comprises of 12 consultants, each with their own subspecialty (link to NHS patient page). Referrers may wish to take these areas of expertise into account when making a referral. The complex spinal team in this region includes:
Mr George Spink
Mr Kevin Morris
Mr Vasilieos Arzoglou
Mr Martin Drozda
Mr Chris Lee (orthopaedics)
Mr Shuaibu Dambatta
To contact Mr Spink’s secretary at Hull Royal Infirmary
Jimane Edwards
(01482) 604329
Jimane.edwards@hey.nhs.uk
To contact Mr Spink’s secretary at The Spire Hospital, Anlaby
Helen Shearsmith and Kerry Bailey
(01482) 672464
Helen.shearsmith@spirehealthcare.com
Kerry.bailey@spirehealthcare.com
To arrange an outpatient appointment at Nuffield Health, York
Please contact the appointments team
(01904) 891849 (edited)