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 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

To contact Mr Spink’s secretary at The Spire Hospital, Anlaby

Helen Shearsmith and Kerry Bailey
(01482) 672464

To arrange an outpatient appointment at Nuffield Health, York

Please contact the appointments team
(01904) 891849 (edited)