Mr. Shobhit Verma

GMC number: 6093498-Full registration - On Specialist Register (Trauma & Orthopaedics)

• Fellow of the Royal College of Surgeons, Edinburgh.
• European Paediatric Orthopaedic Society.
• Indian Medical Association.
• Medical and Dental Defense Union of Scotland (MDDUS).

• Dates

  Degree/ Qualifications

  College/ Institution/ University

• Dec 2014

  FRCS (T&O)

  Royal College of Surgeons, Edinburgh

• Sept 2013

  Fellowship of European Board of Trauma & Orthopaedics

  UEMS

• Jan 1998

  Master of Surgery (MS), Orthopaedics

  South Gujarat University, Surat, India

• Nov 2006

  MRCS

  Royal College of Surgeons, Edinburgh, UK

• Jan 1995

  MBBS

  Government Medical College, Surat, India

• Recommended for discretionary points by UTD at Basildon Hospital, Essex, UK
• RACS Accredited Trauma Fellowship, The Alfred Hospital, Melbourne, Victoria, Australia.
• RACS Accredited Fellowship, Trauma/Arthroplasty, Flinders Medical Centre, Australia.
• Best Performance University MS (Orth) exam-1998, South Gujarat University, Gujarat, India.
• Merit scholarship, during MBBS by ONGC, India 1989-1995.

• Dates

  Post/Grade

  Institution

• 12/2016 – Current

  Consultant (Trauma/Paeds)

  Luton and Dunstable Hospital, Luton, UK

• 02/2016 - Current

  Senior Fellow

  King’s College Hospital, London, UK

• 07/2015 - 02/2016

  Senior Fellow
  (PaedsOrth)

  Birmingham Children’s Hospital, UK

• 05/2010 - 06/2015

  Speciality Doctor
  (T&O)

  Basildon and Thurrock University Hospital, UK

• 11/2009 - 04/2010

  Clinical Fellow

  Torbay Hospital, South Devon NHS Trust, UK

• 02/2009 - 10/2009

  Trauma Fellow

  The Alfred, Melbourne, Victoria, Australia

• 08/2008- 01/2009

  Senior Registrar

  Royal Darwin Hospital, Darwin, NT, Australia

• 08/2007- 08/2008

  Sr Clinical Fellow

  Flinders Medical Centre, Adelaide, SA, Australia.

• 02/2007- 08/2008

  Consultant(T&O)

  Apollo International Hospitals Ahmedabad, India

• 02/2006 - 02/2007

  Clinical Fellow

  Queen’s Hospital BHR NHS Trust, Romford, UK

• 08/2005- 01/2006

  Trust Grade Doctor

  Walsgrave Hospital, Coventry, UK

• 05/1998- 08/2005

  Consultant (T&O)

  Surya General Hospital, Vapi, India.

• 05/1995- 05/1998

  Orthopaedic Trainee

  Government Medical College India.

UK Experience: Kings College & Warwick University, Basildon Hospital, 2010-2019

• FRCS Course at King’s College London and Imperial College, London.
• FRCS Course, Orthopaedic Research United Kingdom, Woolwich, London
• Lectures on Paeds Orth at King’s College and undergraduate / Postgraduate examiner.
• Taught Medical students from UCL in Clinics, theatres and Bedside sessions.
• Involved in conducting mock and formative OSCEs at King’s College London.
• Teaching Registrars from rotations in London at King’s College & Basildon Hospital.
• Lectured Surgical care practitioners at Birmingham Children’s Hospital.

Indian Experience: Government Medical College, South Gujarat University, Surat, 1995-1998

• Postgraduate teaching: Lectures/Clinical Supervision /Teaching Surgical skills to Residents.
• Undergraduate teaching: Bedside teaching sessions / Lectures on Trauma & Orthopaedics.
• Responsible for supervising rotations of junior residents in my department during residency.

Australian Experience: Flinders University and Medical Centre, Adelaide 2007-2008

• Medical students/Physios Teaching at Flinders University
• Lectures on Sports Injury /Arthroplasty /Weekly Teaching/ Bedside Sessions,
• Postgraduate teaching: Lectures/Bedside teaching and Surgical/Clinical skills to SHOs/Registrars.

• Luton and Dunstable Hospital: Principal investigator Of BOSS Study, Recruited and operated on two cases.
• Luton and Dunstable Hospital: Principal investigator Of SCIENCE Study on medial epicondyle fractures.
• King’s College: Involved in setting up of BOSS Study at King's College Hospital and Screened / Data entry for five cases in the study.
• Basildon Hospital: Sutures Vs Staples in Total Hip Replacement: Formulated a randomised control study at Basildon hospital. Involved in designing , methodology and preparing draft for the study at Basildon Hospital. UK.
• FMC, Adelaide: Recruitment of cases in Distal Radius study & Tranexamic acid study at Flinders Medical Centre, Adelaide,

• Establishing Regional Substantive Paediatric Orthopaedic Services: In my current role, I have established a Substantive Paediatric orthopaedic across Luton and the surrounding areas of Bedfordshire, Hertfordshire and Buckinghamshire. The first thing I developed was a “COPS pathway”, which was modeled on the “ Assembly Line Quality Management Process” practiced in the automotive The paediatric practice in Luton is very busy and complex due to the population dynamics. The organized service ensured that the complex paediatric surgical patients received safe, effective and efficient care. Our efforts and the caseload of complex surgical work has also driven our inclusion in the North London Paeds MDT which includes Great Ormond street Hospital, Evelina Children’s hospital, RNOH and Royal free hospital.
• Regional Paediatric Trauma and Emergency Pathways: I have been a principal developer of some Multidisciplinary pathways including “Limping Child pathway “ and “Manipulations of Paediatric Fractures / dislocations in A&E “. These pathways have not only decreased the workload but also ensure that acute pathologies are identified early and have appropriate timely imaging leading to significant savings not only on unnecessary admissions but also saving money on litigations associated with missed diagnosis and it’s sequelae. The pathways not only reduce admissions but are very effective and lead to a great patient experience.
• Orthopaedic Lead NHFD for LDH: Orthopaedic NHFD lead at the hospital ensuring hip fracture programmes recommended by NICE are adhered to in the department to improve the quality, outcome of care and improving local service delivery in elderly population who sustain a neck of femur fracture. This year we have been commended at national level by NHFD for our performance in achieving KPIs. We were amongst the best 10 trusts in the country with our KPIs.
• Departmental Trauma Liaison for LDH: Departmental Trauma lead sitting on the local TARN committee, I am responsible for ensuring NICE protocols are adhered to in the department to improve the quality / outcome of care and improving local service delivery in Trauma I also liaise with On call trauma team as well as the Trauma coordinator on a regular basis to ensure that an effective and efficient Trauma service is being delivered.
• Adherence with the BOAST guidelines on Ankle fractures: We assessed whether patients with posterior malleolar fractures have a CT prior to surgery. It was noted that Only 20% of posterior malleolar fractures seen on X-ray had further imaging done prior to surgery and Trimalleolar fractures had the lowest percent of CTs done of around 8%. We have now improved this 69%.
• Orthopaedic Vascular injuries: Study evaluated how closely we are following the BOAST guidelines whilst performing limb saving surgeries with vascular compromise and changed practice enough leading to improved outcomes and survival rates.
• Management of Resistant Osteoarticular infections at Birmingham Children’s Hospital : Audit prompted a study into these infections and we found that resistant osteoarticular infections are associated with significant Risk factors such as delayed presentation, immunosuppression, CRP over 100 and resistant bacteriology should warrant early and aggressive medical and surgical management.
• Management of Supracondylar fractures in Birmingham Children’s Hospital : Compliance with BOA Guidelines in the management of the fracture. Management of 20 displaced fractures were audited against BOA guidelines. The Audit identified the need for documentation of detailed neurovascular status Pre and Post-op and early discharges.
• Consultant level outcomes in Neck of Femur Surgery: Data for 30 day reoperation and mortality were evaluated and compared to the HES data. Performance indicators can be identified from the HES data and Consultant level outcomes can be assessed as such. It can act as a safety net to identify outliers and address concerns at both the trust level and nationwide.
• NICE guidelines for Orthopaedic patients: Assessment of pre-operative patients in both elective and orthopaedic wards as compared to the NICE guidance-03/2014. Admissions in Trauma and Elective wards were screened for Pre-op investigations were screened and compared against nice guidelines. 11% patients had inappropriate investigations. INR was over ordered in 59% of pts with inappropriate investigation. ECG and Chest X-rays were under ordered in 34% and 53% of inappropriate investigations.
• Patient Satisfaction in Orthopaedic Clinics: A quality improvement project in Basildon and Thurrock University Cycle completed with implementation of changes and review-02/2014. Although 96% patients were very happy with the overall service experience and rated as good or excellent 94-98%, Waiting times in clinic were identified as an issue in the clinic in the first cycle. I repeated the Audit after implementation of changes which were
  • Minimize overbooking of clinic
  • Adhering to New vs follow-up appointment ratios
  • BOA Consultation The completed loop results showed significant improvement in pt. satisfaction (98%) and also reduced waiting times to 17%.
• Cementation technique in Hemiarthroplasty: NPSA recommended a standard protocol and procedure to be followed during cemented Hemiarthroplasty to prevent BCIS. Adherence to protocol was audited yearly in 2010 till 2014. The adherence to the Protocol increased from 60 % to 92% percent after improving awareness amongst Surgeons and periop BCIS symptoms decreased to 9% from 14%. Results reported to the NPSA.

• Departmental Lead for LDH: Departmental Trauma lead sitting on Local TARN committee ensuring NICE protocols are adhered to in the department to improve the quality / outcome of care and improving local service delivery in Trauma patients.
• Mortality Reviews for Neck of Femur: Principal investigator conducting Mortality reviews for neck of femur fractures patients It involves going through the notes and understanding the chain of events with a focus on learning and recommending appropriate actions in mortality presentations.
• Sustainability and Transformation Project BLMK: Actively involved with local NHS organisations and four local authorities in Bedfordshire, Luton and Milton Keynes working together to develop the STP for the area, which aims to improve the delivery of Paediatric Orthopaedic services locally.
• Feasibility checks and installation of BOSS Study at King’s College: Was instrumental in commissioning the study liaising closely with NIHR Principal investigator and local research / innovation department.
• Organization and Management of FRCS T&O Course at Basildon Hospital: Responsibilities included liaising with patients,take verbal consent for teaching, organizing teaching hall and sending emails confirming attendance at teaching.
• Junior Doctors Patient Safety Forum: Instrumental in helping to create Medical links team in the trust to look after the patients being admitted in surgical wards. I have represented the hospital as a member of this group in focus meetings with the CQC to highlight issues and steps taken in the Trust.

• Brodie's Abscess: A Diagnostic Conundrum: The case report a similar presentation of an 11-year-old girl who had multiple visits to primary care. She was then assessed through radiological imaging. By the time of her diagnosis, her abscess had protruded through the skin. Thankfully management was done swiftly after identification and the final outcome was good with complete recovery. Cureus. 2021 Jul; 13(7): e16426. Published online 2021 Jul 16.
• Swellings of sternoclavicular joint: Review of traumatic non-traumatic pathologies: Concise review of condition affecting the SC joint and also reviewed recent literature on diagnosis and management of conditions affecting these joints. The goal of this systematic review was to evaluate the available literature on the causes of sternoclavicular swellings and their management. EFORT Open 2018 Aug; 3(8): 471–484.
• Intra-articular Pigmentation of Synovium: An Unusual cause: An unusual grayish brown discoloration of the Knee joint synovium was found during knee arthroscopy of a 72 year old. First report of amiodarone induced pigmentation of synovium. Published in CIOS.
• Maximizing autologous bone grafts yield from ilium: A CT based anatomical study:- A prospective observational study carried out at King’s college hospital. The primary objective of this study was to map out the area of the maximum bone yield from a human pelvis based on the 3D CT reconstructions, localize it with radiological mapping and validate it. We wanted to provide orthopaedic surgeons with the ideal location for a cortical window relative to the ASIS and PSIS in adults. Published on JCDR.
• Evolving Arterial Occlusion presenting as Cauda equina syndrome: A rare but dangerous presentation :- A case of thrombosis of the Aorta (Leriche syndrome) presented with pure neurological symptoms with normal felt distal pulses. Presence of a primary malignancy with potential bony metastasis made the clinical picture more complex. Published on E-CIOS.
• Scapho-Trapezio-Trapezoid joint: A CT based anatomical study:- Reviewed CT scans of wrist joints of 113 eligible patients from our wrist database between 2009 and 2014 for our study. Reformatted multiplanar sequences were analyzed. The ratio of the STm: STdin sagittal and coronal measurements was evaluated. Our assessment of the anatomical relationship of the STT joint with CT scan proves that although the area of the STm joint is generally larger than the STd joint, there is no significant correlation on the whole. Published as an abstract on BJJ.
• DHS fixation for Evans type 1 Intertrochanteric fractures of femur: Results & comparison with conservative management. Jogia A.K, Verma S.R, Sept-1997 SGU-Thesis. Prospective follow up of 50 patients over a period of three years & results evaluated on basis of shortening,pain & ROM. Published as thesis, SGU.

• Swellings of the sternoclavicular joint: review of traumatic and non-traumatic Pathologies -EFORT 2018
• Resistant Paediatric Osteoarticular Infections: Regression analysis of factors responsible- SICOT International Meet July-2016.
• Scapho-Trapezio-Trapezoid joint: A CT based anatomical study, British Indian Orthopaedic Society Meet, Leicester, UK, July 2016.
• Single Event Multilevel Surgeries in CP Child: How to improve outcomes: Local Meeting at Alder Heys Children's Hospital, Liverpool, UK, April 2016.
• Surgery in fractured neck of femur patients: Consultant level outcomes and the use of HES data. BOA Annual Congress, Liverpool, UK, Sept 2015.
• Fracture neck of femur: Can HES data used to calculate 30-day re-operation rates? National BOA.Annual Congress, Liverpool, UK, Sept 2015.
• Osteoarticular Infections in Children: An Update based on recent Literature, Regional Meet at Birmingham Children's Hospital, July 2016.
• Guyon’s Canal Compression of Ulnar Nerve: A rare case of type-2 Compression, Black Notley Regional Meet, Essex, UK, Feb 2014.
• Gunshot Limb injuries: Principles, Controversies and Current Concepts, Regional Orthopaedic Meet, AOA, South Australia, Adelaide, Australia, May-2008.
• The Unstable Elbow: Regional Australian Orthopaedic Association Meet, Adelaide, Australia Dec-2000.
• Assessment of Paediatric Skeletal injuries, Regional Meet, Adelaide, Australia, Dec-2007.
• The Limping Child : Are we over treating?, Flinders Medical center, Adelaide Oct-2007.

• Mr Om Lahoti
  Consultant Orthopaedic Surgeon
  King’s College Hospital
  Denmark Hill, London - SE5 9RS
  Phone: +44 2032 991540
• Mr Jim Gray
  Consultant Orthopaedic Surgeon
  Bedfordshire hospitals NHS Trusts
  Phone: +44 1582 491166
  E-mail: [javascript protected email address]
• Mr Ravi Pandit
  Consultant Upper Limb Surgeon
  Bedfordshire hospitals NHS Trusts
  Phone: +44 15824 91166
  E-mail: [javascript protected email address]
• Mr Yega Kalairajah
  Consultant Lower Limb Surgeon
  Bedfordshire hospitals NHS Trusts
  Phone: +44 1582 491166
  E-mail: [javascript protected email address]