Mr Nurul Ahad

Clinical Director - Orthopaedic Surgery - Care UK. April 2017 - Present.

• Working as Clinical Director over all CareUK sites ensuring visible support and guid- ance.
• Face constant challenges to ensure national benchmarks are achieved, standards of our consultants are the highest possible and patients receive the best care possible.
• Driving quality through evidence based medicine and strong governance
• Ensure that CareUk continues to remain proactive to relevant changes made by NICE and GIRFT.
• Establish early warning mechanisms for poor outcomes through excellent data capture and reporting.
• Registered stakeholder for NICE allowing a platform for CareUK to provide valued opinions on developing guidelines in Orthopaedics.

Medical Director - Bucks Musculoskeletal Integrated Care service- Care UK. April 2019 - Present.

• Day to day support and governance framework for an excellent one stop service that has successfully deflected 80% of patients from secondary

BAME champion for HM Treasury and Cabinet Office. June 2020 - Present

• Part of the corporate centre group discussing how Covid-19 has impacted BAME communities. Hoping to contribute to Government strategies to developing and implementing new ways of working and improving diversity and inclusion.

Clinical Lead - North East London and Will Adams Treatment Centres. August 2015 - April 2017

• Structured orthopaedic meetings, quality monitoring and colleague support through robust governance has been implemented.
• Working with heads of department has helped support staff during loss of upper limb and revision speciality surgeons.
• Access to local services, NHS consultants and tertiary centres has increased the repertoire of patients we are able to treat with confidence and clear pathways.
• Developed and implemented several pathways that have improved patient's choice and the service we provide.
• Particular interest in pivot tables, RTT clock and the improvement of pool

Governance Lead - Barking, Havering and Redbridge NHS Trust. 2010 - 2013

• Developed a prescriptive, robust accountable Governance format that provided a platform for all members of staff.
• During my tenure the model was implemented to other departments and a pos- itive mention in the CQC report.
• Believing good governance is a non-blame, transparent continuous improvement through good, the bad and ugly situations that inevitably occurs in every busy trust.
• Believe mistakes should only happen once. A repeat mistake is inexcusable and highlights poor governance.

NGO Medical Advisor. 2014 - Present.

• Involved with two leading non profitable organisations that provide international medical support, screening and education.
• This is an exciting and most rewarding work that involves consultations with local leaders, MPs and field workers.

Trauma Lead. 2009 - 2014

• Working Trauma Consultant, helped develop training for SpR rotating at Barking Havering and Redbridge trust.
• Spear headed as the Fragility Lead increasing the quarterly uplift available to the trust. Helped develop the very first FRC revision course held at
• The procurement of revision products for peri prosthetic fractures, trauma frames and new nailing systems help develop the unit as one of the best equipped trust within the region for general trauma.

Orthopaedic Consultant - Care UK July 2014 - Present North East London NHS Treatment Centre, King Georges Hospital, East London, Essex, IG38YY.

Elective unit maintaining a high standard of care for lower limb arthroplasty and common orthopaedic conditions. Continue to work closely with management in looking at improv- ing theatre utilisation and developing a robust clinical governance that will ensure on go- ing quality and safety of patients and co-workers.

Trauma and Orthopaedic Consultant - Barking, Havering & Redbridge University Hospitals June 2010 - April 2014.

Trauma & Orthopaedics SpR at:

• Newham University Hospital NHS Trust: July 2008 - June
• Barking Havering and Redbridge University Hospitals: July 2007 - July
• Barts and the London NHS Trust: July 2006 - July
• Homerton Hospital NHS Trust: March 2006 - July
• Mid Essex Hospital Service, Brookfield Hospital: January 2003 - August
• Royal National Orthopaedic Hospital: July 2002 - January
• Barts and London NHS Trust: January 2002 - July
• Royal National Orthopaedic Hospital, Spinal Unit: July 2001 - January
• Barts and London NHS Trust, Spinal Fellow: March 2000 - July

• Senior House Officer in Trauma & Orthopaedics - Whipps Cross Hospital August 1999 - February 2000.
• Senior House Officer - Queens Medical Centre, Spinal Unit February 1999 - August 1999.
• Accident and Emergency/Trauma and Orthopaedics - Government Hospital, Bangladesh February 1998 - February 1999.
• Senior House Officer - basic surgical training - Greenwich Hospital, London August 1995 - February 1998.
• Accident and Emergency Senior House Officer - Charing Cross Hospital, London February 1995 - August 1995.

Pre-registration

House Officer Basildon General Hospital - General and Orthopaedic Surgery and Royal London Hospital - Respiratory Medicine February 1994 - February 1995 .

• Dual mobility revision cup case series of 52 N. Ahad to be submitted to JBJS.
• Indications of T2 nails in humeral head fractures . J. Hambidge. N. Ahad. D Shah. Submitted to Injuries and JBJS.
• Percutaneous Tendo Achilles repair and early mobilisation - prospective series. Case series looking at outcome following percutaneous repair and early weight bearing using wedge orthosis. Barking, Havering & Redbridge NHS Trust. Presented in international conferences and
• Ponseti Serial Casting: comparing 2 year follow up against national standard. Barts and London NHS Trust 2007.
• Repair of Obstetric Brachial Plexus. Results in 100 children. Royal National Orthopaedic Hospital. Published.
• Nerve Injury following primary hip arthroplasty 110 cases. Royal National Orthopaedic Hospital. Presented regional meeting RNOH.
• IDET treatment for discogenic pain. Part of multi-centre trial. Barts and London NHS Trust 2001 presented on national television.
• Developed method to monitor Intradiscal pressure. Spinal Unit Barts and the London NHS Trust 2001.

• The Outcome of Percutaneous Repair of Acute Achilles Tendon Rupture Fol- lowed by Early Weight Bearing and an Accelerated Rehabilitation Pro- gramme. Al-Mouazzen, K. Rajakulendran, N. Ahad Abstract / Injury Extra-43 (2012) 97 . Accepted acta orthopaedic 2015.
• Proximal Tibial Sleeve Fracture: Case Report Eur J Trauma Emergency Surgeon October 2009.
• Repair of Obstetric Brachial Plexus. Results in 100 children. Birch, N Ahad J Bone Joint Surgeon (Br); 2005;87-B:1089-95.
• IDET treatment for discogenic N. Ahad, C. Natali Tomorrows World BBC May 2001.
• IDET A rod to beat your back Written by the Daily Mail 27.3.2001.

• The use of polymerase chain reaction to diagnose infection in presumed rapidly destructive coxarthrosis EFORT June 2013 - Istanbul British Hip Society - 28th February 2013 M. Y. Khalfaoui, K. Rajakulendran, N. Ahad.
• Shepherd's Crook Deformity with an Intracapsular Femoral Neck Fracture in Fibrous Dysplasia. EFORT - Berlin 2012 - Podium presentation L. Al-Mouazzen, K. Rajakulendran, N. Ahad.
• The outcome of percutaneous repair of acute Achilles tendon ruptures, fol-lowed by accelerated rehabilitation programme. British Trauma Society - Leeds 2012, Podium presentation SICOT - Dubai 2012 L. Al-Mouazzen, K. Rajakulendran, N. Ahad.
• Electrocution: An unusual presentation of a Lisfranc injury SICOT - Dubai 2012 - Poster presentation L. Al-Mouazzen, E. Oragui, K. Rajakulendran, N.
• Neurofibromatosis of cervical spine. Largest world series Special poster presentation, Brit Spine 2002. J Bone Joint Surgeon (Br); November 2002; 84-B: Supp III Ahad, T. Morley, J. Lehovsky.
• Comparison of mechanical properties between two commercial Calcium Phosphate Bone Elements. Abstract accepted by International Society of Biomechanics, Palm spring, USA, November 2001. Presentation and Abstract at European Society of Biomaterials - September 2001, London M. Sadalla, N. Ahad, C. Natali and J.C. Shelton.

• FMLM annual
• BOA attendance annual
• London hip meeting annual
• London knee meeting annual

• Expert witness
• Leadership
• Case management
• Case investigation
• Human factor
• MIAD Management Course

• Results of primary joint arthroplasty against NJR 2008 - 2013. Barking, Havering & Redbridge Trust September 2013.
• National Hip Fracture Database Audit Barking, Havering & Redbridge Trust October 2012 and October 2013.
• The outcome of percutaneous repair of acute Achilles tendon ruptures, fol-lowed by accelerated rehabilitation programme Audit Barking, Havering & Redbridge Trust September 2012.
• Current Post-Operative Management of Ankle ORIF - Audit Barking, Havering & Redbridge Trust July
• Hip Revision Audit Barking, Havering & Redbridge Trust November 2011
• Readmission within 30 days Audit Barking, Havering & Redbridge Trust. May
• Metal on Metal resurfacing initial results Audit Barking and Havering trust.
• Key performance indicators fracture neck of femur: length of stay Barking and Havering trust. 2008 Audit.
• Consent survey audit performed to assess patient's satisfaction regarding consent. Barking and Havering trust. 2008 Audit.
• The requirement of blood transfusion following primary joint replacement. Homerton University Hospital. 2006.
• Improving the availability of clinic notes following audit

Homerton University Hospital. 2006 Audit.

• Management of head injury through A&E; Audit of current practice. Mid Essex Hospital Trust. 2003.
• Nerve Injury following primary hip arthroplasty 110 cases. Royal National Orthopaedic Hospital, Presented regional meeting, for submission.
• Neurofibromatosis of cervical spine. Largest world series. Poster and presentation. Brit Spine 2002. 27 February - 1 March.
• Spinal instrumentation failure audit RNOH Spinal December 2001.

• VTE and current hip arthroplasty Multicentre prospective study looking at implication of Aspirin prophylaxis in hip replacement .
• Scalene block for upper limb surgery Post

• Mentor to surgical first assistance NELTC and Spire 2019 - present.
• Faculty Johnson and Johnson Orthopaedic and Anaesthetic conference. 17 and 18 November 2017.
• Royal London FRCS VIVA Course Examiner,
• Queens FRCS Revision Course, Examiner,
• Queens Hospital Principles of Fracture Fixation Course Leads - Mr Ahad & Mr January, May 2013.
• Involved in foundation year weekly training within this and previous
• As Trauma Lead, I have organised weekly teaching, presentation and journal club. I have taken an active role in monthly clinical conferences as a learning aid for juniors as well as acting as Clinical Governance Lead for Trauma and Orthopaedics.
• I have led several workshops relating to trauma management for trainees and theatre staff, Regional.
• Whilst working at the Royal London Hospital, helped and ran the ponseti workshop along with Ms O Malaga Shaw.
• As a Spinal fellow, I was given the chance to teach the principle of IDET and Discogra- phy techniques internationally.