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Oxford Trauma Service team


Mr Andrew Titchener (Clinical Lead) MA (Cantab) MSc LLM FRCS (Tr&Orth)

Consultant Orthopaedic Trauma, Shoulder and Elbow Surgeon

Andrew is a Consultant Orthopaedic Trauma Surgeon with a special interest in reconstructing injuries to the shoulder and elbow.

Mr Titchener graduated from the University of Cambridge in 2005, and in addition to a degree in Natural Sciences also holds a Masters degree in Orthopaedic Engineering and a Master of Laws (LLM) degree in Medical Law.

He undertook a trauma fellowship in the busiest UK Major Trauma Centre at Queens Medical Centre, Nottingham, and completed six month fellowships in shoulder, elbow and trauma surgery in Cambridge, Oxford and Perth, Australia.

Mr Titchener is an active researcher; in addition to being a Principle Investigator (PI) on national clinical trials, he is widely published and is the deputy editor of the Bone and Joint 360 Journal; a British national journal with a global readership of over 9000 surgeons.

Mr Titchener very much enjoys teaching junior surgeons in training; he is the head of the Trauma undergraduate teaching programme at the University of Oxford where he is an Honorary Senior Clinical Lecturer and a fellow of Wolfson College. He holds a Post-Graduate Certificate in Education and is an associate member of the Higher Education Academy.

Mr Titchener is a current fellow of the Royal College of Surgeons of England, and a member of the British Orthopaedic Association (BOA), the British Elbow and Shoulder Society (BESS) and the Orthopaedic Trauma Society (OTS).

Andrew Titchener

Professor Matthew Costa PhD FRCS FMedSci

Honorary Consultant Orthopaedic Trauma Surgeon

Matt Costa is a General Orthopaedic Trauma Surgeon with a research interest in the clinical and cost effectiveness of musculoskeletal trauma interventions.

He is Lead Investigator for a series of randomised trials and associated studies supported by grants from the UK National Institute for Health Research (NIHR).

His work has been cited widely and informs many guidelines from the National Institute for Health and Care Excellence.

He is the NIHR National Specialty Lead for Trauma and Emergency Care and an NIHR Senior Investigator.

Professor Costa is past President of the UK Orthopaedic Trauma Society and past President of the Global Fragility Fracture Network.

Matt Costa

Mr Mark Deakin

Consultant Orthopaedic Trauma and Knee Surgeon
Mr Mark Deakin is a Consultant Orthopaedic Surgeon specialising in the treatment of bone and soft tissue injuries to the arms and legs. He is an expert in the management of complex injury to the knee joint, including multi-ligament knee injuries.

Mr Deakin graduated from Charing Cross and Westminster Medical School, now part of Imperial Medical school in London in 1990. Early postgraduate training was on rotation in London. He then undertook a Masters Degree studying the molecular genetic mechanisms of limb development at University College, London, passed with distinction. This was followed by six years orthopaedic training in Oxford before completing a Specialist Fellowship in Hip and Knee Arthroplasty and Sports Knee Injury in Sydney Australia.

Mr Deakin is based primarily at the John Radcliffe Hospital in Oxford where he has been a consultant since 2004.

Mr Robert Handley FRCS

Consultant Orthopaedic Trauma Surgeon

Mr Bob Handley has been a consultant surgeon in the Oxford Trauma Service for over 30 years and is probably the most experienced Orthopaedic Trauma Surgeon practising in the UK today.

He is deeply experienced in all elements of orthopaedic trauma, but has a special interest in non-union and co-authored the seminal paper on this subject.

He has held leadership positions in every relevant national body including presidency of the British Orthopaedic Association, the Orthopaedic Trauma Society and AO UK. He has helped train and mentor countless surgeons and is regarded internationally as one of the leading experts in Orthopaedic Trauma.

He continues to support and assist Orthopaedic Trauma departments across the UK as the Trauma lead for the 'Getting It Right First Time (GIRFT)' peer review process.

He is frequently involved in writing national policy and guidelines for both the National Institute of Health and Care Excellenc (NICE) and the British Orthopaedic Association (BOA).

Robert Handley

Simon Hurst BSc (Hons) MBBS MD (Res) FRCS (Tr&Orth) DIC

Consultant Orthopaedic Trauma, Shoulder and Elbow Surgeon

Simon specialises in major trauma, and shoulder and elbow surgery. He is based within Oxford Trauma Unit at the John Radcliffe Hospital, and the Shoulder and Elbow Unit at the Nuffield Orthopaedic Centre (NOC).

He is dual French and British trained and undertook his postgraduate orthopaedic training in London centred at Imperial College. This was followed by two years fellowship training, and consultant level practice as a Chef de Clinique in France based at AP Hôpitaux de Paris, CHU Avicenne, and Université Sorbonne Paris Nord.

Here in Oxford, he is an active academic with a particular interest in emerging technologies in orthopaedic surgery, and is leading research to evaluate and develop roles for mixed reality headsets and wearable devices.

Simon also teaches on the Musculoskeletal MSc Degree Course for the University of Oxford.

His doctoral (MD) thesis at Imperial College examined the digitalisation of PROMs and was focused on utilising technology to better assess and understand outcomes in surgery.

Simon Hurst

Sarah Lancaster MBChB MD FRCS (Tr&Orth) PGCME

Consultant Orthopaedic Trauma Surgeon

Miss Lancaster was appointed as a substantive Trauma Consultant at Oxford University Hospitals in September 2022.

She completed her postgraduate training in the Thames Valley training programme, completing fellowships in Melbourne, Australia and St Mary's Hospital, London.

She has a specialist interest in foot and ankle trauma. Her undergraduate training was at the University of Bristol.

Miss Lancaster completed a Doctor of Medicine Degree by thesis in Basic Science during her postgraduate training; this focused on the applications of Vitamin D in bone graft substitutes.

She also has several peer reviewed publications, has written book chapters, and was humbled to be the recipient of a Royal Humane Society Award in 2009.

Miss Lancaster is currently the Lead for Trauma Clinical Governance the John Radcliffe Hospital, so works hard to further the care and safety of our trauma patients.

She is a specialist in complex trauma with an interest in injuries of the foot and ankle.

Mr David Noyes MB ChB FRCS

Consultant Orthopaedic Trauma Surgeon

David Noyes has been a Consultant Trauma Surgeon at the Oxford Trauma Service since 2010 and led the unit from 2014 to 2016.

He is currently the Training Programme Director for the Oxford Trauma and Orthopaedics Surgical TrainingRotation - consistently one of the highest performing training programmes in the UK.

David qualified in Medicine in 1999 and underwent basic surgical training in London, Oxford and Reading. His specialist training in Trauma and Orthopaedic Surgery was centred in Oxford.

In 2009 he completed the prestigious one-year Orthopaedic Trauma Fellowship based at the Vancouver General Hospital, Canada.

He has dedicated his clinical practice entirely to the management of acute trauma and the complications of injury. David's sub-specialist interest is therefore in the treatment of all fractures and joint injuries, as well as the management of the multiply-injured patient.

His 'super-specialist' interest is in the management of pelvic and acetabular fractures and he is an opinion leader on this subject in the UK.

David is regularly involved in teaching fracture and injury management to surgeons and nurses at local, regional and international levels and is frequently faculty on Advanced Trauma Life Support (ATLS) and AO fracture management courses.

Along with active membership of the British Orthopaedic Association, David has been a Founding Member and Treasurer of the Orthopaedic Trauma Society.

David Noyes

Jowan Penn-Barwell MB ChB MSc PhD FRCS (Tr &Orth)

Consultant Orthopaedic Trauma Surgeon

Surg Cdr Jowan Penn-Barwell has been in the Royal Navy since 2000 and served as the doctor for the Royal Marine unit - 30 Commando.

He has had multiple operational tours of the on sea and land including the middle east, on aircraft carriers and various warships and was promoted to the head of Orthopaedics in the Royal Navy in 2021.

During his surgical training he completed tours in Iraq and Afghanistan and a 12-month research fellowship at the prestigious US Army Institute of Surgical Research (ISR). This work on open fracture infection, and his research into combat casualty care systems formed the basis of his PhD which was awarded in 2018.

Jowan is proud to have joined Oxford Trauma Service in 2018 as a Consultant Surgeon. He has a special interest in reconstructing complex open limb injuries and pelvic and acetabular fractures. He is passionate about improving outcomes for patients with complex injuries and training future surgeons.

He is an active academic and is a fellow of Wolfson College, University of Oxford. He has edited two books, written multiple textbook chapters and over 40 peer-reviewed articles.

His research interests include limb reconstruction, ballistic trauma and the performance of combat casualty care systems.

Open fracture infection following combat trauma - Surg Cdr Jowan Penn-Barwell (

Jowan Penn-Barwell
Last reviewed:28 June 2024