STRUCTURE: The Royal National Orthopaedic Hospital Trust is planning an 80/20 split of specialist and routine activity in the future, according to a commissioner strategy document.

A report from the chief executive of NHS North Central London to the board in January said: “Commissioner support for these plans will need to be agreed by June 2013 and given the Trust case mix, with approximately 80 per cent of activity being specialist and 20 per cent routine, consideration is being given as to how this can best be achieved to ensure both representative and effective engagement in the new environment.”