10.30am – 12pm BST, 16 September 2025 ‐ 1 hour 30 mins
Room: Hall 1 (Main Auditorium)
Specialist Society
Session Title: Preventing harm - Preparing our response to war
Session Description: Combined Services Orthopaedic Society and the British Orthopaedic Association's joint Trauma Session. Join us for our dedicated Revalidation Session at BOA Congress, designed to support orthopaedic surgeons in maintaining and demonstrating their professional competence. This session will provide practical guidance, updates and opportunities to engage with peers.
Session Chairs: Mark Bowditch and William Eardley
Agenda:
Military Overview Major General Philip Carter
NHS Overview including Reception Arrangements for Military Patients Mike Prentice
Soft Tissue management of extremity combat wounds Professor Shehan Hettiaratchy
Orthopaedic management of extremity combat wounds Sarah Phillips
Preventing and managing infection (including multi-drug resistant infection) Surg Cdr Matt O'Shea
Amputation surgery - the things we should be thinking about Professor Alex Trompeter
Organising your department to receive combat casualties Col Hugo Guthrie
Training and upskilling the surgical workforce Ash Vasireddy

Consultant and Divisional Clinical Director MSK & surgical specialties, BOA Past President, ESNEFT (Ipswich & Colchester Hospitals)

Consultant Orthopaedic Trauma and Limb Reconstruction Surgeon, Research Associate, University of York CTU, Honorary Associate, University of Teesside, South Tees Hospital NHS Foundation Trust

Orthopaedic Trauma / Limb Reconstruction Surgeon, St George’s University Hospital








Consultant and Divisional Clinical Director MSK & surgical specialties, BOA Past President, ESNEFT (Ipswich & Colchester Hospitals)
Mark is a Consultant and Divisional Clinical Director MSK & surgical specialties at ESNEFT (Ipswich & Colchester Hospitals) since 2000. Mark’s specialist interests are in surgery of the knee and all levels of surgical education.
He was Chair of the SAC 2017-2020 leading the new curriculum changes, East of England Training Programme Director for 11 years, and is currently Head of School of Surgery. Following three years on BOA Council and one year on the Orthopaedic Committee he joined the Executive as Honorary Treasurer in 2020/21 and is Immediate Past President.

Consultant Orthopaedic Trauma and Limb Reconstruction Surgeon, Research Associate, University of York CTU, Honorary Associate, University of Teesside, South Tees Hospital NHS Foundation Trust
Will is an academic orthopaedic surgeon with a specialist interest in trauma surgery and fracture fixation failure, nonunion and osteomyelitis.
Will is responsible for hip fracture care in England and Wales as the Orthopaedic Clinical lead for the National Hip Fracture Database.
Will is involved in benchmarking surgical quality as vice-chair of the Specialty Surgical Board of the Royal College of Surgeons of Edinburgh. Will helps coordinate United Kingdom Orthopaedic Trauma and co-author BOAST guidelines as vice-chair of the
British Orthopaedic Association Trauma Committee. Will is involved in benchmarking Major Trauma Care and open fracture data collection nationally through the Major Trauma Registry audit committee. Will has recently become an examiner for the FRCS(Orth).

Orthopaedic Trauma / Limb Reconstruction Surgeon, St George’s University Hospital
Alex Trompeter works at St George’s University Hospital in London and holds the position of Professor of Orthopaedic Trauma Surgery at City St George’s University of London. His specific clinical interests are the management of complex fractures, bone infection, non-union, deformity correction and limb lengthening, orthoplastic surgery and delivering the region’s amputation service.
Alex graduated from Guy’s and St Thomas’ medical school in 2003. He completed his specialist training in trauma and orthopaedics in the South West Thames rotation in 2012. He won the Sir Walter Mercer Gold Medal for the FRCS examinations in 2011. Alex undertook specialist fellowship training in trauma and limb reconstruction in the UK (Liverpool and Chertsey) and overseas (Calgary, Canada). He was awarded the Braun travelling fellowship to the Massachusetts General Hospital, USA, by the British Orthopaedic Association, and a travelling fellowship to the Oxford Bone Infection Unit by the British Limb Reconstruction Society.
Alex is actively involved in academic research and is widely published in his field, as well as being a keen surgical educator teaching locally, nationally and internationally. He was previously Training Program Director for the South West London Orthopaedic Rotation. Alex chairs the BLRS Research Committee and is vice chair of the BOA trauma committee and co-chair of the BOA Clinical Standards Committee (responsible for producing BOASTS). In his spare time he enjoys ultra running, gardening, cooking and making salami.

Orthopaedic Surgeon, King’s College Hospital
Sarah is an Orthopaedic Surgeon with an interest in Limb Reconstruction. She was appointed as consultant at King’s College Hospital in 1998.
She is Secretary of The British Limb Reconstruction Society.
She was in the Army Reserves for over 30 years retiring in 2021. She deployed in March 2003 for Op Telic 1 (2nd Gulf War).
She is on the Faculty of the Diploma in Medicine in Conflict and Catastrophe (DMCC)
Sarah is a Trustee of 2 charities – IDEALS and Rebuild. (www.IDEALS.org.uk and www.rebuildcharity.org )
IDEALS was established in 2000 by John Beavis. Its mission: to relieve poverty, distress and suffering in any part of the world affected by conflict and/or natural disaster. It has worked in Bosnia-Herzegovia, Sri Lanka, Pakistan, Lebanon and the Occupied Palestinian Territories.
Sarah has been involved in helping to establish a Limb Reconstruction Service in Gaza since 2013. IDEALS provided training for orthopaedic surgeons, nurses and physiotherapists as well as providing specialist orthopaedic equipment. The charity has helped in the treatment of war wounded patients and those injured in 2018-19 border demonstrations.
Since December 2023 IDEALS has been recognised as a specialist Emergency Medical Team (Orthoplastics) and has regularly sent surgical teams to Gaza to treat those injured in the present conflict. Sarah has made 2 visits during the present war - her most recent visit was in January 2026.

Shehan Hettiaratchy is a Consultant Plastic and Reconstructive Surgeon focusing on hand and complex extremity reconstruction at Imperial College Healthcare NHS Trust, London, UK. He is also the Director of Major Trauma and a Professor of Practice at Imperial College with a focus on trauma related research. He has been involved in delivering humanitarian surgical care throughout his career and most recently on missions to Ukraine and Gaza with UK-Med.
Shehan qualified from Oxford University with prizes in surgery and medicine and a blue in boxing. He trained in Plastic and Reconstructive Surgery in London, Birmingham and Australia. This included a 3 year research fellowship at Harvard Medical School for which he was awarded a Hunterian Professorship by the Royal College of Surgeons of England and a Doctorate of Medicine by Oxford University.
Shehan was commissioned into The Parachute Regiment between leaving school and starting university. He has spent over 20 years as a reservist with the British Army, mainly serving with Airborne Forces. He was deployed to Afghanistan and Birmingham twice and spent four years as a Senior Lecturer at the Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine.
He received the BOA Presidential Merit award in 2023 with four other colleagues for their work in Ukraine and was appointed an OBE in the 2025 New Year’s Honours for services to the UK’s Emergency Health Response overseas.

Mike trained as a General Practitioner and worked in a large Northeast practice for 15 years before moving into full time medical management in 2013 with the creation of NHS England. Alongside clinical practice he has a range of experience in public health; director of a GP co-operative; governor of a Foundation Trust and has over a decade of NHS Board level experience within commissioning organisations.
Within NHS England Mike has worked at local and regional levels in both medical and general management roles leading on the delivery of priority national programmes and as lead on professional standards supporting the National Medical Director.
At the start of the Covid-19 pandemic Mike joined the national incident team as one of the Strategic Incident Directors helping lead the NHS response. Appointed to his current post in April 2022, he leads on emergency planning and incident response within NHS England and is the current UK representative sitting on NATO's Joint Health Group.

Colonel Hugo Guthrie is the professional lead for Trauma & Orthopaedic Surgery across the Ministry of Defence. He works clinically at St George’s Hospital and the South-West London Elective Orthopaedic Centre, with a practice that includes Lower Limb Trauma and Knee Surgery. He is Training Programme Director for the Defence Deanery.
Hugo spent 2 years as a regimental doctor, including 12 months in Iraq. He deployed to Afghanistan as a surgical trainee and briefly worked in Birmingham as Military Registrar. Since being appointed as a consultant in 2015, he has deployed internationally and in 2021 was part of the Military Advisory Team at Nightingale Hospital London. He has served as Clinical Director at 22 Field Hospital, as Consultant Advisor to the Head of the Army Medical Services and in 2024 was appointed to his current position as Defence Consultant Advisor to the Surgeon General.

Major General Carter is a General Practitioner and experienced medical leader. A graduate of the universities of Dundee, Manchester and King’s College London, he holds degrees in Medicine and Surgery, and Masters degrees in Public Health and Defence Studies.
Across a military medical career spanning three decades, Major General Carter has served on security operations in Northern Ireland, with NATO in Kosovo and Afghanistan, with coalition forces in Iraq and across the Middle East, as part of the UK’s support to Sierra Leone during the 2014 Ebola outbreak, and on secondment to the Armed Forces of Brunei. He led medical support to force generation and primary care in the strategic base during the COVID pandemic.
Major General Carter has specific interests in healthcare systems, military population health, health threat assessment, and injury prevention.

Mr Ash Vasireddy is a fellowship-trained Orthopaedic Trauma Surgeon specialising in complex lower + upper limb, pelvic and acetabular fractures (open and closed fractures) in both adults and children. He is Head of Trauma and Director of the Post-CCT Orthopaedic Trauma Fellowship Programme at King’s College Hospital, where he leads training for the next generation of trauma surgeons. Alongside his clinical practice, he is active in research and education, holding academic roles across London universities. He also works as a Pre-Hospital Care Consultant with the Air Ambulance Service and has extensive experience in national and international trauma education.Mr Ash Vasireddy is a fellowship-trained Orthopaedic Trauma Surgeon specialising in complex lower + upper limb, pelvic and acetabular fractures (open and closed fractures) in both adults and children. He is Head of Trauma and Director of the Post-CCT Orthopaedic Trauma Fellowship Programme at King’s College Hospital, where he leads training for the next generation of trauma surgeons. Alongside his clinical practice, he is active in research and education, holding academic roles across London universities. He also works as a Pre-Hospital Care Consultant with the Air Ambulance Service and has extensive experience in national and international trauma education.

Surg Cdr Matt O’Shea is a military clinical academic, working as a consultant in Infectious Disease and Clinical Microbiology at the Royal Centre for Defence Medicine and University Hospital Birmingham NHS FT. He has had multiple deployments over the past 20 years, including on nuclear deterrent submarines, to Afghanistan during Op HERRICK, Sierra Leone during the Ebola outbreak and others. He is Clinical Professor of Infectious Disease and Microbiology at the University of Birmingham, and his research interests include militarily relevant infections (including combat-associated infection and antimicrobial resistance) and mycobacterial diseases. Surg Cdr O’Shea is the current Defence Advisor in Pathology to the UK MOD’s Surgeon General.