Surgery Services

The Directorate of Surgical Services us made up of a wide range of specialty areas.

They include:

  • Breast and Onco-plastic surgery
  • Upper gastrointestinal surgery
  • Colorectal Surgery
  • Hepatobiliary, Liver and Transplantation
  • The Northern Vascular Unit
  • Endoscopy, Endocrine and Thyroid service
  • General Surgery.

Our wards


  • Ward 36 Northern Oesophago-Gastric Unit: The ward has four special care beds and 16 surgical beds. This ward supports elective admissions for patients requiring oesophagectomy and gastrectomy. The ward staff work closely with the critical care unit to ensure the patients are transferred to the special care unit promptly following surgery.  They also support patients requiring investigations, anti-reflux surgery, endoscopic procedures and palliation. Ward 36 receives direct upper GI emergency admissions to the ward.  
  • Ward 44 Breast Onco-plastic, Endocrine and General Surgical Unit: There are 29 beds on this ward providing quality care to those patients undergoing breast and reconstructive surgery. Ward 44 also supports the patients requiring surgery for Endocrine conditions. The ward continues to care for elective and emergency general surgical patients. Its patient group is diverse and offers great learning opportunities.   
  • Ward 46 Colorectal Surgery: Is a 29-bed ward which admits elective and emergency colorectal conditions. It is a tertiary centre and cares for very complex colorectal conditions. The complexity of the patients conditions, allow the nursing staff to develop a vast skill set including central line management; fistula management; enhanced nutritional assistance and psychological support.    


  • Ward 5 Hepatobiliary Service: A 26-bed tertiary centre, providing excellent care for patients with a vast array of hepatobiliary conditions. The ward admits elective and non- elective patients. There is a step-down area for patients returning from critical care who require enhanced nursing support. Patients are also admitted for investigations and palliative care support. The nursing staff have highly-developed skills to support the patient’s recovery - this provides great learning opportunities for our staff. 
  • Ward 6: A 28-bed ward caring for patients with colorectal, vascular and some hepatobiliary conditions. Due to the diversity of the patient groups, nurses can develop a range of skills and broaden their surgical knowledge. There are elective and non-elective admissions, and the ward also receives transfers from critical care and cares for palliative patients.   
  • Ward 12 Liver Unit: With 24 beds, it provides care and support to patients undergoing investigation and surgical procedures. This environment receives elective and non-elective admissions. The nursing team works closely with the transplantation team to prepare the patient for transplantation and post-operative recovery.

The Northern Vascular Centre delivers regional Vascular Surgery and has the Disability Service Centre based within the hospital grounds. The inpatient service is delivered through Ward 8 and it has 31 beds. Ward 8 is a tertiary centre caring for complex vascular conditions. Patients are admitted electively or as emergencies though the Assessment Suite at the Freeman Hospital. The role of the nurse incorporates enhanced wound management skills; psychological support; mobilisation techniques; nutritional support and complex discharge planning. This area provides great opportunities to develop new skills and relationships with a large multidisciplinary patient focused team.

RVI and Freeman

There are two Endoscopy Units within the Trust: one based at the RVI and one based at the Freeman.

Both units carry out gastroscopy and colonoscopy as standard, but each carries out a range of specialist services and receive tertiary referrals. Both units are JAG accredited and recognised for their quality standards. There are many learning opportunities within the units and staff rotate through the four areas, from admission, to the procedure rooms, to recovery and then into the discharge area.

Staff are trained to consent patients, cannulate, prescribe certain medications and pre-assess patients before their procedure. The units are part of the Bowel Screening programme and most recently Bowel Scoping programme. There are vast learning and development opportunities due to the diversity of the units with internal and external training.  

Working here

Shift patterns

We operate a varying shift pattern that includes internal rotation.

Within the Endoscopy Units, there is six-day working at the RVI, and late evenings until 8.00pm at the Freeman Hospital. The shifts are usually over a four day working week.

The ward environments have a range of shift patterns, including 12 hour shifts and shorter shifts, usually over a four day working week.

Staff groups

We have the following staff working within the departments: Matron, Sister/Charge Nurse, Clinical Nurse Specialists, Clinical Educator, Outreach, Staff Nurses, Assistant Practitioners, Healthcare Assistants, Ward Clerks and Housekeeper.

Staff training

  • We provide a preceptorship package that supports staff to thrive in their new role and gives an excellent structure to develop and learn new skills.
  • There is a period of supernumerary status whilst the individual settles into the surgical environment.
  • This process is also enhanced by the support of the surgical clinical educator who is on hand to deliver training and increase learning opportunities.
  • All environments have a supportive link through Clinical Supervision.
  • There is access to internal and external education programmes and courses.

More information

For more information about working for surgery services, please contact:

You can find more information about Surgery Services

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