Main telephone number:
020 8401 3000

Bone Health Service

The CUH Integrated Bone Health Service looks at all aspects of osteoporosis diagnostics and treatment

 

bone

The CUH Integrated Bone Health Service compromises a multi-disciplinary team (Rheumatology, Orthogeriatrics, FLS, Falls team, Orthopaedics, Radiology, Endocrinology, Dietetics, Physiotherapy and Pharmacy) dedicated to caring for patients with Osteoporosis and Fragility Fractures in the Croydon Borough.

The sites of care are at Croydon University Hospital and Purley Memorial Hospital. The collaborative approach of this service is to ensure that a high standard of care is delivered in line with national and international standards of practice in the provision of bone health care and that this is standardized throughout the trust. All aspects of Osteoporosis care including primary prevention (before any fracture), secondary prevention (after fracture), supportive lifestyle measures, specialist treatments, surgical interventions and falls prevention is encompassed through the integrated team.

Our Services 

  • Rheumatology – Osteoporosis clinics at Purley Memorial Hospital and Croydon University Hospital. Assessment and specialist treatment of Osteoporosis and Metabolic Bone Disorders.
  • Fracture Liaison Service – Fracture Liaison Nurse clinics at Croydon University Hospital. Bone health and falls assessments in secondary prevention of patients who have had fragility fractures and seen in Trauma / fracture clinics in Orthopaedics.
  • Geriatrics – Falls service (clinics at Purley Memorial Hospital and Croydon University Hospital. Assessment and treatment of patients with recurrent falls. Orthogeriatrics – Croydon University Hospital. Bone health assessment of patients older than 60 years admitted with hip fractures. C
  • Orthopaedics – Kyphoplasty service (Croydon University Hospital). Surgical management of acute vertebral fractures. 
  • Radiology – Bone density scan service (DEXA scan) at Purley Memorial Hospital. DEXA scanning to ascertain patients’ bone density status. 
  • Dietetics – Dietetics service at Purley Memorial Hospital and Croydon University Hospital. Review of diet regarding optimizing calcium and Vitamin D and assessment of patients with low BMI and coeliac disease (important risk factors for Osteoporosis). 
  • Physiotherapy Dept – physiotherapy at Purley Memorial Hospital and Croydon University Hospital. Focus on low impact exercises to improve bone density and muscle conditioning. 
  • National Osteoporosis Website: www.nos.org.uk (for all leaflets on osteoporosis, associated problems, medications, exercise, lifestyle changes etc).

Other helpful information for patients

  • NOS helpline: 0845 450 0230.   NOS general enquires: 0845 130 3076
  • Rheumatology Helpline number (regarding Osteoporosis clinic): 020 8401 3973    
  • Falls Service Helpline number: 020 8274 6258            
  • Physiotherapy number: 020 8274 6847
  • Dietetics number:   0208 401 3000 ext 4123/3096.       

Wards and clinics

  • Rheumatology Osteoporosis clinics at Purley Memorial Hospital and Croydon University Hospital.
  • Fracture Liaison Nurse clinics at Croydon University Hospital.
  • Falls service clinics at Purley Memorial Hospital and Croydon University Hospital.
  • Bone density scan service (DEXA scan) at Purley Memorial Hospital.
  • Dietetics service at Purley Memorial Hospital and Croydon University Hospital.
  • Orthogeriatrics inpatient reviews at Croydon University Hospital: base ward is Queens 3 with outlying patients on Queens 1 and 2.
  • Orthopaedic Kyphoplasty service (Croydon University Hospital) – orthopaedic OPD / Fracture Clinic and inpatient for Kyphoplasties.

Meet the Team

  • Dr Rizwan Rajak (Osteoporosis Lead, Consultant Rheumatologist)
  • Mrs Elaine Li (Fracture Liaison Nurse)
  • Dr Wallace Tan (Consultant Geriatrician and Falls Lead)
  • Dr Joseph Rehman (Consultant Orthogeriatrician)
  • Dr Amanda Humphreys (Consultant Orthogeriatrician)
  • Dr Natalie Horwood (Consultant Rheumatologist)
  • Dr Malcolm Prentice (Consultant Endocrinologist)
  • Mrs Anna Cowling (DEXA radiographer)
  • Mr Michael Kotrba (Orthopaedic Spinal Surgeon)
  • Dr Claire Hoskins (Consultant Radiologist)
  • Mrs Suzy Peerman (Physiotherapist)
  • Mr Nick Cooley (Pharmacist)
  • Mr Mathew Huntley (Pharmacist)