Central Middlesex

Trainees rotate through teaching and district general hospitals in north west London, as well as some specialist hospitals in central London


Central Middlesex is part of the North West London Hospitals NHS Trust, along with Northwick Park hospital. It is a small district general hospital of 206 beds situated in Acton with a diverse ethnic population.

The anaesthetic service is delivered by nine general consultants, 3 ITU consultants, 6 staff grades and senior clinical fellows with 5-6 trainees (CT1-ST4) from the Imperial school.

Central Middlesex Hospital is primarily the elective site and hence trainees are rotated 3 monthly between the two hospitals to maximise training opportunities.


It has two operating departments, namely:

  • ACAD (Ambulatory Care and Diagnostic Centre); 6 operating theatres, mainly a day care centre with facilities for extended recovery upto 23 hour stay
  • BeCad; – Main Theatres; 3 operating theatres, mainly Orthopaedics and Gynaecology

The speciality experience offered at CMH are:

  • Orthopaedics (Upper limb and Lower limb surgery, ultrasound guided blocks)
  • ENT (Adult and paediatrics)
  • General surgery (Day case laparoscopy)
  • Urology (Adult and paediatric day case)
  • Dental (Adult and paediatrics)
  • Ophthalmology (Adult and paediatrics)
  • Maxillofacial (Adult day case reconstructive surgery)


The ITU is a ten bedded consultant led unit with five level 1 and five level 2 beds, admitting primarily medical patients. The on-call service is provided by a clinical fellow or registrar and senior house officer, with support from a non-resident General and ITU consultant. This involves cover for A&E from 8am-7pm (closed overnight) and ITU out-of-hours. 


There are weekly half-day consultant lead teaching sessions and monthly clinical governance meetings. In addition CT1 trainees have the opportunity to attend the teaching sessions at Northwick Park Hospital on Mondays.

There are also plenty of opportunities to get involved in audits and teaching.

Central Middlesex

Acton Lane, Park Royal, London NW10 7NS
Dept 020 8453 2396 Fax 020 8453 2091 Switch 020 8965 5733
College Tutor Carolyn Chan
Department Admin Pritti Shah
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