Mr Ashley Simpson
Consultant Peripheral Nerve Injury Surgeon
Our skilled specialists manage a wide range of conditions, from common hand and wrist problems to complex peripheral nerve procedures, using best-in-class techniques to achieve the best possible outcomes. Precise diagnosis shapes every stage of care, supported by high quality diagnostics and clinical expertise to identify the exact issue affecting the hand or wrist. We offer a full spectrum of interventions, from non-surgical options including splinting and guided injections to surgical procedures such as a carpal tunnel release.
Patient education sits at the heart of our approach. We ensure every individual understands their condition and the available treatments, helping them make informed decisions with confidence. Whether treating long standing conditions like carpal tunnel syndrome or supporting patients after injury, our team provides clear communication, expert care and steady support throughout recovery.
Your path to accessing our services begins with a simple step. Contact us and we will guide you through each stage of your treatment, ensuring a smooth and positive experience.
Surgery is usually considered when non-surgical treatment has not brought sufficient improvement. The aim is to relieve symptoms, prevent further deterioration and restore hand and wrist function.
Depending on the condition, one or more surgical techniques may be used. These can include:
• Carpal tunnel release to ease pressure on the median nerve by opening the tight band of tissue at the wrist
• Cubital tunnel release to relieve compression of the ulnar nerve at the elbow
If you smoke, your surgeon may advise postponing surgery unless you can refrain from smoking before and during recovery. Evidence shows that smoking slows healing and increases the risk of complications.
Carpal tunnel release is a procedure that relieves pressure on the median nerve at the wrist. It is used to treat symptoms such as numbness, tingling and weakness in the hand. The surgery creates more space within the carpal tunnel, which helps restore comfort and function.
Cubital tunnel release treats compression of the ulnar nerve at the elbow. This procedure reduces nerve irritation that can cause pain, tingling or reduced strength in the hand and forearm. It aims to protect nerve health and improve day to day movement.
Not all hand and wrist conditions require surgery. Many patients benefit from non-surgical options such as physiotherapy, pain management, lifestyle modifications, or guided injections. Surgery is recommended only when conservative treatments are no longer effective or when the condition requires surgical intervention.
Recovery depends on the type of treatment or surgery performed. Your consultant will explain expected recovery timelines, rehabilitation requirements, and any temporary activity limitations to support healing.
More information for Self Pay patients and payment options can be found here
All payments must be made in pounds sterling (£).
Patients must provide an original signed letter from their sponsor which clearly outlines their acceptance of responsibility for payment of the patient’s account. This must be received and agreed by RNOH Private Care prior to the appointment or admission date.
RNOH Private Care has excellent relationships with embassies. If you are a government sponsored patient your embassy will need to issue a letter of guarantee to cover the cost of your treatment. We must receive this letter before your appointment date to enable treatment to go ahead.
Information about our Terms and Conditions is available here.
Take a look at how you can spread the cost of your treatment with our partners at Chrysalis Finance.
Royal National Orthopaedic Hospital NHS Trust trading as Royal National Orthopaedic Hospital Private Care is an Appointed Representative of Chrysalis Finance Limited, which is authorised and regulated by the Financial Conduct Authority. Royal National Orthopaedic Hospital NHS Trust is a credit broker, not a lender. The provider of a payment scheme which is not offered through or by Chrysalis Finance Limited may not be so authorised and regulated.
Payment options with Chrysalis Finance
New patient & referrals
+44 (0)20 8909 5114
Email
rnoh.pcenquiries@nhs.net
All other enquiries
+44 (0)20 3947 0049