The Senate was asked to provide advice on proposals to consolidate elective orthopaedic inpatient care in South East London – a stage 2 assurance review. The Senate provided advice on 3 issues, 1) whether the case for change and proposed model of care have a clear evidence base 2) whether the proposed model of care would be clinically safe, whilst maintaining a robust system of trauma care and care for patients with complex needs and 3) the potential of the proposed model to improve the quality of elective orthopaedic care.