MB.BS, FRCS(Tr & Orth)

Joseph Perez is a UK qualified Hand and Orthopaedic Surgeon who provides comprehensive treatment for most medical conditions that can affect the musculoskeletal structures of the upper limb ...


Use our interactive arm for information on typical upper limb conditions and surgical procedures.


Joseph Perez practices at various locations in Central and West London.


Mr Perez has written over 3500 medico legal reports over the past 15 years. He has undergone formal training in this discipline with ...


portrait of Joseph Perez



MB.BS, FRCS(Tr & Orth)

Joseph Perez is a UK qualified Hand and Orthopaedic Surgeon who provides comprehensive treatment for most medical conditions that can affect the musculoskeletal structures of the upper limb.

This service is closely integrated with Hand Therapists, Physiotherapists, Sports Physicians, Rheumatologists, Neurophysiologists, Anaesthetists and Musculoskeletal Radiologists.


Mr Perez qualified from Guys Hospital Medical School in 1987. He underwent basic surgical training in Brighton and Plymouth obtaining Fellowship of the Royal College of Surgeons of Edinburgh in 1993.

He completed formal orthopaedic training in Bristol and the South East Thames regions being awarded the Inter-collegiate Specialist Exam in Orthopaedic and Trauma Surgery in 1999.

He undertook fellowships in Hand, Wrist, Elbow and Shoulder Surgery in 2000 and 2001 in Sydney, Australia. He returned to London to be appointed Consultant at Northwest London Hospitals Trust in 2002 where he is currently the lead clinician for Hand and Elbow Surgery.

Clinical practice since that time has been exclusively as an Upper Limb Surgeon. Over 21 years he has undertaken over 8500 operative interventions. He regularly receives referrals to assess and treat Professional and Olympic athletes.

He has a particular interest in thumb osteoarthritis, wrist pain, elbow instability/fractures and degenerative conditions of the shoulder.

A full range of operative interventions are available including keyhole surgery (arthroscopy), joint replacement (arthroplasty), fixation of acute fractures and reconstruction of non-unions.


New Treatments

It is now possible to treat several common upper limb conditions without the inconvenience or risks of surgery.

For very early Dupuytren’s disease before contracture has developed a short course of radiotherapy can prevent disease progression in 60% of cases. This is particularly useful for young individuals with aggressive disease. In more advanced cases once a contracture has developed an injection of enzyme (Xiapex) directly into the palm can dissolve the local fibrous tissue and correct deformity rather than having to undergo surgery.

For certain common tendon problems (tennis elbow and shoulder calcific tendinitis) shock wave therapy has been shown to be an effective treatment. It is increasingly been used with professional sportsmen and athletes. A course of three 5 - 10 min non-invasive treatments can be undertaken instead of painful injection or surgery.

These novel treatment options can be discussed at your consultation.



Sudbury Hill

Appointments: 020 8872 3838

Chiswick Diagnostic & Treatment Centre

Bond House
347-352 Chiswick High Road
W4 4HS

Appointments: 020 3131 4734

9 HARLEY ST (Ad Hoc only)

9 Harley Street London W1G 9AL

Part of Phoenix Hospital Group

Appointments: 020 7079 2100

Video Consultations

Mr Perez has been offering video consultations in response to the COVID19 pandemic and found that this format lends itself to upper limb problems. We are supported by the major private medical insurers in this venture and have set up secure means of communication. For older or vulnerable patients it represents a safer option and is probably more convenient for most individuals. Please liaise with Kjai for further details.



Mr Perez has written over 3500 medico legal reports over the past 15 years. He has undergone formal training in this discipline with Professional Solutions and Services Ltd:

  • 2002: Medico-Legal Report Writing

  • 2002: Giving Expert Evidence in Court


  • 2016: Capsticks - Consent

Instructions are accepted on behalf of Claimants, Defendants and Joint Parties for upper limb problems - (Hand, Wrist, Elbow and Shoulder Injury)

*Personal Injury, Clinical Negligence, Employment Tribunals & Industrial Claims


Samantha Findlay

Private Clinical PA
Telephone: 020 8088 4500

Carla Woodcock

Medico-Legal PA
Telephone: 01962856094


  • New Patient Appointment: £175-295
  • Follow-Up: £145-215
  • Steroid Injection: £125-195
  • Application of plaster:: £125-195

Mr Perez is recognised by all major insurers, he is fee assured with BUPA and AXA

All other London Hand Clinic fees payable to Mr Perez are independently set.

An estimate of outpatient and treatment costs will be provided prior to consultation, treatment and or surgery in accordance with CMA requirements.

Please note that Hospital and Anaesthetic fees are charged separately.

You should note that whilst insurance companies will often settle bills directly, they do not actually pay or employ the consultant; they reimburse the patient for consultant fees.

Levels of reimbursement vary widely between insurance companies and especially with the actual policy held. Shortfalls are not uncommon and therefore if a gap in funding arises this will need to be settled by the patient.

FIPO Patient Information Sheet »

The London Hand Clinic Data Policy

We take our responsibilities regarding your information seriously and make sure that it is used appropriately and kept confidential at all times in accordance with data protection laws.

As sole director of London Hand Surgery Limited (7169594), Joseph Perez has been registered as an ICO data controller since 2002. As such we are already compliant with ICO regulations and will continue to do so, including GDPR and other evolving legislation.

We have carried out an ICO online survey assessing the criteria by which we store your medical data and established that we do so in accordance with the legal requirements of England and Wales and General Medical Council.

Clinical Information

This is stored on a secure 3rd party server (PPM) and is GDPR compliant. Adult Medical records will be kept for at least 10 years after Mr Perez retires from private medical practice or longer if deemed legally necessary; for minors data will be kept for an additional 10 years after reaching adult status in the UK.

All hard copy files and documents are kept in secure locked offices with no public access. This information is destroyed in a secure certified manner after 12 months.

In order to meet our legal obligations and other UK requirements for the practice of private medicine, we will share appropriate information when needed, as per Caldecott Guardian principles, with:

a) General practitioners.
b) Other medical practitioners (e.g. anaesthetists, cardiologists etc).
c) Other healthcare professionals (e.g. physiotherapists, hand therapists etc).
d) Hospital and or medical facility administrators including medical secretaries.
e) Private medical insurers in accordance with your contract with them and in order to facilitate your healthcare funding.
f) Other healthcare practitioners for the purpose of mandatory clinical audits.

Over the above said statutory requirements London Hand Surgery Limited will seek your prior signed consent, at initial patient registration or as soon as is practicable afterwards, for the purpose of:

a) Sharing your information with third party individuals (of your pre-agreed choice).
b) Sharing your information with employers.
c) Using your anonymised information for research purposes.
d) Using your personal information for marketing purposes.

All subcontracted staff undertaking work for London Hand Surgery Limited will:

a) Deal with the your data in a confidential manner and adhere to GDPR guidelines.
b) Have read the London Hand Surgery data policy.
c) Have undergone appropriate information governance training.
d) Will use encrypted email when forwarding sensitive information.
e) Will use additional identifiers when divulging information to you or prior agreed 3rd parties over the telephone as may be required.
f) Will use first class royal mail when sending hardcopy documents.
g) Will only share your information information with 3rd parties in accordance with the above stated policy.

Medicolegal Information

As part of our terms and conditions when accepting new instruction we will seek confirmation that any legal firm or intermediary:

a) Is GDPR compliant and has obtained the necessary consent, implicit or explicit from its clients whether Claimant or Defendant.

b) Has read and agrees to the terms of our data policy

Data will be managed in the aforementioned manner. The only variation for medicolegal data being the period for which it is held; until the conclusion of the instructed legal matter and settlement of all associated outstanding invoices.

We reserve the right to keep anonymised records for research purposes, which remain the intellectual property of London Hand Surgery Limited in perpetuity.

The London Hand Clinic Data Policy is reviewed regularly, in keeping with changes to UK legislation and or GMC guidelines. It is posted on the company website:


The information contained in this website is for general information purposes only. The information is provided by The London Hand Clinic and while we endeavour to keep the information up to date and correct, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the website or the information, products, services, or related graphics contained on the website for any purpose. Any reliance you place on such information is therefore strictly at your own risk.

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