I am a Consultant Neurosurgeon at Cambridge University Hospitals NHS trust and I was Clinical Director of Neurosciences until last year. I am an Associate Lecturer in the Cambridge University School of Clinical Medicine. We have a comprehensive integrated neurosurgical and orthopaedic spinal surgical unit. CUH is the major trauma centre for the Eastern region of the UK and we were the first neurosurgical unit in the UK to integrate orthopaedic spine surgeons. We have introduced minimally invasive, percutaneous and image guided surgery putting us at the forefront of spinal practice both regionally and nationally.