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Become a member

To apply for SBNS membership click the link below and visit our application page.

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Patient Information

SBNS is unable to give medical advice or recommend neurosurgeons. Please use an appropriate support group or your GP.

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Become a Neurosurgeon

The management of neurosurgical patients requires excellent medical and surgical skills, a career in Neurosurgery offers many challenges and rewards.

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GUIDELINES  (Some of which have been endorsed by the SBNS)

Expert Witness Guidelines - August 2019 

pdf_icon.gif Standards Expected of an Expert Spinal Surgeon Witness in Cases of Clinical Negligence

Management of Patients with Gas Embloisum  (Produced by the Intensive Care Soceity) - Sept 2018 

pdf_icon.gif Guideline for Managing Gas Embolism  - Guidance For Intensive Care and and Resuscitation Teams

UK Guidelines for diagnosis, referral and management in primary and secondary care - July 2018

pdf_icon.gif  Complex Regional Painsyndrome in Adults 

Concussion - June 2015
pdf_icon.gif Concussion Guidelines for the Education Sector 

Management of cardiac arrest during neurosurgery in adults - March 2015
pdf_icon.gif Guidelines for Healthcare Providers

Acoustic Neuroma - 2002
pdf_icon.gif Clinical Effectiveness Guidelines 

National Clinical Guidelines for Stroke  October 2016   

The fifth edition of the National Clinical Guideline for Stroke was published in October 2016. It was prepared by the Royal College of Physicians Intercollegiate Stroke Working Party chaired by Professor Tony Rudd. This working party also oversees the National Audit Programme for Stroke. The 2016 edition of the guideline has been accredited by the National Institute for Health and Care Excellence (NICE).

Stroke: National Clinical Guideline for Diagnosis and Initial Management of Acute Stroke and Transient Ischaemic Attack (TIA).
National Collaborating Centre for Chronic Conditions (UK).

London: Royal College of Physicians (UK); 2008. 
National Institute for Health and Clinical Excellence: Guidance .

Thisis guideline covers interventions in the acute stage of a stroke (acute stroke) or TIA. Most of the evidence considered relates to interventions in the first 48 hours after onset of symptoms, although some interventions of up to 2 weeks are covered as well. The guideline is a stand-alone document, but is designed to be read alongside the Intercollegiate Stroke Working Party guideline, which incorporates all the recommendations made in this guideline. 


Last Updated: 21 February 2020


All the latest can be found on the NICE website Nice Guidelines 

National CJD Guidelines

 pdf_icon.gif Managing CJD/vCJD risk in Neurosurgery – Post Consultation draftMarch 2017 

A review of the NICE CJD guidance 2006 (IPG 196 )
Minimise transmission risk of CJD and vCJD in healthcare settings is scheduled. Until the outcome of this review is known, the advice set in the 2006 guidance remains current and is reflected throughout  the joint DH/SBNS/NICE document above. There is an algorithm on page 15.     

Venous Thromboembolism - New NICE Guideline 
(CG 92) - January 2010 

This Guidance was released by NICE at the end of January 2010 and deals with prevention of VTE and PE in patients admitted to hospital 

The section relating to Neurosurgical patients are on pages 278 to 289 and Spinal injuries on Pages 324 to 332.  This guidance replaces the prvious guidance released in 2007 (CG 46). 


Legal Aspects of Medical Manslaughter  May 2018
pdf_icon.gif Position Statement  

General Surgery of Childhood 
Working together to improve the local delivery of the General Surgery of Childhood

pdf_icon.gif  Lower Back Pain - April 2018 
National Back and Radicular Pain Pathway - June 2017

Surgical Forum of Great Britain and Ireland held on the 25th January 2016
pdf_icon.gif Choosing Wisely in Surgery

Prolonged Disorders of Consciousness Report - 12 December 2013
pdf_icon.gif Prolonged_Disorders_of_Consciousness_Report

You can download the guidelines and associated material free from the RCP website:

Spinal cord stimulator for pain

webpage_icon.gif Surgeon's Information
webpage_icon.gif Patient Information

webpage_icon.gif The initial care and transfer of patients with spinal cord injuries

NASGBI & SBNS August  2014pdf_icon.gif Joint position statement by the Councils of the Neuroanaesthesia Society of Great Britain and Ireland (NASGBI) and the Society of British Neurological Surgeons (SBNS) with regards to the calculation of cerebral perfusion pressure in the management of traumatic brain injury 

Published by British Journal of Anaesthesia, 2015

webpage_icon.gif Antibiotics and Low Back Pain July 2012

Professor C Greenough MD MChir FRCS
National Clinic Director – Spinal Disorders

webpage_icon.gif Complex regional pain syndrome guidelines  Launched in June 2012 on the RCP website and endorsed by the SBNS

webpage_icon.gif Joint Statement regarding the provision of emergency paediatric neurosurgery Aug 2010

National Service Framework for Long Term Conditions

webpage_icon.gif National service framework for long term conditions 
March 2005 


webpage_icon.gif NCEPOD - Trauma: Who Cares? Nov 2007

webpage_icon.gif NCEPOD - Trauma - Who Cares? Executive Summary - Nov 2007

webpage_icon.gif NCEPOD - Trauma Who Cares? Self Assessment tool

Mental Act

 Mental Capacity Act 
Professor Paul Marks, BA,LLM,MD,FRCS 
Leeds General Infirmary and Leeds Metropolitan University Law School