Many of our consultants have national and international reputations.  This is reflected in the complexity of the cases performed. The Unit is a tertiary referral centre for many complex shoulder and elbow problems and we employ a number of cutting edge technologies in the realms of adult reconstruction and trauma care.


Mr Marius Espag
MB ChB, MRCS, FRCS (Tr & Orth)

Marius Espag joined the Upper Limb team as a  Consultant in April 2008. As part of his training he spent time in the Upper Limb Units of both Derby and Nottingham. He completed a six month Shoulder Fellowship with Dr Joe De Beer in Cape Town gaining experience in shoulder arthroplasty and instability in contact sport athletes. He also spent six months with Mr Brian Holdworth gaining experience in complex elbow trauma and arthroplasty.  As a shoulder and elbow surgeon he deals with all conditions but his main interests are in Primary and Revision Elbow and Shoulder Arthroplasty.

Email Mr Espag’s secretary
NHS secretary: 01332 787572

Mr David Clark
MB ChB, BMed Sci, FRCS, FRCS (T & Orth)

David Clark has been a Consultant at the Royal Derby Hospital for fifteen years and is currently the lead clinician for Trauma and Orthopaedics.  He has a specialist interest in complex upper limb surgery and a more general trauma commitment.  In 2014 he was elected as a trustee of the British Orthopaedic Association Council.  He has been Chairman of the British Orthopaedic Directors Society from 2012-4 and is Secretary Elect of the British Elbow & Shoulder Society.

Email Mr Clark’s Secretary
NHS secretary: 01332 783061

Mr Tim Cresswell
BM, FRCS Ed (Tr & Orth), Dip Orth Eng

Tim Cresswell was appointed as a Consultant in Derby in 2006 after training in Sheffield. He did specialist training in elbows with David Stanley in Sheffield and then was able to do fellowships with Dr. Joe de Beer in Cape Town, with the Pulvertaft Hand Centre in Derby and with Dr. Hill Hastings II in Indianapolis in the USA as the AO trauma fellow.  In addition to his work in Derby Shoulder & Elbow Unit, Tim works in the Pulvertaft Hand Unit allowing him to care for the whole upper limb.

 Email Mr Cresswell’s Secretary
NHS secretary: 01332 787560

Mr Amol Tambe
MBBS, MS (Orth), FRCS (Ed), FRCS (Tr & Orth)

Amol Tambe was appointed as a consultant at the Royal Derby Teaching Hospitals in 2010. Prior to joining the team here, he spent a year as a specialist fellow in the Wrightington Upper Limb Unit. He has also spent time at the MGH Boston, USA and in various centres in Europe and UK as a visiting shoulder fellow (awarded by the British Elbow & Shoulder Society).  He performs all types of shoulder & elbow surgery and has a special interest in shoulder trauma reconstruction.  He was appointed Honorary Associate Professor by the University of Nottingham in 2014 in recognition of his teaching and research commitments.

Email Mr Tambe’s Secretary
NHS secretary: 01332 783066

Mr Daniel Morris
BMedSci (Hons) BM BS (Hons) FRCS (Tr & Orth)

Daniel Morris graduated from the Nottingham Medical School in 2011; having gained an additional BMedSci (Hons) degree. He achieved the Mitchell Memorial Prize, awarded to the best overall student on the clinical course, and Hay-Shunker Prize in Clinical Surgery, awarded for outstanding performance in clinical surgery.  He completed higher surgical training in the East Midlands, demonstrating an interest in shoulder, elbow and trauma surgery throughout.  He enjoys participating in research and quality improvement, and continues to be involved in publications, international presentations and development of upper limb trauma management pathways.

Email Mr Morris’s secretary
NHS secretary: 01332 787572


Marcus Bateman

Upper Limb Consultant Physiotherapist
BSc (Hons) MSc MCSP IP

Marcus qualified from the University of Manchester in 2001.  He completed a post-graduate MSc at the University of Nottingham in 2011 and has trained as an Independent Non-Medical Prescriber.  He lectures nationally & internationally and in 2018 was awarded the British Elbow & Shoulder Society’s Copeland Fellowship.  In 2020 he started an NIHR Doctoral Fellowship to research optimised physiotherapy for Tennis Elbow.

Marie Morgan

Arthroplasty Specialist Physiotherapist
BSc (Hons) MSc MCSP

Marie qualified from the University of Birmingham in 2000 and subsequently completed a post-graduate MSc at the University of Nottingham in 2014.  She has worked as an arthroplasty specialist since 2013.  She is currently researching the outcomes of Reverse Total Shoulder and Total Elbow Replacements.  In 2018 she was awarded the Calvert Endeavour Prize by the British Elbow & Shoulder Society.

Lisa Pitt

Upper Limb Physiotherapy Practitioner
BSc (Hons) MCSP

Lisa qualified from the University of Bradford in 2003 and has specialised in musculoskeletal physiotherapy since 2005.  She joined DSU in 2018 with an special interest in shoulder soft tissue injuries.  Lisa will be managing all of our patients undergoing rotator cuff and shoulder stabilisation surgery.  In 2019 she was awarded the AHP Travelling Fellowship by the British Elbow & Shoulder Society.


Mr Andrew Peter Dekker
BMBS, BMedSci(Hons), FRCS (Tr & Orth)

Andrew P Dekker is an Upper Limb Surgeon at University Hospitals of Derby and Burton.  He graduated from the University of Nottingham in 2008, trained in Orthopaedic Surgery in the East Midlands and completed upper limb fellowships in Coventry and Derby.  Mr Dekker has been a consultant since 2021 and has interests in day case, trauma and elective upper limb surgery.

Mr Dekker helps deliver upper limb elective and trauma at the Burton, Derby, Tamworth and Lichfield sites of University Hospitals of Derby and Burton and is an educational supervisor for foundation doctors and Upper Limb Fellows.

Prof Neil Ashwood
BSc, MB MS, MMedEd, FRCS Orth

Professor Neil Ashwood is based at the Research Institute at Wolverhampton University and as an Upper Limb Surgeon at University Hospitals of Derby and Burton.  He is on the research committee of the Orthopaedic Trauma Society and the Surgical Speciality Board at the Royal College of Surgeons in Edinburgh.  He has been a consultant for over 20 years and has interests in day case, trauma and elective upper limb surgery.  He helps deliver upper limb elective and trauma at the Queens site of University Hospitals of Derby and Burton and is an educational supervisor for the Upper Limb Fellowship there.


Dr Chris Fang

Chris Fang graduated from Cambridge University and completed his radiology training in Oxford where he trained in musculoskeletal imaging at the nationally and internationally renowned Nuffield Orthopaedic Centre.

He has been a practising NHS consultant since 2007. Outside his NHS practice, he has, over the last few years, worked as a radiologist to sports professionals from football league clubs in the East Midlands and County Cricket Clubs together with athletes competing at Olympic level.

Dr Fang has lectured on areas of musculoskeletal imaging at national meetings and is a tutor on ‘Hands on’ Ultrasound Courses. He is an active peer reviewer and has authored book chapters, reviews and original publications in the field of musculoskeletal imaging.


Fiona Ashton

MBChB, FRCS (Trauma & Orth)

Fiona graduated from Edinburgh University and completed Core and Higher Surgical Training in Trauma & Orthopaedics in the North East. During this time she developed a sub-specialty interest in shoulder and elbow surgery. She enjoys contributing to both education and research, continues to be involved in a number of research and quality improvement projects, and is completing an MD at the York Trials Unit. She is the current trainee lead for the British Elbow and Shoulder Society, and is working towards improving shoulder arthroplasty data quality with the National Joint Registry.

Rajiv Gogna – Zimmer Biomet Fellow
MBBS (Merit), MRCS, FRCS (Tr&Orth)

Rajiv graduated from Newcastle University Medical School in 2008. He was a junior surgical trainee in Derby before joining the Coventry & Warwick training programme in trauma & orthopaedic surgery. He has now returned to Derby as a fellow to gain specialist upper limb experience! He has several publications as well as national presentations. He has a particular interest in innovation and quality improvement, and has a passion to develop new ideas and pathways to improve efficiency and clinical care for our patients.


Tim Coughlin


Tim graduated from the University of Nottingham in 2006. He has undertaken basic and higher surgical training in the region. He completed his PhD at the University of Nottingham in orthopaedic trauma. He has a sub-specialty interest in upper limb trauma and has published original research and a number of book chapters in this area. He is an award winning undergraduate teacher with a very successful online course, ‘Learn Orthopaedics’, and is an Associate Fellow of the Higher Education Academy.