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Smooth operatorMalcolm Clarke has succeeded in speeding up patients' access to minor orthopaedic procedures - by performing them himself. He told Catharine Sadler about the work that has won him the Nursing Standard Nurse 2000 Surgical Nursing Award.

GOWNED, MASKED and watchfully anticipating the surgeon's next request, the operating theatre nurse's role is skilled and supportive. But is it a position with potential for growth? Malcolm Clarke began questioning his 'handmaiden' role in theatres some years ago. Now an operating nurse specialist, he has significantly reduced Leicester General Hospital's orthopaedic waiting list by booking in and performing almost 250 minor surgical operations in the past 18 months.