In 2005 he opened Fitzpatrick Referrals, the UK’s pre-eminent and largest dedicated small animal orthopaedic and neuro-surgical facility in Surrey, employing over 250 veterinary professionals and comprising superlative surgical, diagnostic and rehabilitation facilities.
Noel is the clinical chair and chief surgeon at Fitzpatrick Referrals. He is particularly experienced in minimally invasive arthroscopic (keyhole) surgery, spinal disc disease, limb deformities, joint replacement, regenerative medicine and limb salvage for severe trauma or cancer. He is widely appreciated for his innovative solutions to complex problems, whilst promoting and ensuring efficacy and ethicacy at all times. He has developed more than 30 new techniques including several world-firsts.
In 2009 he became the first veterinary surgeon in the world to successfully apply a cutting edge amputation prosthesis (called a PerFiTS) to a cat called Oscar who had lost both front paws in an accident. In 2015 Noel and Oscar each received a Guinness World Record for the achievement.
Noel opened a second state-of-the-art hospital in Surrey dedicated to Oncology and Soft Tissue in 2015, redefining the standard of cancer treatment and care for companion animals.
A further centre is being developed at the Eashing referral practice called Fitzpatrick Institute for the Restoration of Skeletal Tissue (FIRST). The purpose of the new facility is to provide a range of validated evidence based options for the treatment of complex conditions of the neuromusculoskeletal system. This includes marrying new advances in biomaterials with the revolution of regenerative medicine.