Since qualifying as an orthopaedic specialist in 2013, Dr Fleming performed 4 clinical fellowships working with some of Sydney's top orthopaedic specialists at St Vincents Private, The Mater, Sydney Private, Gosford Private, Concord Repatriation, Kareena Private, St George Private & public and Sutherland hospitals.

In 2018 Dr Fleming opened The Joint Institute offering up-to-date surgical techniques for patients with hip and knee conditions who wish to be treated in the private hospital system. Living locally in the Shire, Dr Fleming focuses his work at Kareena Private Hospital.

All team members at the Joint Institute believe their patient's well being always comes first, and aim to provide you with high-quality, patient-centred, informative, so you feel empowered during your recovery.