NJR Surgeon and Hospital Profile
Hospital

Hospital: Cheltenham General Hospital

Gloucestershire Hospitals NHS Foundation Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Pavel Akimau6100148 H
Amit Atrey4738774 H K
Navraj Atwal6025665 H K
Htin Aung4016904 H K S
Ashraf Awad6075346 H K
Richard Barksfield6148763 H K
Ewan Bigsby6131332 H E S
Richard Brown4033280 H K A
Simon Clint4529648 H
Roger Close3396094 H K
Christopher Curwen2426444 H K
Alexander Lascelles Dodds6074858 H K
Daniel Markus Engelke6153489 H K S
Robert E Gleeson4101503 H K
Harminder Gosal3279791 H K
Joachim H Grote3647707 H K
Handattu Ravi Shankar Hande3372120 H K
Gavin Holt3298828 H K
Gennadii Kalap3274208 H K
Peter Kempshall6031173 H K
Christopher J M Knudsen2672805 H S
John Grant Mackinnon2724599 H K
Richard Majkowski2725662 H K
Jonathan Nigel Mutimer4405678 H K
Nitin Sawant4543914 H K
Rathnam Obli Sundaram4552116 H
Vinay Takwale4382922 H K E S
Michael Tredgett3550869 H K
Jonathan Sinclair Wand2405377 H K E S
Key :
H Hip surgery
K Knee surgery
A Ankle surgery
E Elbow surgery
S Shoulder surgery
12-MONTH PRACTICE PROFILE (1 YEAR)
Data for 1 April 2017 - 31 March 2018
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-542226
Hip Revision-5224
Knee PrimaryPatello-Femoral ReplacementFewer Than 54
Knee PrimaryTotal knee replacement526228
Knee PrimaryUnicondylar Knee Replacement12931
Knee Revision-4517
Elbow Primary-Fewer Than 53
Elbow Revision-Fewer Than 52
Shoulder Primary-4518
Shoulder Revision-63
           Total1345+556
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2015 - 31 March 2018
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-1421686
Hip Revision-15170
Knee PrimaryPatello-Femoral Replacement2211
Knee PrimaryTotal knee replacement1332692
Knee PrimaryUnicondylar Knee Replacement26183
Knee Revision-9650
Ankle Primary-911
Elbow Primary-127
Elbow Revision-64
Shoulder Primary-14250
Shoulder Revision-88
           Total34601672
HIPS
PATIENT IMPROVEMENT AND OUTCOMES

This information display shows you how this hospital compares to the national rates for a range of patient improvement and outcomes measures used to demonstrate quality in joint replacement surgery. Against each measure you will be able to see whether this hospital is performing better than expected, within the expected range or worse than expected for this type of surgery. This hospital is represented on the chart by the black marker ().

It is important to note that the types of patients a hospital treats and the procedures it carries out can explain variation in patient outcomes after surgery. Please click on the ‘how to interpret this chart’ button for further information.

 
Patient improvement

Patient improvement, featured in this chart, looks at three measures of patient-reported outcomes that are routinely assessed following hip/knee replacement in England. This information is not currently collected in Wales or Northern Ireland and as a result, no data is available to display.

The measures are referred to using their technical names 'Oxford hip/knee score', 'EQ-5D' and 'EQ-VAS' – click here for a non-technical introduction to these.

Data for 1 April 2017 - 31 March 2018


Click on the   to find out more about the quality measure and its source data
 

Patient Reported Improvement MeasureThis Trust Patient Records AnalysedTrust Avg Health GainNational Avg Health Gain
Oxford hip ScoreAs Expected21022.1722.60
EQ-5DAs Expected1840.4480.470
EQ-VASAs Expected18512.6113.87
 

Patient outcomes

Patient outcomes, featured in this second chart below, looks at mortality and revision. Please click on the ‘how to interpret this chart’ button for further information including additional notes on factors that may affect the results shown including whether the hospital is providing a full and accurate submission of first-time joint replacement and revision operation data to the NJR.

Data for April 2003 - August 2018


Click on the   to find out more about the quality measure and its source data
 

Patient Outcomes Quality MeasureThis Hospital Patient Records AnalysedThis Hospital RatioNational Ratio
90 Day Mortality: Operations Aug13-Aug18As Expected21481.001.00
Revision Rate: Operations Apr03-Aug18As Expected49731.251.00
Revision Rate: Operations Aug13-Aug18As Expected23011.351.00
 
ABOUT THE PATIENTS WHO WERE TREATED

This information display shows overall characteristics for first-time hip replacement patients treated at this hospital between 1 April 2003 and 31 March 2018. Against each characteristic you will be able to see whether this hospital has treated a greater or fewer number of patients of a particular type. This hospital is represented on the chart by the black marker ().

The types of patients a hospital treats can explain variation in patient outcomes after surgery. Please click on the ‘how to interpret this chart’ button for further information.

For hospitals in England and Wales, the NJR has collected information since 2003. Northern Ireland joined in 2013 and as a result, the information on patients treated in NI only dates from February 2013.

Data for 1 April 2003 - 31 March 2018


Click on the   to find out more about the quality measure and its source data
 

Percentage Of Patients Who Were:This HospitalNational Average
Male38%40%
Under 60 years of age17%21%
Severely Obese (BMI of 35 or greater)13%13%
At higher risk of medical problems before or after Surgery (ASA 3+)16%16%
Diagnosed with conditions other than Osteoarthritis10%8%
 
USE OF ODEP RATED IMPLANTSAbout ODEP
Data for 1 April 2017 - 31 March 2018
No Implant Not ODEP rated ODEP rated
Implant typeNo. of primary procedures using an ODEP rated implantNo. of primary procedures using non ODEP rated implantNo. of primary procedures submitted without any implant details% of procedures using an ODEP rated implant
Hip stem54200100%
Hip cup5423099%
 
KNEES
PATIENT IMPROVEMENT AND OUTCOMES

This information display shows you how this hospital compares to the national rates for a range of patient improvement and outcomes measures used to demonstrate quality in joint replacement surgery. Against each measure you will be able to see whether this hospital is performing better than expected, within the expected range or worse than expected for this type of surgery. This hospital is represented on the chart by the black marker ().

It is important to note that the types of patients a hospital treats and the procedures it carries out can explain variation in patient outcomes after surgery. Please click on the ‘how to interpret this chart’ button for further information.

 
Patient improvement

Patient improvement, featured in this chart, looks at three measures of patient-reported outcomes that are routinely assessed following hip/knee replacement in England. This information is not currently collected in Wales or Northern Ireland and as a result, no data is available to display.

The measures are referred to using their technical names 'Oxford hip/knee score', 'EQ-5D' and 'EQ-VAS' – click here for a non-technical introduction to these.

Data for 1 April 2017 - 31 March 2018


Click on the   to find out more about the quality measure and its source data
 

Patient Reported Improvement MeasureThis Trust Patient Records AnalysedTrust Avg Health GainNational Avg Health Gain
Oxford knee ScoreAs Expected22718.7117.14
EQ-5DAs Expected2160.3790.340
EQ-VASAs Expected2128.418.07
 

Patient outcomes

Patient outcomes, featured in this second chart below, looks at mortality and revision. Please click on the ‘how to interpret this chart’ button for further information including additional notes on factors that may affect the results shown including whether the hospital is providing a full and accurate submission of first-time joint replacement and revision operation data to the NJR.

Data for April 2003 - August 2018


Click on the   to find out more about the quality measure and its source data
 

Patient Outcomes Quality MeasureThis Hospital Patient Records AnalysedThis Hospital RatioNational Ratio
90 Day Mortality: Operations Aug13-Aug18As Expected25231.001.00
Revision Rate: Operations Apr03-Aug18As Expected53080.931.00
Revision Rate: Operations Aug13-Aug18As Expected25510.521.00
 
ABOUT THE PATIENTS WHO WERE TREATED

This information display shows overall characteristics for first-time knee replacement patients treated at this hospital between 1 April 2003 and 31 March 2018. Against each characteristic you will be able to see whether this hospital has treated a greater or fewer number of patients of a particular type. This hospital is represented on the chart by the black marker ().

The types of patients a hospital treats can explain variation in patient outcomes after surgery.

For hospitals in England and Wales, the NJR has collected information since 2003. Northern Ireland joined in 2013 and, as a result, the information on patients treated in NI only dates from February 2013.

Please click on the ‘how to interpret this chart’ button for further information.

Data for 1 April 2003 - 31 March 2018


Click on the   to find out more about the quality measure and its source data
 

Percentage Of Patients Who Were:This HospitalNational Average
Male43%43%
Under 60 years of age14%17%
Severely Obese (BMI of 35 or greater)23%23%
At higher risk of medical problems before or after Surgery (ASA 3+)14%16%
Diagnosed with conditions other than Osteoarthritis3%3%
 
ANKLES
ABOUT THE PATIENTS WHO WERE TREATED

This information display shows overall characteristics for first-time ankle replacement patients treated at this hospital between 1 April 2010 and 31 March 2018. Against each characteristic you will be able to see whether this hospital has treated a greater or fewer number of patients of a particular type. This hospital is represented on the chart by the black marker ().

The types of patients a hospital treats can explain variation in patient outcomes after surgery.

For hospitals in England and Wales, the NJR has collected information since 2010. Northern Ireland joined in 2013 and, as a result, the information on patients treated in NI only dates from February 2013.

Please click on the ‘how to interpret this chart’ button for further information.

Data for 1 April 2010 - 31 March 2018


Click on the   to find out more about the quality measure and its source data
 

Percentage Of Patients Who Were:This HospitalNational Average
Male33%59%
Under 60 years of age0%20%
Severely Obese (BMI of 35 or greater)18%13%
At higher risk of medical problems before or after Surgery (ASA 3+)22%16%
Diagnosed with conditions other than Osteoarthritis17%12%
 
ELBOWS
ABOUT THE PATIENTS WHO WERE TREATED

This information display shows overall characteristics for first-time elbow replacement patients treated at this hospital between 1 April 2012 and 31 March 2018. Against each characteristic you will be able to see whether this hospital has treated a greater or fewer number of patients of a particular type. This hospital is represented on the chart by the black marker ().

The types of patients a hospital treats can explain variation in patient outcomes after surgery.

For hospitals in England and Wales, the NJR has collected information since 2012. Northern Ireland joined in 2013 and, as a result, the information on patients treated in NI only dates from February 2013.

Please click on the ‘how to interpret this chart’ button for further information.

Data for 1 April 2012 - 31 March 2018


Click on the   to find out more about the quality measure and its source data
 

Percentage Of Patients Who Were:This HospitalNational Average
Male31%29%
Under 60 years of age19%29%
At higher risk of medical problems before or after Surgery (ASA 3+)69%33%
Diagnosed with conditions other than Osteoarthritis94%77%
 
SHOULDERS
ABOUT THE PATIENTS WHO WERE TREATED

This information display shows overall characteristics for first-time shoulder replacement patients treated at this hospital between 1 April 2012 and 31 March 2018. Against each characteristic you will be able to see whether this hospital has treated a greater or fewer number of patients of a particular type. This hospital is represented on the chart by the black marker ().

The types of patients a hospital treats can explain variation in patient outcomes after surgery.

For hospitals in England and Wales, the NJR has collected information since 2012. Northern Ireland joined in 2013 and, as a result, the information on patients treated in NI only dates from February 2013.

Please click on the ‘how to interpret this chart’ button for further information.

Data for 1 April 2012 - 31 March 2018


Click on the   to find out more about the quality measure and its source data
 

Percentage Of Patients Who Were:This HospitalNational Average
Male27%29%
Under 60 years of age6%11%
At higher risk of medical problems before or after Surgery (ASA 3+)35%29%
Diagnosed with conditions other than Osteoarthritis51%44%
 
QUALITY OF THE INFORMATION SUBMITTED BY THIS HOSPITAL

This information display shows whether this hospital is submitting all of the data they should to the NJR (compliance), whether those records have corresponding patient details (patient consent) and whether the records have a valid NHS or national patient number. This is important so that the NJR can measure how long implants last and look at other areas of surgical performance.

The display also shows a result for data entry delay. This indicates whether the hospital is submitting their information in a timely way. This is important so that the NJR can report an accurate and full picture of performance to hospitals, the surgeons who work there as well as to patients and the public.

This hospital is represented on the chart by the black marker (). Please click on the ‘how to interpret this chart’ button for further information.

Data for 1 April 2017 - 31 March 2018


Click on the   to find out more about the quality measure and its source data
 

Quality Measure This HospitalNational Expected
Compliance (for the Trust)Better Than Expected99.7%85.0%
Revision Compliance (for the Trust)Better Than Expected100.0%85.0%
ConsentAs Expected92.5%85.0%
Valid NHS numberBetter Than Expected98.9%85.0%
Time taken to enter dataBetter Than Expected11 Days30 Days
 
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This surgeon’s profile has not been included for publication. Surgeons whose current practice is only in Wales, Northern Ireland or the private sector are not automatically included but may choose to opt in.

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