NJR Surgeon and Hospital Profile
Hospital

Hospital: Guy's Hospital

Guy's And St Thomas' NHS Foundation Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Ali Abbassian-Hersini4739517 A
Adil Ajuied4524863 H K
Altay Altuntas6091924 K
Diane Back3677344 H K
Marcus Bankes3541306 H K
James Bliss3479553 H K
Steven Andrew Corbett3329641 S
Andrew John Davies3354362 K
Mark Stephen Davies3260647 K A
Michael Dunning4123640 H K
Peter Earnshaw2281971 K
Marc Dominic George4118923 H
Sameer Gidwani4208981 E
Chinmay Gupte4342319 H K
Parag Jaiswal6030895 H K
Ioan Jones4071523 A
Venu Kavarthapu4542700 H K S
Osman Khan4646202 H K
Stephen McDonnell6028352 H K
Mark Christopher Norris4300522 H K S
David Nunn2442712 H K S
Andrew Michael Richards4343657 K E S
Srinivasa Rao Samsani4580256 H K
Nemandra Sandiford6047193 H K
Zameer Shah4418180 H K
Roland Walker6102952 H A
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 2016 - 31 March 2017
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-336235
Hip Revision-3624
Knee PrimaryPatello-Femoral ReplacementFewer Than 55
Knee PrimaryTotal knee replacement321243
Knee PrimaryUnicondylar Knee Replacement1230
Knee Revision-6918
Ankle Primary-55
Elbow Primary-Fewer Than 53
Elbow Revision-Fewer Than 52
Shoulder Primary-2818
Shoulder Revision-Fewer Than 53
           Total807+586
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2014 - 31 March 2017
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-1053678
Hip Revision-11772
Knee PrimaryPatello-Femoral Replacement1311
Knee PrimaryTotal knee replacement1089683
Knee PrimaryUnicondylar Knee Replacement5477
Knee Revision-17050
Ankle Primary-1010
Ankle Revision-Fewer Than 54
Elbow Primary-107
Elbow Revision-Fewer Than 54
Shoulder Primary-8147
Shoulder Revision-138
           Total2610+1651
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 2016 - 31 March 2017


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 Expected10021.5321.77
EQ-5DAs Expected920.4420.444
EQ-VASAs Expected9214.9313.40
 

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 2017


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 MortalityAs Expected15260.331.00
Revision Rate: Operations Apr03-Aug17As Expected34081.001.00
Revision Rate: Operations Aug12-Aug17As Expected16001.001.00
 
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 2017. 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 2017


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

Percentage Of Patients Who Were:This HospitalNational Average
Male41%40%
Under 60 years of age48%21%
Severely Obese (BMI of 35 or greater)14%13%
At higher risk of medical problems before or after Surgery (ASA 3+)13%15%
Diagnosed with conditions other than Osteoarthritis17%8%
 
USE OF ODEP RATED IMPLANTSAbout ODEP
This indicator does not apply - no data available
 
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 2016 - 31 March 2017


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 Expected11114.9116.52
EQ-5DAs Expected1040.2880.323
EQ-VASAs Expected954.346.98
 

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 2017


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 MortalityAs Expected17211.001.00
Revision Rate: Operations Apr03-Aug17As Expected34351.241.00
Revision Rate: Operations Aug12-Aug17As Expected17461.381.00
 
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 2017. 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 2017


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

Percentage Of Patients Who Were:This HospitalNational Average
Male37%43%
Under 60 years of age25%16%
Severely Obese (BMI of 35 or greater)35%23%
At higher risk of medical problems before or after Surgery (ASA 3+)16%16%
Diagnosed with conditions other than Osteoarthritis5%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 2017. 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 2017


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

Percentage Of Patients Who Were:This HospitalNational Average
Male61%59%
Under 60 years of age22%20%
Severely Obese (BMI of 35 or greater)0%13%
At higher risk of medical problems before or after Surgery (ASA 3+)33%16%
Diagnosed with conditions other than Osteoarthritis29%13%
 
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 2017. 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 2017


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

Percentage Of Patients Who Were:This HospitalNational Average
Male58%29%
Under 60 years of age45%29%
At higher risk of medical problems before or after Surgery (ASA 3+)15%33%
Diagnosed with conditions other than Osteoarthritis85%76%
 
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 2017. 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 2017


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

Percentage Of Patients Who Were:This HospitalNational Average
Male36%29%
Under 60 years of age26%11%
At higher risk of medical problems before or after Surgery (ASA 3+)37%28%
Diagnosed with conditions other than Osteoarthritis50%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 2016 - 31 March 2017


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

Quality Measure This HospitalNational Expected
Compliance (for the Trust)No Data Available--
Revision Compliance (for the Trust)No Data Available--
ConsentAs Expected78.5%85.0%
Valid NHS numberAs Expected95.8%92.0%
Time taken to enter dataAs Expected35 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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