NJR Surgeon and Hospital Profile
Hospital

Hospital: Musgrove Park Hospital

Taunton And Somerset NHS Foundation Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Benjamin Bolland4633271 H K
Andrew Michael Clarke2923367 E
Alan Bernard Dunkley3248270 S
Rodney Brian Hammett4526009 K A
James Heal4202923 H K
Andrew Kelly3297205 H K
Colin Ogilvie2501211 H K
Barnaby Sheridan4636250 H E S
Benjamin Squires3498068 H K
Andrew Stevenson4737412 H K
James Williams3612581 K
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-295226
Hip Revision-8724
Knee PrimaryTotal knee replacement213228
Knee PrimaryUnicondylar Knee ReplacementFewer Than 531
Knee Revision-2317
Ankle Primary-65
Elbow Primary-Fewer Than 53
Shoulder Primary-3218
Shoulder Revision-Fewer Than 53
           Total656+555
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-970686
Hip Revision-24570
Knee PrimaryTotal knee replacement677692
Knee PrimaryUnicondylar Knee Replacement883
Knee Revision-8450
Ankle Primary-2311
Ankle Revision-54
Elbow Primary-67
Shoulder Primary-10050
Shoulder Revision-Fewer Than 58
           Total2118+1661
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 Expected5423.0622.60
EQ-5DAs Expected530.4360.470
EQ-VASAs Expected5011.8213.87
 

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 Expected13161.001.00
Revision Rate: Operations Apr03-Aug18Worse Than Expected47631.661.00
Revision Rate: Operations Aug13-Aug18As Expected16060.611.00
 
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
Male40%40%
Under 60 years of age19%21%
Severely Obese (BMI of 35 or greater)18%13%
At higher risk of medical problems before or after Surgery (ASA 3+)28%16%
Diagnosed with conditions other than Osteoarthritis13%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 stem2924099%
Hip cup28511096%
 
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 Expected7116.3417.14
EQ-5DAs Expected700.3050.340
EQ-VASAs Expected716.678.07
 

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 Expected11631.001.00
Revision Rate: Operations Apr03-Aug18As Expected37081.121.00
Revision Rate: Operations Aug13-Aug18As Expected11710.541.00
 
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
Male44%43%
Under 60 years of age14%17%
Severely Obese (BMI of 35 or greater)30%23%
At higher risk of medical problems before or after Surgery (ASA 3+)28%16%
Diagnosed with conditions other than Osteoarthritis2%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
Male55%59%
Under 60 years of age11%20%
Severely Obese (BMI of 35 or greater)20%13%
At higher risk of medical problems before or after Surgery (ASA 3+)21%16%
Diagnosed with conditions other than Osteoarthritis8%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
Male33%29%
Under 60 years of age17%29%
At higher risk of medical problems before or after Surgery (ASA 3+)44%33%
Diagnosed with conditions other than Osteoarthritis78%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 age3%11%
At higher risk of medical problems before or after Surgery (ASA 3+)32%29%
Diagnosed with conditions other than Osteoarthritis35%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)Worse Than Expected78.5%85.0%
Revision Compliance (for the Trust)Better Than Expected98.2%85.0%
ConsentAs Expected88.4%85.0%
Valid NHS numberBetter Than Expected95.9%85.0%
Time taken to enter dataAs Expected22 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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