NJR Surgeon and Hospital Profile
Hospital

Hospital: Royal Berkshire Hospital

Royal Berkshire NHS Foundation Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Antonio Andrade3331169 H K
Chinnakonda Arvind4364308 H K A
Christopher Brown6103268 H
Henry Colin Brownlow3334478 E S
Neville Lawrence Clifford Davies4723837 H K
Richard Dodds2943048 K
Julian Gilbody4420543 H K
Ofer Levy4568274 H E S
Alan John Macleod4066710 H K
Devendra Mahadevan6054859 H K
Amar Malhas6103303 H K E S
Atif Malik4712200 H K
Andrew McAndrew3443123 H
David McKenna6050980 H K
Claire Middleton4641946 H
Taher Yousri Mohamed Abdel Rahman6099582 H
John Morley4099752 H K S
Sean Thomas O'Leary3328004 K S
Charles Pailthorpe2382061 E
Christos Paliobeis4561899 H K
Oliver Pearce4336220 H K
Thomas Charles Barnett Pollard4702368 H K
Edward James Powell-Smith4718103 H
Trichy Srinivasarangan Rajagopal5207906 H
Venugopal Rajamoorthy4271354 S
Bryan Lawrence Riemer6071305 H K
Daniel Rolton6128350 H K
Giuseppe Sforza4620006 E S
Yousaf Shah6044193 H K
Shawn Tavares3427350 H K
Edward Tayton6052801 H 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-473226
Hip Revision-5024
Knee PrimaryTotal knee replacement320228
Knee PrimaryUnicondylar Knee Replacement10731
Knee Revision-3317
Ankle Primary-Fewer Than 55
Elbow Primary-83
Elbow Revision-Fewer Than 52
Shoulder Primary-6018
Shoulder Revision-Fewer Than 53
           Total1051+557
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-1505686
Hip Revision-19770
Knee PrimaryPatello-Femoral ReplacementFewer Than 511
Knee PrimaryTotal knee replacement1091692
Knee PrimaryUnicondylar Knee Replacement23383
Knee Revision-8950
Ankle Primary-1911
Ankle Revision-Fewer Than 54
Elbow Primary-187
Elbow Revision-54
Shoulder Primary-21250
Shoulder Revision-268
           Total3395+1676
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 Expected6823.1522.60
EQ-5DAs Expected500.4840.470
EQ-VASAs Expected479.5713.87
 

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 Expected19851.001.00
Revision Rate: Operations Apr03-Aug18As Expected46301.101.00
Revision Rate: Operations Aug13-Aug18As Expected23110.881.00
 
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
Male39%40%
Under 60 years of age20%21%
Severely Obese (BMI of 35 or greater)13%13%
At higher risk of medical problems before or after Surgery (ASA 3+)21%16%
Diagnosed with conditions other than Osteoarthritis11%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 stem4683299%
Hip cup4626598%
 
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 Expected5816.9317.14
EQ-5DAs Expected580.3510.340
EQ-VASAs Expected561.598.07
 

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 Expected20621.001.00
Revision Rate: Operations Apr03-Aug18As Expected45251.001.00
Revision Rate: Operations Aug13-Aug18As Expected20891.001.00
 
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
Male40%43%
Under 60 years of age15%17%
Severely Obese (BMI of 35 or greater)25%23%
At higher risk of medical problems before or after Surgery (ASA 3+)19%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
Male67%59%
Under 60 years of age0%20%
Severely Obese (BMI of 35 or greater)24%13%
At higher risk of medical problems before or after Surgery (ASA 3+)18%16%
Diagnosed with conditions other than Osteoarthritis6%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
Male15%29%
Under 60 years of age22%29%
At higher risk of medical problems before or after Surgery (ASA 3+)34%33%
Diagnosed with conditions other than Osteoarthritis88%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
Male28%29%
Under 60 years of age10%11%
At higher risk of medical problems before or after Surgery (ASA 3+)34%29%
Diagnosed with conditions other than Osteoarthritis53%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 Expected96.9%85.0%
Revision Compliance (for the Trust)As Expected86.3%85.0%
ConsentAs Expected92.1%85.0%
Valid NHS numberBetter Than Expected95.4%85.0%
Time taken to enter dataBetter Than Expected4 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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