NJR Surgeon and Hospital Profile
Hospital

Hospital: Royal Devon and Exeter Hospital (Wonford)

Royal Devon And Exeter NHS Foundation Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Peter Cox2815761 H K
Pregash Ellapparadja6075365 K
Keith Eyres2842989 H K
Jonathan Howell3476282 H
Matthew Hubble3334870 H
Adrian Matthew Hughes6028709 H A
Jeffrey Kitson4019543 S
Vipul Mandalia5200307 H K
Amit Ranchhod Patel6074281 H K
Jonathan Robert Anthony Phillips6075486 H K
Michael John Reid4608990 H K
Peter Schranz2716130 K A
Ian Terence Sharpe3546734 H A
Christopher David Smith4526920 E S
David Standley3499461 H
Nicholas Talbot4121105 H A
William Thomas6028849 H K E S
Andrew John Timperley2718235 H K
Andrew Toms3614318 H K
Richard Westerman6028054 H K
Matthew Wilson4446093 H K 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 2016 - 31 March 2017
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-774235
Hip Revision-11924
Knee PrimaryPatello-Femoral Replacement175
Knee PrimaryTotal knee replacement450243
Knee PrimaryUnicondylar Knee Replacement1830
Knee Revision-8518
Ankle Primary-185
Ankle Revision-52
Elbow Primary-113
Elbow Revision-62
Shoulder Primary-5918
Shoulder Revision-Fewer Than 53
           Total1562+588
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-2360678
Hip Revision-36672
Knee PrimaryPatello-Femoral Replacement5611
Knee PrimaryTotal knee replacement1509683
Knee PrimaryUnicondylar Knee Replacement7477
Knee Revision-25950
Ankle Primary-4710
Ankle Revision-124
Elbow Primary-297
Elbow Revision-74
Shoulder Primary-19247
Shoulder Revision-128
           Total49231651
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 ScoreBetter Than Expected41523.2421.77
EQ-5DAs Expected3880.4520.444
EQ-VASAs Expected38813.7013.40
 

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 Expected35331.001.00
Revision Rate: Operations Apr03-Aug17Better Than Expected89860.521.00
Revision Rate: Operations Aug12-Aug17Better Than Expected39750.351.00
 
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 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 age18%21%
Severely Obese (BMI of 35 or greater)13%13%
At higher risk of medical problems before or after Surgery (ASA 3+)13%15%
Diagnosed with conditions other than Osteoarthritis10%8%
 
USE OF ODEP RATED IMPLANTSAbout ODEP
Data for 1 April 2016 - 31 March 2017
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 stem7693299%
Hip cup7674399%
 
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 ScoreBetter Than Expected25318.5216.52
EQ-5DAs Expected2320.3640.323
EQ-VASAs Expected2219.926.98
 

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 Expected27891.001.00
Revision Rate: Operations Apr03-Aug17As Expected64081.001.00
Revision Rate: Operations Aug12-Aug17As Expected28151.001.00
 
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 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
Male43%43%
Under 60 years of age14%16%
Severely Obese (BMI of 35 or greater)24%23%
At higher risk of medical problems before or after Surgery (ASA 3+)13%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 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
Male55%59%
Under 60 years of age19%20%
Severely Obese (BMI of 35 or greater)14%13%
At higher risk of medical problems before or after Surgery (ASA 3+)8%16%
Diagnosed with conditions other than Osteoarthritis11%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
Male20%29%
Under 60 years of age5%29%
At higher risk of medical problems before or after Surgery (ASA 3+)24%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
Male28%29%
Under 60 years of age5%11%
At higher risk of medical problems before or after Surgery (ASA 3+)17%28%
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 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--
ConsentBetter Than Expected98.1%85.0%
Valid NHS numberAs Expected98.3%92.0%
Time taken to enter dataBetter Than Expected5 Days30 Days
 
Window
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.

To find out more about the NJR:

Visit our website at www.njrcentre.org.uk
© Copyright 2018 NJR