NJR Surgeon and Hospital Profile
Hospital

Hospital: Royal United Hospital

Royal United Hospital Bath NHS Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Tristan Barton4606943 H K A
Michel Bishay3386853 H K E S
Neil Bradbury3056750 H K
Jonathan Matthew Burwell3302190 H K
Alexander Cowey4522067 H
Julian Foote4435545 H K
Grey Edward Bence Giddins3083404 E
Simon Gregg-Smith2958507 H S
Gavin Jennings4212432 H S
Ramanujam Kesavan4291925 H K
Ilana Jayne Langdon3441808 H E
James McKenzie4433361 K A
Stephen John Pope3320738 H K
Derek Edward Robinson4007180 H K A
Harvinder Singh Sandhu3658190 H K E S
Ganesan Senthil Kumar4676382 H K S
Vinod Sharma4738839 H K
Karadi Hari Sunil Kumar6083715 K
William Thomas6028849 H K E S
Allister Trezies3546868 H K
Otto Albert Von Arx4138642 H
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 2015 - 31 March 2016
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-281220
Hip Revision-6325
Knee PrimaryTotal knee replacement242230
Knee PrimaryUnicondylar Knee Replacement2326
Knee Revision-3116
Ankle Primary-Fewer Than 54
Elbow Primary-73
Elbow Revision-52
Shoulder Primary-1816
Shoulder Revision-54
           Total675+546
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2013 - 31 March 2016
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-892648
Hip Revision-18474
Knee PrimaryPatello-Femoral ReplacementFewer Than 511
Knee PrimaryTotal knee replacement760655
Knee PrimaryUnicondylar Knee Replacement6369
Knee Revision-9947
Ankle Primary-Fewer Than 59
Elbow Primary-186
Elbow Revision-124
Shoulder Primary-4142
Shoulder Revision-67
           Total2075+1572
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 2015 - 31 March 2016


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 Expected13322.0921.68
EQ-5DAs Expected1260.4230.442
EQ-VASAs Expected11611.8112.09
 

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 1 April 2003 - 31 July 2016


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 Expected31141.101.00
Revision Rate: Operations Apr03-Jul16As Expected33660.991.00
Revision Rate: Operations Apr11-Jul16As Expected14420.881.00
 
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 2016. 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 2016


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 age22%21%
Severely Obese (BMI of 35 or greater)18%12%
At higher risk of medical problems before or after Surgery (ASA 3+)27%14%
Diagnosed with conditions other than Osteoarthritis11%7%
 
USE OF ODEP RATED IMPLANTSAbout ODEP
Data for 1 April 2015 - 31 March 2016
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 stem2772299%
Hip cup2756098%
 
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 2015 - 31 March 2016


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 Expected13818.0316.37
EQ-5DAs Expected1190.3430.322
EQ-VASAs Expected1187.075.83
 

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 1 April 2003 - 31 July 2016


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 Expected31331.401.00
Revision Rate: Operations Apr03-Jul16As Expected31651.001.00
Revision Rate: Operations Apr11-Jul16As Expected13601.211.00
 
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 2016. 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 2016


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%16%
Severely Obese (BMI of 35 or greater)28%22%
At higher risk of medical problems before or after Surgery (ASA 3+)29%15%
Diagnosed with conditions other than Osteoarthritis6%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 2016. 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 2016


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

Percentage Of Patients Who Were:This HospitalNational Average
Male17%57%
Under 60 years of age17%20%
Severely Obese (BMI of 35 or greater)No Data Available-
At higher risk of medical problems before or after Surgery (ASA 3+)0%14%
Diagnosed with conditions other than Osteoarthritis33%14%
 
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 2013 and 31 March 2016. 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 2016


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

Percentage Of Patients Who Were:This HospitalNational Average
Male14%29%
Under 60 years of age14%29%
At higher risk of medical problems before or after Surgery (ASA 3+)43%33%
Diagnosed with conditions other than Osteoarthritis86%73%
 
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 2013 and 31 March 2016. 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 2016


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

Percentage Of Patients Who Were:This HospitalNational Average
Male18%28%
Under 60 years of age0%11%
At higher risk of medical problems before or after Surgery (ASA 3+)26%27%
Diagnosed with conditions other than Osteoarthritis47%41%
 
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 2015 - 31 March 2016


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 Expected94.2%85.0%
Valid NHS numberAs Expected96.3%92.0%
Time taken to enter dataWorse Than Expected59 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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