NJR Surgeon and Hospital Profile
Hospital

Hospital: Southmead Hospital

North Bristol NHS Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Mehool Acharya4437334 H K E
ROUIN AMIRFEYZ5209445 H E
Roger Michael Atkins2440978 H K
Caspar Edward William Aylott4511454 H K
Richard Paul Baker4646549 H K
Tristan Barton4606943 H K A
Simon Millard Bick6065776 H K
Neil Blewitt3106813 K E
Ashley Blom4062307 H K
Timothy Chesser3483592 H K
Mark Andrew Austen Crowther4031886 H E S
David Hywel Davies4546292 H K
John Hughes Dixon1520646 K
Andrew Dunn3589917 H K
Amitabh Jitendra Dwyer6036089 H K S
Stephen J Eastaugh-Waring3591583 H K
Jonathan Eldridge3334258 H K
William Harries3071034 H K A
Stephen Hepple3475384 H A
Nicholas Howells6079818 H K
Michael Brian Kelly4193773 H K E
Philip McCann6077943 H S
Sanchit Mehendale5204968 H K
Stephen Mitchell4180924 H
James R D Murray4370150 H K
Iain Packham4335676 H S
Andrew Porteous3628388 K
Andrew Riddick6098618 H
James Richard Robinson4220688 H K
Partha Sarangi2855965 S
Evert Smith2695709 H K
Robert Spencer2335739 H K
Anthony Ward2713986 H K
Adrian Elliott Weale3137248 H K
Jason Crispin John Webb4089016 H K
Michael Whitehouse6025765 H K
Ian Geoffrey Winson2429791 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 2015 - 31 March 2016
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-678220
Hip Revision-16125
Knee PrimaryPatello-Femoral Replacement234
Knee PrimaryTotal knee replacement437230
Knee PrimaryUnicondylar Knee Replacement5626
Knee Revision-12016
Ankle Primary-104
Ankle Revision-Fewer Than 52
Elbow Primary-133
Elbow Revision-52
Shoulder Primary-12416
Shoulder Revision-74
           Total1634+552
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-1992648
Hip Revision-50774
Knee PrimaryPatello-Femoral Replacement5011
Knee PrimaryTotal knee replacement1432655
Knee PrimaryUnicondylar Knee Replacement12369
Knee Revision-33847
Ankle Primary-369
Ankle Revision-83
Elbow Primary-246
Elbow Revision-84
Shoulder Primary-30542
Shoulder Revision-277
           Total48501575
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 Expected15320.7721.68
EQ-5DAs Expected1400.4210.442
EQ-VASAs Expected13913.0312.09
 

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 Expected80081.001.00
Revision Rate: Operations Apr03-Jul16As Expected84151.021.00
Revision Rate: Operations Apr11-Jul16As Expected31771.001.00
 
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 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
Male41%40%
Under 60 years of age28%21%
Severely Obese (BMI of 35 or greater)15%12%
At higher risk of medical problems before or after Surgery (ASA 3+)19%14%
Diagnosed with conditions other than Osteoarthritis8%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 stem6742299%
Hip cup67820100%
 
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 Expected12215.3716.37
EQ-5DAs Expected1150.2950.322
EQ-VASAs Expected1073.945.83
 

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 Expected76851.001.00
Revision Rate: Operations Apr03-Jul16Worse Than Expected78851.451.00
Revision Rate: Operations Apr11-Jul16As Expected26551.331.00
 
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 age19%16%
Severely Obese (BMI of 35 or greater)29%22%
At higher risk of medical problems before or after Surgery (ASA 3+)21%15%
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 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
Male41%57%
Under 60 years of age18%20%
Severely Obese (BMI of 35 or greater)17%13%
At higher risk of medical problems before or after Surgery (ASA 3+)12%14%
Diagnosed with conditions other than Osteoarthritis17%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
Male37%29%
Under 60 years of age26%29%
At higher risk of medical problems before or after Surgery (ASA 3+)37%33%
Diagnosed with conditions other than Osteoarthritis84%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
Male26%28%
Under 60 years of age10%11%
At higher risk of medical problems before or after Surgery (ASA 3+)28%27%
Diagnosed with conditions other than Osteoarthritis39%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 Expected94.1%85.0%
Valid NHS numberAs Expected98.2%92.0%
Time taken to enter dataBetter Than Expected10 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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