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
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 E
Ashley Blom4062307 H K
Timothy Chesser3483592 H K
Mark Andrew Austen Crowther4031886 H E S
David Hywel Davies4546292 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
PAUL JERMIN6101720 K
Michael Brian Kelly4193773 H K E
Philip McCann6077943 H S
Sanchit Mehendale5204968 H K
James R D Murray4370150 H K
Iain Packham4335676 H K E 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 2016 - 31 March 2017
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-630235
Hip Revision-17124
Knee PrimaryPatello-Femoral Replacement185
Knee PrimaryTotal knee replacement434243
Knee PrimaryUnicondylar Knee Replacement6830
Knee Revision-12918
Ankle Primary-65
Ankle Revision-52
Elbow Primary-173
Elbow Revision-52
Shoulder Primary-12318
Shoulder Revision-163
           Total1622588
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-1893678
Hip Revision-48172
Knee PrimaryPatello-Femoral Replacement5211
Knee PrimaryTotal knee replacement1328683
Knee PrimaryUnicondylar Knee Replacement15177
Knee Revision-36750
Ankle Primary-2410
Ankle Revision-124
Elbow Primary-337
Elbow Revision-104
Shoulder Primary-34547
Shoulder Revision-308
           Total47261651
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 ScoreAs Expected27020.8221.77
EQ-5DAs Expected2430.4080.444
EQ-VASAs Expected23310.7413.40
 

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 Expected29141.001.00
Revision Rate: Operations Apr03-Aug17As Expected90931.061.00
Revision Rate: Operations Aug12-Aug17As Expected32011.041.00
 
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 age27%21%
Severely Obese (BMI of 35 or greater)16%13%
At higher risk of medical problems before or after Surgery (ASA 3+)22%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 stem6227199%
Hip cup62920100%
 
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 ScoreAs Expected21916.3416.52
EQ-5DAs Expected2070.2990.323
EQ-VASAs Expected2055.796.98
 

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 Expected25781.001.00
Revision Rate: Operations Apr03-Aug17Worse Than Expected84241.441.00
Revision Rate: Operations Aug12-Aug17As Expected26221.331.00
 
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 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
Male40%43%
Under 60 years of age19%16%
Severely Obese (BMI of 35 or greater)31%23%
At higher risk of medical problems before or after Surgery (ASA 3+)24%16%
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 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
Male38%59%
Under 60 years of age21%20%
Severely Obese (BMI of 35 or greater)17%13%
At higher risk of medical problems before or after Surgery (ASA 3+)11%16%
Diagnosed with conditions other than Osteoarthritis15%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
Male24%29%
Under 60 years of age36%29%
At higher risk of medical problems before or after Surgery (ASA 3+)35%33%
Diagnosed with conditions other than Osteoarthritis87%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 age12%11%
At higher risk of medical problems before or after Surgery (ASA 3+)33%28%
Diagnosed with conditions other than Osteoarthritis44%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--
ConsentAs Expected90.4%85.0%
Valid NHS numberAs Expected97.6%92.0%
Time taken to enter dataBetter Than Expected9 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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