NJR Surgeon and Hospital Profile
Hospital

Hospital: Spire Alexandra Hospital

Spire Healthcare
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Keith Adrian Borowsky3158102 H S
Abhijit Dey4210849 H K
Simon Ellis3109191 H K
Alan John Hammer4050016 H K
Rohit Jain6031746 H K
Sunil Jain4259183 H K
Mark Christopher Norris4300522 H K
Srinivasa Rao Samsani4580256 H K
Anantharam Asode Shetty3444306 H K
Bijayendra Indrajeet Singh4747347 H K E S
James Thomas Smith4725918 H K
Dushyant Hirjibhai Thakkar2511782 H K E
Amit Ramesh Tolat3641419 H E 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 2015 - 31 March 2016
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-117220
Knee PrimaryPatello-Femoral ReplacementFewer Than 54
Knee PrimaryTotal knee replacement183230
Knee PrimaryUnicondylar Knee Replacement626
Knee Revision-Fewer Than 516
Shoulder Primary-916
           Total315+512
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-269648
Hip Revision-574
Knee PrimaryPatello-Femoral ReplacementFewer Than 511
Knee PrimaryTotal knee replacement466655
Knee PrimaryUnicondylar Knee Replacement1569
Knee Revision-1447
Elbow Primary-Fewer Than 56
Shoulder Primary-2042
Shoulder Revision-Fewer Than 57
           Total789+1559
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 Expected3824.5121.68
EQ-5DAs Expected360.4840.442
EQ-VASAs Expected3212.9612.09
 

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 Expected8260.501.00
Revision Rate: Operations Apr03-Jul16Worse Than Expected8381.741.00
Revision Rate: Operations Apr11-Jul16As Expected4230.751.00
 
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
Male42%40%
Under 60 years of age21%21%
Severely Obese (BMI of 35 or greater)8%12%
At higher risk of medical problems before or after Surgery (ASA 3+)8%14%
Diagnosed with conditions other than Osteoarthritis4%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 stem11700100%
Hip cup1160199%
 
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 Expected5017.7616.37
EQ-5DAs Expected490.2970.322
EQ-VASAs Expected457.195.83
 

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 Expected13070.331.00
Revision Rate: Operations Apr03-Jul16Worse Than Expected13231.741.00
Revision Rate: Operations Apr11-Jul16As Expected6930.291.00
 
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
Male44%43%
Under 60 years of age23%16%
Severely Obese (BMI of 35 or greater)13%22%
At higher risk of medical problems before or after Surgery (ASA 3+)9%15%
Diagnosed with conditions other than Osteoarthritis2%3%
 
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--
ConsentBetter Than Expected98.4%85.0%
Valid NHS numberAs Expected96.5%92.0%
Time taken to enter dataBetter Than Expected10 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 2017 NJR