NJR Surgeon and Hospital Profile
Hospital

Hospital: St Michael's Hospital

Royal Cornwall Hospitals NHS Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Gavin Bartlett4308142 H K
Michael Butler4306205 H K A
Jeremy Dainton3329799 H E S
Manish Divekar4576671 H K
Palakkad Parameswaran Easwaran5202384 H K
Julian Gilbody4420543 H K
Mihai Giurea4264257 H K
Russell Hawkins4601766 H K
Robin Kincaid3277098 H K
Andrew Simon Lee3205705 H K
Jon Matthews4185527 H K
Rory George Middleton6055079 H K
Mark Ross Norton3518405 H K
Stephen Wyndham Parsons2492573 H K A
Michael William Regan2429296 H K
Shaun Sexton4527574 H K
Daniel Harvey Williams4528984 H K
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-266220
Hip Revision-1325
Knee PrimaryPatello-Femoral Replacement64
Knee PrimaryTotal knee replacement225230
Knee PrimaryUnicondylar Knee Replacement2826
Knee Revision-1916
Ankle Primary-Fewer Than 54
Elbow Primary-Fewer Than 53
Shoulder Primary-816
Shoulder Revision-Fewer Than 54
           Total565+548
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-829648
Hip Revision-3074
Knee PrimaryPatello-Femoral Replacement1811
Knee PrimaryTotal knee replacement686655
Knee PrimaryUnicondylar Knee Replacement7969
Knee Revision-3447
Ankle Primary-Fewer Than 59
Ankle Revision-Fewer Than 53
Elbow Primary-Fewer Than 56
Shoulder Primary-1342
Shoulder Revision-Fewer Than 57
           Total1689+1571
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 Expected18621.8621.68
EQ-5DAs Expected1650.4410.442
EQ-VASAs Expected16214.3012.09
 

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 Expected28680.671.00
Revision Rate: Operations Apr03-Jul16Worse Than Expected29111.451.00
Revision Rate: Operations Apr11-Jul16As Expected13131.391.00
 
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
Male40%40%
Under 60 years of age28%21%
Severely Obese (BMI of 35 or greater)7%12%
At higher risk of medical problems before or after Surgery (ASA 3+)2%14%
Diagnosed with conditions other than Osteoarthritis5%7%
 
USE OF ODEP RATED IMPLANTSAbout ODEP
This indicator does not apply - no data available
 
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 Expected14318.1216.37
EQ-5DAs Expected1310.3490.322
EQ-VASAs Expected1276.275.83
 

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 Expected26510.171.00
Revision Rate: Operations Apr03-Jul16As Expected26960.921.00
Revision Rate: Operations Apr11-Jul16As Expected12060.711.00
 
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
Male45%43%
Under 60 years of age14%16%
Severely Obese (BMI of 35 or greater)9%22%
At higher risk of medical problems before or after Surgery (ASA 3+)2%15%
Diagnosed with conditions other than Osteoarthritis4%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
Male67%57%
Under 60 years of age33%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 Osteoarthritis17%14%
 
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 Expected95.6%85.0%
Valid NHS numberAs Expected97.4%92.0%
Time taken to enter dataAs Expected23 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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