NJR Surgeon and Hospital Profile
Hospital

Hospital: The Elective Orthopaedic Centre

Epsom And St Helier University Hospitals NHS Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Ajeya Raj Adhikari4086460 H K
Bobby Anand6052924 K
Markus Baker6103970 H K
Simon Bridle2728122 H K
Andrew Cobb2404651 H K
Hossam Sabih Dabis3039869 H K
Adrian Day3173998 H K A
Ahmed Feroz Dinah4303257 H K
Richard Field2659839 H K
Paul Gillespie4343664 H K
Martin Goddard4534396 H K
Hugo Guthrie4761503 H K
Richard William Dudley Hampton3305784 H K
Giles Heilpern4633972 K S
Gwynne Evan Daniel Howell2842666 H K
Jonathan Richard Bertie Hutt6077252 H K
Parminder Singh Johal4114802 H K
Deiary Kader4414076 K S
Fadhil Kashif Al-Ghita3223697 H K
Catherine F Kellett4216474 H K
Christian John Kinmont3325434 H K E
Samer Samir Sayed Mahmoud7089141 H
William John Caleb McClatchie6079171 H K
Christopher McLean4235587 H K S
Fiona Middleton4424334 H K
Jason Millington4424437 H K
Philip Andrew Mitchell3556085 H K
Ankur Munjal6082972 H K S
Vipul R Patel4132952 H K E S
Eyiyemi Olakitan Pearse4216182 S
Gilbert Taylor Railton2389147 H K
Mark Sean Rickman4099178 H K
Charles Christian Jean Riviere7124627 H K
Omar Sabri6028478 H K
Nemandra Sandiford6047193 H K
Tomislav Smoljanovic7476040 H K
Giles Stafford4628891 H K
Duncan Thomas Tennent3615450 E S
Roy Sean Twyman2584739 K
David Ward3079197 H K
Joseph Reade Windley6078138 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 2016 - 31 March 2017
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-1414235
Hip Revision-11124
Knee PrimaryPatello-Femoral ReplacementFewer Than 55
Knee PrimaryTotal knee replacement1462243
Knee PrimaryUnicondylar Knee Replacement16730
Knee Revision-6318
Elbow Primary-Fewer Than 53
Shoulder Primary-3218
Shoulder Revision-Fewer Than 53
           Total3249+579
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-4168678
Hip Revision-34072
Knee PrimaryPatello-Femoral Replacement3811
Knee PrimaryTotal knee replacement4464683
Knee PrimaryUnicondylar Knee Replacement52777
Knee Revision-18550
Elbow Primary-Fewer Than 57
Shoulder Primary-8047
Shoulder Revision-Fewer Than 58
           Total9802+1633
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 Expected84721.8121.77
EQ-5DAs Expected8140.4390.444
EQ-VASAs Expected82713.5113.40
 

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 Expected62580.931.00
Revision Rate: Operations Apr03-Aug17As Expected143291.121.00
Revision Rate: Operations Aug12-Aug17As Expected64251.001.00
 
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 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
Male38%40%
Under 60 years of age21%21%
Severely Obese (BMI of 35 or greater)14%13%
At higher risk of medical problems before or after Surgery (ASA 3+)13%15%
Diagnosed with conditions other than Osteoarthritis6%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 stem138323898%
Hip cup140860100%
 
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 ScoreWorse Than Expected85815.4216.52
EQ-5DAs Expected8160.3130.323
EQ-VASAs Expected8118.046.98
 

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 Expected77850.691.00
Revision Rate: Operations Apr03-Aug17As Expected166330.921.00
Revision Rate: Operations Aug12-Aug17As Expected80610.951.00
 
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
Male38%43%
Under 60 years of age12%16%
Severely Obese (BMI of 35 or greater)28%23%
At higher risk of medical problems before or after Surgery (ASA 3+)14%16%
Diagnosed with conditions other than Osteoarthritis3%3%
 
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 age9%11%
At higher risk of medical problems before or after Surgery (ASA 3+)40%28%
Diagnosed with conditions other than Osteoarthritis31%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--
ConsentBetter Than Expected99.4%85.0%
Valid NHS numberBetter Than Expected99.4%92.0%
Time taken to enter dataAs Expected41 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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