NJR Surgeon and Hospital Profile
Hospital

Hospital: The Great Western Hospital

Great Western Hospitals NHS Foundation Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Yassir Al Arabi5206089 H K
Alexander Ashmore4513133 H K
Richard Adam Brooks3482209 H K S
Sandeep Dattatray Deo3314797 H K
Anthony Fogg2229582 H K
David Hollinghurst4261498 H K
Sarah Irby3468098 H K
John Patrick Ivory2925280 H K S
Andrew Jones4537430 H K
Ian Macdonald Ross Lowdon1351240 E S
Vijayaraj Ramasamy6068422 H S
Michael Charles Rigby3658530 H K
Venkat Satish4248491 H K
Graham David Smith4293192 H K S
Andrew John Beaumont Tasker4740216 H S
David Williamson2657057 A
David Woods3192025 H K 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-458220
Hip Revision-4325
Knee PrimaryPatello-Femoral Replacement134
Knee PrimaryTotal knee replacement407230
Knee PrimaryUnicondylar Knee Replacement12826
Knee Revision-3416
Ankle Primary-84
Ankle Revision-Fewer Than 52
Shoulder Primary-2516
Shoulder Revision-Fewer Than 54
           Total1116+547
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-1304648
Hip Revision-17174
Knee PrimaryPatello-Femoral Replacement4111
Knee PrimaryTotal knee replacement1220655
Knee PrimaryUnicondylar Knee Replacement28769
Knee Revision-12847
Ankle Primary-189
Ankle Revision-Fewer Than 53
Elbow Primary-56
Shoulder Primary-6942
Shoulder Revision-67
           Total3249+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 Expected18322.2821.68
EQ-5DAs Expected1740.4360.442
EQ-VASAs Expected17311.8412.09
 

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 Expected48161.081.00
Revision Rate: Operations Apr03-Jul16Better Than Expected52900.651.00
Revision Rate: Operations Apr11-Jul16As Expected21210.651.00
 
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
Male39%40%
Under 60 years of age18%21%
Severely Obese (BMI of 35 or greater)16%12%
At higher risk of medical problems before or after Surgery (ASA 3+)15%14%
Diagnosed with conditions other than Osteoarthritis12%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 stem4535099%
Hip cup4506298%
 
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 Expected17216.0816.37
EQ-5DAs Expected1620.3030.322
EQ-VASAs Expected1603.245.83
 

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 Expected61551.001.00
Revision Rate: Operations Apr03-Jul16As Expected66560.931.00
Revision Rate: Operations Apr11-Jul16As Expected24871.141.00
 
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
Male43%43%
Under 60 years of age18%16%
Severely Obese (BMI of 35 or greater)29%22%
At higher risk of medical problems before or after Surgery (ASA 3+)12%15%
Diagnosed with conditions other than Osteoarthritis3%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
Male39%57%
Under 60 years of age26%20%
Severely Obese (BMI of 35 or greater)4%13%
At higher risk of medical problems before or after Surgery (ASA 3+)20%14%
Diagnosed with conditions other than Osteoarthritis24%14%
 
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
Male35%28%
Under 60 years of age22%11%
At higher risk of medical problems before or after Surgery (ASA 3+)17%27%
Diagnosed with conditions other than Osteoarthritis46%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 Expected89.6%85.0%
Valid NHS numberAs Expected97.3%92.0%
Time taken to enter dataBetter Than Expected5 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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