NJR Surgeon and Hospital Profile
Hospital

Hospital: The Royal National Orthopaedic Hospital (Stanmore)

Royal National Orthopaedic Hospital NHS Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Susan Alexander4312727 E S
William John Spicer Aston4412359 H K E
Ian Jack Lindsay Bayley0003883 S
Rejpaul Bhumbra6028717 H K
Timothy Briggs2591702 H K S
Richard W Carrington3313040 H K
Nicholas Patrick Stuart Cullen4039798 A
Peter Darcy4068138 H K
Jerome Davidson6105086 H K
James Donaldson6050025 H K
Mark Simon Falworth4316271 E S
Panagiotis Gikas6075950 H K S
Andrew Goldberg4113571 A
Antony Greer4099257 H K
Alister Hart4154941 H K
Aresh Hashemi-Nejad3067813 H K
Deborah Sian Higgs4540258 K E S
Maurycy Jakub Jagiello4736954 H K S
Muhammad Tahir Khan4386218 H K
Simon Martin Lambert2923642 H K E S
Addie Majed6029284 E S
David Melling6029313 H K
Jonathan Miles4428644 H K
Alan Peter Molloy7512117 H K
Pieter Andreas Stephanus Olivier6089107 K
Petar Iliev Peev7020944 H K
Ioannis Panayiotou Pengas4541589 H K
Robin Pollock4033297 H K
William Rudge6103402 E S
Dhisen Bramlall Seetulsingh2802936 A
Sanjay K Sinha5205697 H K
John Andrew Mcinnes Skinner3288357 H K 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 2016 - 31 March 2017
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-288235
Hip Revision-18224
Knee PrimaryPatello-Femoral Replacement115
Knee PrimaryTotal knee replacement368243
Knee PrimaryUnicondylar Knee Replacement1030
Knee Revision-13918
Ankle Primary-355
Ankle Revision-92
Elbow Primary-83
Elbow Revision-112
Shoulder Primary-7718
Shoulder Revision-853
           Total1223588
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-932678
Hip Revision-54572
Knee PrimaryPatello-Femoral Replacement2611
Knee PrimaryTotal knee replacement993683
Knee PrimaryUnicondylar Knee Replacement3277
Knee Revision-39350
Ankle Primary-6910
Ankle Revision-154
Elbow Primary-397
Elbow Revision-334
Shoulder Primary-20547
Shoulder Revision-2308
           Total35121651
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 Expected6620.4321.77
EQ-5DAs Expected580.4000.444
EQ-VASAs Expected6012.3813.40
 

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 Expected13711.001.00
Revision Rate: Operations Apr03-Aug17As Expected30510.741.00
Revision Rate: Operations Aug12-Aug17As Expected14711.041.00
 
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
Male36%40%
Under 60 years of age47%21%
Severely Obese (BMI of 35 or greater)14%13%
At higher risk of medical problems before or after Surgery (ASA 3+)10%15%
Diagnosed with conditions other than Osteoarthritis21%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 stem26712093%
Hip cup2825198%
 
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 Expected9612.0616.52
EQ-5DAs Expected900.2540.323
EQ-VASAs Expected862.356.98
 

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 Expected16320.331.00
Revision Rate: Operations Apr03-Aug17As Expected33251.051.00
Revision Rate: Operations Aug12-Aug17As Expected17021.431.00
 
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 age26%16%
Severely Obese (BMI of 35 or greater)31%23%
At higher risk of medical problems before or after Surgery (ASA 3+)13%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
Male51%59%
Under 60 years of age35%20%
Severely Obese (BMI of 35 or greater)8%13%
At higher risk of medical problems before or after Surgery (ASA 3+)17%16%
Diagnosed with conditions other than Osteoarthritis22%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
Male29%29%
Under 60 years of age46%29%
At higher risk of medical problems before or after Surgery (ASA 3+)34%33%
Diagnosed with conditions other than Osteoarthritis73%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
Male41%29%
Under 60 years of age45%11%
At higher risk of medical problems before or after Surgery (ASA 3+)21%28%
Diagnosed with conditions other than Osteoarthritis63%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 Expected83.2%85.0%
Valid NHS numberAs Expected96.6%92.0%
Time taken to enter dataBetter Than Expected8 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 2018 NJR