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 S
William John Spicer Aston4412359 H K E S
Ian Jack Lindsay Bayley0003883 E S
Rejpaul Bhumbra6028717 H K
Timothy Briggs2591702 H K S
Richard W Carrington3313040 H K
Nicholas Patrick Stuart Cullen4039798 A
Peter Darcy4068138 H
Jerome Davidson6105086 H K
James Donaldson6050025 H K
Mark Simon Falworth4316271 E S
Craig Gerrand3331578 H K
Panagiotis Gikas6075950 H K S
Andrew Goldberg4113571 A
Antony Greer4099257 H K
Alister Hart4154941 H K
Aresh Hashemi-Nejad3067813 H
Deborah Sian Higgs4540258 K E S
Maurycy Jakub Jagiello4736954 H K S
Chethan Jayadev6055387 H K
Luke James Johnson6088167 K
Andrew Robert Johnston6128705 H K
Ravichandran Karthikeyan4760612 H S
Muhammad Tahir Khan4386218 H K
Simon Martin Lambert2923642 K E S
Addie Majed6029284 E S
David Melling6029313 H K
Jonathan Miles4428644 H K
Alan Peter Molloy7512117 H K
Zuhair Nawaz6076296 H K
Petar Iliev Peev7020944 H K
Ioannis Panayiotou Pengas4541589 H K
Robin Pollock4033297 H K S
William Rudge6103402 E S
Dhisen Bramlall Seetulsingh2802936 A
Sanjay K Sinha5205697 H K
John Andrew Mcinnes Skinner3288357 H K
Matthew Welck6074385 A
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 2017 - 31 March 2018
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-302226
Hip Revision-19224
Knee PrimaryPatello-Femoral Replacement74
Knee PrimaryTotal knee replacement286228
Knee PrimaryUnicondylar Knee Replacement731
Knee Revision-13817
Ankle Primary-365
Ankle Revision-72
Elbow Primary-93
Elbow Revision-132
Shoulder Primary-6618
Shoulder Revision-563
           Total1119563
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2015 - 31 March 2018
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-948686
Hip Revision-60770
Knee PrimaryPatello-Femoral Replacement2411
Knee PrimaryTotal knee replacement1020692
Knee PrimaryUnicondylar Knee Replacement3283
Knee Revision-40950
Ankle Primary-9211
Ankle Revision-214
Elbow Primary-357
Elbow Revision-364
Shoulder Primary-21550
Shoulder Revision-2168
           Total36551676
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 2017 - 31 March 2018


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 Expected5620.7422.60
EQ-5DAs Expected510.4640.470
EQ-VASAs Expected5112.0013.87
 

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 2018


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 Mortality: Operations Aug13-Aug18As Expected14061.001.00
Revision Rate: Operations Apr03-Aug18As Expected33860.791.00
Revision Rate: Operations Aug13-Aug18As Expected15271.041.00
 
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 2018. 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 2018


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)16%13%
At higher risk of medical problems before or after Surgery (ASA 3+)10%16%
Diagnosed with conditions other than Osteoarthritis21%8%
 
USE OF ODEP RATED IMPLANTSAbout ODEP
Data for 1 April 2017 - 31 March 2018
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 stem28531494%
Hip cup2899496%
 
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 2017 - 31 March 2018


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 Expected6312.3617.14
EQ-5DWorse Than Expected600.2490.340
EQ-VASAs Expected603.468.07
 

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 2018


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 Mortality: Operations Aug13-Aug18As Expected16290.501.00
Revision Rate: Operations Apr03-Aug18As Expected36801.031.00
Revision Rate: Operations Aug13-Aug18As Expected17081.141.00
 
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 2018. 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 2018


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 age27%17%
Severely Obese (BMI of 35 or greater)29%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 2018. 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 2018


Click on the   to find out more about the quality measure and its source data
 

Percentage Of Patients Who Were:This HospitalNational Average
Male52%59%
Under 60 years of age34%20%
Severely Obese (BMI of 35 or greater)11%13%
At higher risk of medical problems before or after Surgery (ASA 3+)15%16%
Diagnosed with conditions other than Osteoarthritis23%12%
 
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 2018. 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 2018


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 age47%29%
At higher risk of medical problems before or after Surgery (ASA 3+)32%33%
Diagnosed with conditions other than Osteoarthritis75%77%
 
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 2018. 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 2018


Click on the   to find out more about the quality measure and its source data
 

Percentage Of Patients Who Were:This HospitalNational Average
Male42%29%
Under 60 years of age43%11%
At higher risk of medical problems before or after Surgery (ASA 3+)21%29%
Diagnosed with conditions other than Osteoarthritis62%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 2017 - 31 March 2018


Click on the   to find out more about the quality measure and its source data
 

Quality Measure This HospitalNational Expected
Compliance (for the Trust)As Expected81.6%85.0%
Revision Compliance (for the Trust)Better Than Expected100.0%85.0%
ConsentAs Expected91.7%85.0%
Valid NHS numberBetter Than Expected98.2%85.0%
Time taken to enter dataBetter Than Expected6 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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