NJR Surgeon and Hospital Profile
Hospital

Hospital: West Cumberland Hospital

North Cumbria University Hospitals NHS Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Steven Allcock3172289 H K
Patrick Michael Armstrong3482199 K
Carol Gillian Brignall2633860 H K
Matthew James Dawson3358414 H K S
Thomas Dehler6082297 H E S
Ramasubramanian Dharmarajan4593012 H K
Mahesh I Dhebar2246239 S
Peter Fismer6063532 H K
William Hage4536116 H S
Syed Adibul Hasan4118961 H K
David Mackay3356560 H K E S
Syed Mannan4623418 H K E S
Anand Brahmadutt Misra4143390 H K A
Ashraf M M Naguib4264422 H K A E S
Michael Orr2585833 H K E
Metta Bandara Palipane4752590 H K
Timothy Petheram4703008 H K S
Biju Sankar5207113 H K E S
Parag Indravaden Shah5169391 H K
Nidambur Suresh Rao3458943 H K S
Claire Young4215033 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-187235
Knee PrimaryPatello-Femoral ReplacementFewer Than 55
Knee PrimaryTotal knee replacement279243
Knee PrimaryUnicondylar Knee Replacement930
Knee Revision-Fewer Than 518
Ankle Primary-Fewer Than 55
Ankle Revision-Fewer Than 52
Elbow Primary-Fewer Than 53
Shoulder Primary-818
           Total483+559
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-553678
Knee PrimaryPatello-Femoral ReplacementFewer Than 511
Knee PrimaryTotal knee replacement781683
Knee PrimaryUnicondylar Knee Replacement2977
Knee Revision-650
Ankle Primary-1510
Ankle Revision-Fewer Than 54
Elbow Primary-Fewer Than 57
Shoulder Primary-1847
           Total1402+1567
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 Expected12820.9621.77
EQ-5DAs Expected1230.4230.444
EQ-VASAs Expected11414.6813.40
 

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 Expected7610.331.00
Revision Rate: Operations Apr03-Aug17As Expected14531.171.00
Revision Rate: Operations Aug12-Aug17As Expected7731.501.00
 
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
Male39%40%
Under 60 years of age15%21%
Severely Obese (BMI of 35 or greater)16%13%
At higher risk of medical problems before or after Surgery (ASA 3+)30%15%
Diagnosed with conditions other than Osteoarthritis4%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 stem18700100%
Hip cup1850299%
 
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 ScoreAs Expected16317.4816.52
EQ-5DAs Expected1550.3560.323
EQ-VASAs Expected1428.036.98
 

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 Expected12041.001.00
Revision Rate: Operations Apr03-Aug17As Expected21171.431.00
Revision Rate: Operations Aug12-Aug17Worse Than Expected12101.931.00
 
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
Male46%43%
Under 60 years of age14%16%
Severely Obese (BMI of 35 or greater)27%23%
At higher risk of medical problems before or after Surgery (ASA 3+)34%16%
Diagnosed with conditions other than Osteoarthritis2%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
Male41%59%
Under 60 years of age12%20%
Severely Obese (BMI of 35 or greater)No Data Available-
At higher risk of medical problems before or after Surgery (ASA 3+)24%16%
Diagnosed with conditions other than Osteoarthritis12%13%
 
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 age11%11%
At higher risk of medical problems before or after Surgery (ASA 3+)42%28%
Diagnosed with conditions other than Osteoarthritis47%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 Expected88.9%85.0%
Valid NHS numberAs Expected98.8%92.0%
Time taken to enter dataAs Expected32 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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