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How we operate

Structure and governance

The NJR is managed by the Healthcare Quality Improvement Partnership (HQIP) under a contract with NHS England as part of the delivery of the National Clinical Audit and Patient Outcomes Programme (NCAPOP). HQIP supports the work of the NJR Steering Committee and all its sub-committees.

The NJR Steering Committee, which usually meets four times per year, is responsible for overseeing the strategic direction and running of the NJR. It is an NHS England Committee of Experts.

Strategic plans

The NJR has grown considerably since 2002 and recognising its increased role and ability to support improvements in patient safety and clinical outcomes, the NJR reviewed its original mission statement and strategic goals as part of the development of the registry's plan from 2012 onwards.

Where appropriate, relevant notifications/directives from HQIP and NHS England will also be posted here.

Security and confidentiality

The NJR recognises that security and confidentiality of data and information is a concern for all of us. Find out more ►


Up until April 2014, the NJR was funded through a levy raised on the sale of hip, knee, ankle, elbow and shoulder implants. From April 2014, the NJR is funded through a subscription service where payments from NHS and indpendent providers of joint replacement surgery are based on the volume of procedures carried out. Overall, this new model of funding is enabling significant savings to be realised across orthopaedic surgery providers. 

HQIP manages the payment collection and holds the NJR budget on behalf of the Steering Committee. Find out more ►


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