NJR Notices - for surgeons
If a surgeon is planning to undertake a revision of either a primary or a revision joint arthroplasty and wishes to know what components were implanted in the previous procedure, they should contact the NJR Centre using the contact details below. This assumes that the revising surgeon is different to the surgeon who undertook the previous procedure and cannot, therefore, access the information via NJR Clinician Feedback.
When contacting the NJR Centre, you should state that you require information about implants used in a patient's previous joint replacement procedure and provide an NHSMail email address through which you can be contacted. You must NOT provide patient details at this stage.
Using the NHSMail address provided, one of the Data team staff will contact you for details of the patient and once these have been provided and the patient positively identified, details of the components implanted during the previous surgery will be identified.
NJR's Service Centre can be contacted by either email or phone: email@example.com Tel: 0845 345 9991(Monday to Friday).
NJR Clinician Feedback
Reports for 2018 have been available since 3rd August 2018.
Details of the most recent changes can be seen below*.
NJR Clinician Feedback is a resource available to all orthopaedic surgeons in England, Wales, Northern Ireland and Isle of Man who undertake hip, knee, ankle, elbow and shoulder replacement surgery and are registered with the National Joint Registry (NJR).
NJR Clinician Feedback is designed to provide orthopaedic surgeons with data and information relating to the care that has been delivered both by them and on their behalf and it enables an analysis of data within the wider context of hospital, sector (NHS and Independent Healthcare), and national benchmarks. It also provides a means of plotting data within a statistical control chart (funnel plot) enabling surgeons to view trends apparent from the data held by the NJR.
What data are available and what updates are made to the service can be found on the homepage for Clinician Feedback here.
NJR Clinician Feedback is a secure system and requires users to contact the NJR Service Desk (firstname.lastname@example.org) in order to obtain a password. A hospital email address must be used. For all queries or guidance on NJR Clinician Feedback, please contact NJR's Service Centre in the first instance: on 0845 345 9991 or email: email@example.com.
ReportsOnline provides information to surgeons, hospital data managers and suppliers on case totals, case mix and implant usage.
It offers the opportunity to view and download detailed and summarised reports on:
- the procedures performed
- implant usage
- patients (available to surgeons only)
The reports can be accessed through the normal data entry page and can be printed or downloaded as CSV or XML files.
Reports for 2018 have been available since 3rd August 2018 - see below for the most recent changes*
You are encouraged to download your report and use this as part of your appraisal. Instructions on how to use, view and download the reports are available from the related documents area.
Please note that you must have a valid username and password to access ReportsOnline and details of how to obtain this can be found in the guides. Alternatively, surgeons may wish to contact their hospital data administrator.
This year there are a number of changes to the report:
Changes to ‘Linked/Attributable [Joint] Revisions’ tables .
Tables now include the date of the linked primary and hospital at which it took place. Any new revisions appearing for the first time in your report are in emboldened text. Tables also include the number of primary procedures under observation, i.e. the number of linkable primaries. This number is shown alongside the table title
New Column for ‘Outcomes following Primary [Joint] Surgery (thermometer graphs)
A new column ‘Linkable Primaries’ has been added to the above indicators to show the number of primaries under observation, i.e. linkable primaries. The ‘Observed Events’ and ‘Expected Events’ columns have been swapped round.
New table showing revisions not included in the current report
Some revisions included in previous reports may not be included in your latest report. This may be because they have been attributed to another surgeon or they may have been placed into the Edit Stack and would not have been included when the data was cut. A new table showing the details of any revisions that have been included in a previous report but which are not in the latest report has been added immediately after the table showing the ‘Linked/Attributable [joint] Revisions’. Appendix 1 – amended title
The existing Appendix heading ‘Appendix 1: SRR Funnel Plots - [Joint]’ has been re-named: ‘Appendix 1: SRR Funnel Plots (as Consultant in Charge) - [Joint]’
New Appendix 2 - ‘Appendix 2: SRR Funnel Plots (as Lead Surgeon) – [Joint]
The funnel plots shown in Appendix 1 for Consultant in Charge are repeated in Appendix 2 showing your results as Lead Surgeon. Each category will show the number of primary procedures under observation, i.e. the number of linkable primaries
New Appendix 3 ’90 day SMR - [Joint]
A new appendix has been added to show the 5 year 90-day Standardised Mortality Ratio funnel plot. If there are no 90 day mortality events within the last five years, then the page will display the following text: ‘None Recorded.’
Chronology of Linked Revisions
A new table has been added to show, by year, the number of primary procedures carried out in that year which have been revised.
ODEP 13 Year Rating
ODEP have introduced a new 13 year rating. Numbers are currently insufficient to be reported separately and, therefore, have been included in the 10A/10A* reporting category.
New table - Linked/Attributable [Joint] Revision of Revisions from XXX linkable revision procedures’.
This table shows the same information as the ‘Linked/Attributable [Joint] Revisions’ tables where the start point is a revision procedure carried out by the consultant instead of a primary procedure. The table is looking for linked first and second revisions, irrespective of whether or not the first revision is linked to a primary procedure. Third revisions are not included in the calculation.
If you identify any errors with the data recorded within your report, these can be amended with the assistance of your NJR Regional Coordinator.
For any issues accessing Clinician Feedback, please contact NJR's Service Centre (enquiries@firstname.lastname@example.org)