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Consultant outcomes publication

Following the initiation of the consultant activity and outcomes publication in 2013, NHS England and the Healthcare Quality Improvement Partnership (HQIP) have confirmed its ongoing requirement as part of the delivery of the NHS openness and transparency agenda. This page is designed to be the main hub of information about the plans for orthopaedic publication each year.

The National Joint Registry continues to work closely with lead specialist society, the British Orthopaedic Association (BOA), and other specialist orthopaedic societies to agree the plan for publication and ensure that the development of the surgeon profiles at www.njrsurgeonhospitalprofile.org.uk are appropriate and robust for the benefit of patients and the wider public.

Which Consultant surgeons will automatically be in scope for publication?

Any Consultant with one or more NHS-funded hip, knee, ankle, elbow and shoulder procedure in England will automatically be included for publication www.njrsurgeonhospitalprofile.org.uk and NHS Choices.

Can Consultants opt-in to publication?

Yes, any Consultants with practice solely in Wales, Northern Ireland or the independent (private) sector can opt-in to have their profiles published through NJR Clinician Feedback. The appropriate time to do this each year will be advertised on Clinician Feedback and through other NJR and BOA communications.

How can Consultants verify their data and other FAQs?  

Please see the supporting information for surgeons below and in the related documents box on the right hand side of the page. However, two important dates to note for the verification of data are Friday 14 August - for hip and knee surgeons to verify their mortality events -  and Wednesday 30 September, for all surgeons to review and verify clinical activity data.

Information for publication 2015

Further to discussion with the BOA, and NHS England, the following indicators and outcomes will be available to the public at www.njrsurgeonhospitalprofile.org.uk and NHS Choices on Monday 30 November 2015. New indicators for publication are noted below.

Hip procedures by Consultant in charge
  • Units where a surgeon works
  • Total activity by primary /  revision procedure by 12-month practice profile 1 April 2014 to 31 March 2015
  • Total activity by primary / revision procedure by 36-month practice profile 1 April 2012 to 31 March 2015
  • Use of ODEP-rated prostheses (excluding no rating) as a percentage of total practice for hip cup and hip stem in primary procedures
  • 90-day risk-adjusted mortality rate for elective procedures recorded on the NJR to 15 August 2015
  • New for 2015: Patient case-mix for elective procedures recorded on the NJR to 31 March 2015 (gender, age, BMI, ASA 3+, diagnosis other than OA)
  • In development for 2015: Surgeon-level NJR compliance rates for primary and revision procedures (based on NJR data submissions compared to HES data) - subject to HES data release and data verification
Knee procedures by Consultant in charge
  • Units where a surgeon works
  • Total activity by primary (TKR, UKR and Patello-femoral) / revision procedure by 12-month practice profile 1 April 2014 to 31 March 2015
  • Total activity by primary (TKR, UKR and Patello-femoral) / revision procedure by 36-month practice profile and 36-month practice profile 1 April 2012 to 31 March 2015
  • 90-day risk-adjusted mortality rate for elective procedures recorded on the NJR to 15 August 2015
  • New for 2015: Patient case-mix for elective procedures recorded on the NJR to 31 March 2015 (gender, age, BMI, ASA 3+, diagnosis other than OA)
  • In development for 2015: Surgeon-level NJR compliance rates for primary and revision procedures (based on NJR data submissions compared to HES data) - subject to HES data release and data verification
Ankle, elbow and shoulder procedures by Consultant in charge
  • Units where a surgeon works
  • Total activity by primary / revision procedure by 12-month practice profile 1 April 2014 to 31 March 2015
  • Total activity by primary / revision procedure by 36-month practice profile 1 April 2012 to 31 March 2015
  • New for 2015: Patient case-mix for elective procedures recorded on the NJR to 31 March 2015 (gender, age, BMI, ASA 3+, diagnosis other than OA). For ankle, elbow and shoulder profiles, the start date for this data will reflect the start of data collection on the NJR, April 2010 and April 2012 respectively
  • In development for 2015: Surgeon-level NJR compliance rates for primary and revision procedures (based on NJR data submissions compared to HES data) - subject to HES data release and data verification

Important notes on indicators

  • Practice profiles: for primary / revision procedures there is no breakdown by provider type
  • Mortality analysis: for hips, all trauma cases are removed including [from Nov 2014] those for metastatic cancer
  • New Consultants in charge: an indicator to show time passed since first procedure submitted as Consultant in charge will be included on practice profiles
  • Hospital profile(s): For each of the units listed under the surgeon profiles, these will link directly to corresponding unit profiles which reflect the same indicators as well as extended patient improvement and outcome measures including quality of data submitted to the NJR

Consultant surgeons also have the opportunity to add additional profile information prior to publication to identify specialist areas of practice and membership(s) of professional bodies. For any Consultant wishing to see how this displays, please visit www.njrsurgeonhospitalprofile.org.uk and review the profile of NJR Medical Director Mr Martyn Porter.

Page last updated 20 July 2015

  
  
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