The key responsibilities of the NJR Board are to ensure that:

• Advice is provided to NHSE Medical Directorate and HQIP, as appropriate, on the NJR’s strategic direction, annual  operational plan, work activity and financial position (including annual review of subscription charges and any proposed change).
• Appropriate advice is provided to NHSE Medical Directorate and HQIP on any financial and/or intellectual property implications associated with licensing of the ‘NJR’ brand, particularly related to international collaboration with other national orthopaedic joint registries.
• Accurate, relevant and timely data collected by the NJR, is made available to relevant stakeholders (regulators, commissioners/providers of orthopaedic healthcare) in an appropriate format, in order to support clinical governance.
• Appropriate stakeholders (regulators, professional societies and implant suppliers) are involved in and consulted on the work of the NJR as appropriate and informed of outcomes in joint replacement surgery.
• The NJR budget is effectively managed and monitored.
• The NJR committee structure is fit for purpose and all committees have clear terms of reference, agreed composition and defined purpose and responsibilities.
• Outcomes achieved by brand of prostheses, hospital and surgeon, are monitored and, where they fall below expected performance, are highlighted to enable prompt investigation and follow-up by relevant stakeholders (implant suppliers, regulators, commissioners/ providers of orthopaedic healthcare).
• Patient awareness of joint replacement outcomes is enhanced, to better inform patient choice and quality of experience, through engagement with patients, patient organisations and providers of care.
• Evidence-based purchasing (quality and value) of joint replacement implants by healthcare providers is supported.
• Post-market surveillance of implants by key stakeholders (implant suppliers, the Regulator, Beyond Compliance) is supported. 
• Delivery and quality of work by NJR contractors and the codes of conduct applied to NJR contractors in their relationship with key stakeholders, are effectively managed and monitored by the NJR Management Team.
• The Annual Report on the work of the NJR is published in English and Welsh (and languages appropriate to any future countries that may be incorporated into the NJR) using patient-friendly language.