NJR Steering Committee
The NJRSC is designated as an NHS England ‘Committee of Experts’ and our Chair reports directly to the Medical Director for NHS England. The NJRSC is responsible for setting our strategic direction and for overseeing the successful delivery of our work and closely managing the associated budget. The committee also oversees a supporting structure of eight sub-committees, each responsible for a dedicated area of NJR work and ensuring the delivery of work plans and development activities against agreed objectives.
Key responsibilities of the NJRSC are to ensure that:
- Appropriate advice is provided to the Healthcare Quality Improvement Partnership, (the legal entity which hosts the NJR on behalf of NHS England Medical Directorate), on operational and financial matters;
- The NJR budget is effectively managed and monitored;
- The NJR sub-committee structure is fit for purpose and that all sub-committees have clear terms of reference, agreed composition, and defined purpose and responsibilities and report outcomes to the NJRSC regularly;
- Outcomes achieved by brand of prostheses, hospital and surgeon are monitored and where these fall below expected performance, are highlighted to enable prompt investigation and follow-up by relevant implant suppliers, regulators, commissioners and providers of orthopaedic care;
- Appropriate stakeholders (patients, clinicians, providers and commissioners of healthcare, regulators, professional societies and implant suppliers) are involved in and consulted on the work of the NJR as appropriate and informed of outcomes achieved in joint replacement surgery;
- 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 cost-effectiveness) of joint replacement implants by healthcare providers is supported;
- Post-market surveillance of implants by key stakeholders (implant suppliers, the Medicines and Healthcare products Regulatory Agency, Beyond Compliance and Orthopaedic Devices Evaluation Panel) is supported;
- Codes of conduct applied to NJR Contractor(s) in their relationship with key stakeholders are monitored;
- Delivery and quality of work of NJR Contractors is effectively contract managed;
- Accurate, relevant and timely data collected by the NJR, is made available to relevant regulators, commissioners and providers/suppliers of orthopaedic care, in an appropriate format, in order to support clinical governance and patient safety;
- An annual report on the work of the NJR is published and made available in both the English and Welsh languages and in patient-friendly format;
- Appropriate governance and monitoring arrangements are in place to facilitate the use of NJR data to support and enable related research;
- NHS England (and devolved administrations as appropriate) is provided with advice on the NJR’s strategic direction, annual work programme and financial position (including annual review of subscription charges and any proposed change);
- NHS England is updated on the performance of prostheses and good surgical practice, international collaboration work with other national orthopaedic joint registries, and any financial and/or intellectual property implications associated with the licensing of the ‘NJR brand’.
Tim WiltonNJR Medical Director
Vice Chair, NJRSC
Chair and Medical Advisory Committees.
Mr Peter HowardOrthopaedic Surgeon
Chair, Surgical Performance and Implant Scrutiny Committees.
Prof. Amar RanganOrthopaedic Surgeon
Prof. Mike ReedOrthopaedic Surgeon
Chair, Editorial Committee.
VacantNHS Trust Manager
Prof. Mark WilkinsonPublic Health / Epidemiology
Chair, Research Committee.
Prof. Karen Barker OBEPractitioner with special interest in orthopaedics
Joshua BridgensOrthopaedic Implant
Jeff StonadgeOrthopaedic Implant
Gillian CowardPatient Representative
Robin BrittainPatient Representative
VacantIndependent Healthcare Provider
Prof. Tim Briggs CBENational Director for Clinical Improvement for NHSI/E
Chair, GIRFT Programme
Sharon KnightMedicines and Healthcare products Regulatory Agency
Robin RiceWelsh Government
Andy SmallwoodNHS Procurement
Prof John SkinnerPresident, British Orthopaedic Association
Mr Derek PeggOrthopaedic Surgeon
Chair, Data Quality and Regional Clinical Coordinators Committee.