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Patient consent

The NJR records details of joint replacement operations in order to monitor the results, protect patient safety and improve outcomes. We ask patients for consent to be included in the registry so that, should there ever be any problems, they can easily be identified by the NJR for follow-up through your hospital. 
Consent means that the patient has iven permission for specific details of their operation to be captured by the reistry with strict data control measures in place. This includes: the type of implant the patient received, which surgical technique was used, which side of their body the implant went into, as well as name, date of birth, gender, contact details, date of operation and NHS number.  Capturing this information enables the NJR to be more effective in its role in protecting patient safety (and to get in touch if there is a need). To date well over three million patient records have been included in the registry. 

By capturing this information we are able to:

  • Help identify patients who have received specific implants that are subsequently performing poorly.
  • Link patients' primary and revision procedures, which enables the NJR to determine how long different types of implants last  - and this is done via the NHS/national patient number.
  • Invite patients to take part in any feedback process about their surgery so that patient satisfaction can be assessed and recorded..

All hip, knee, ankle, elbow and shoulder replacement patients should be given the opportunity to have their procedure details captured..

Collecting patient consent

Patients must give their consent in order for their personal data to be recorded in the registry. The NJR consent form should be signed by the same person signing the operation consent form. Further information and advice about how to collect patient consent is provided in the ‘collecting patient consent’ area of this website.


Patient consent (Section 251 Exemption)

The NJR has dispensation to record patient details where the indication for patient consent is ‘Not recorded’. This dispensation is known as Section 251 Exemption (formerly Section 60) and is granted on an annual review basis.  You will be advised, however, if this dispensation ever becomes no longer available.

The NJR application has been changed to enable patient details to be entered where ‘Don’t know’ is recorded for Patient Consent, which now ensures that all procedures recorded on the registry for a single patient can be linked, improving the monitoring of implant performance. It is essential that patient consent is sought for all procedures submitted to the registry. If it is discovered subsequently that a patient either gave their consent or positively declined it please ensure that you inform the NJR Service Desk immediately so that the appropriate changes can be made on the patient record.

Any queries regarding patient consent should be put to your NJR Compliance Officer, the contact details for whom can be obtained from the NJR Service Desk.

A letter from the NJR Centre explaining Section 251 Exemption is available on the right hand side of this web page under “Related Documents”.


Patient consent forms

As well as collecting patients’ consent, the NJR consent form also introduces the benefits of the NJR to the patient and explains how participation will benefit themselves and others. We recommend that you use this form to collect patient consent and to ensure that the patient is fully informed of the NJR’s purpose to help prevent misconceptions about the use of data.


Retaining consent forms

Staff should explain clearly to patients that it is the hospital who will be entering the patient’s personal details into the NJR system. Patients do not need to send their personal details to the NJR Centre and should keep the duplicate copy for their own information.

NJR patient consent forms should be held by the hospital as part of a patient’s record and be made available to the data entry staff who input the data.


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