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Alert and Alarm Unit (Hospital) Process


Monitoring unit (hospital) performance is a key function of the NJR, as part of the ongoing drive for greater transparency within the NHS to improve standards and safety. Units which fall below expected performance thresholds are listed in the NJR’s Annual Report and via the NJR’s Surgeon and Hospital Profile website.

The NJR has reviewed its unit monitoring processes, formulating an Alert and Alarm (outlier) process which will continue to provide robust early warning of issues related to patient safety.  There is an agreed process to ensure appropriate action is taken to review units which fall below expected performance thresholds.  This enhanced approach is driven through improved collaboration between the NJR, regulators and the profession.  This work supports the data-driven monitoring, happening across the healthcare sector.

Commenting at the time of implementation in 2017, the NJR’s then medical director, Mr Martyn Porter, said: “The National Joint Registry’s enhanced approach to monitoring hospital performance and outcomes will ensure that hospitals are managed in a clear and robust manner. This will be driven through agreed collaborations and understanding of roles and relationships between the NJR, regulators and the profession.  This way of working will provide a robust holistic view of surgical performance which will guide even more informed patient choice.”




Alert and Alarm Unit (Hospital) Process documentation:



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