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Surgeon Appraisal Enhancement Process


It is important that public and patients have confidence that all surgeons who carry out joint replacement surgery use and reflect upon their performance (practice) data in a structured and accountable way.

The NJR’s Surgeon Appraisal Enhancement Process offers a formal mechanism to allow joint replacement surgeons the unique opportunity to demonstrate and record, via the NJR’s Clinician Feedback tool, that they have reviewed their NJR data as part of their appraisal and revalidation, and importantly reflected upon the data.

‘Practitioner reflection’ is supported by NHS England, the British Orthopaedic Association, and NHS Improvement. The NJR monitors surgeon engagement and encourages reflection of their own practice and performance data. This process is reported back via each individual hospital’s NJR Annual Clinical Report to ensure patient safety and assurance.  

At the time of implementation, the NJR’s then medical director, Mr Martyn Porter, said: “Offering joint replacement surgeons the unique opportunity to demonstrate and record that they have reviewed their NJR data will inform the appraisal process in a constructive way.  This approach will support both the surgeon and appraiser, with the accountability for ‘practitioner reflection’ placed upon the surgeon.  Once embedded across the health service, it will encourage best practice behaviour and drive a positive professional culture with a sharp focus on patient safety.”




Surgeon Appraisal Enhancement Process documentation:



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