Latest news and events
Welcome to the NJR news and events page. Here you will find out the latest news from the NJR as well as upcoming events.
If you have a press enquiry or would like to suggest a relevant event for promotion on this page - please get in touch:
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Implementing Day Case Pathways for Major Knee Surgery
Day case anterior cruciate ligament reconstruction surgery and uni-compartment knee replacement surgery has been routine practice for over 10 years in some trusts. Building on this, leading units are now providing total hip and knee replacement surgery on a day case basis. It has been proven to be safe, achievable and has been replicated across a number of trusts.
The British Association of Day Surgery are pleased to announce the forthcoming CPD certified conference Day Case Major Knee Surgery: ACL reconstructions to Total Knee replacements which is taking place virtually on Thursday 4th November 2021.
With a growing importance in increasing the delivery of day case total joints across the NHS it is important to share learning so that day case arthroplasty is achievable in all units across the UK. Join us to learn how this achievable for our patients and learn how digital technology can aid this and move us towards a virtual model of care.
For the full programme, learning outcomes, confirmed speaker line-up and to book visit www.healthcareconferencesuk.co.uk/day-case-major-knee-surgery
Tender bids are currently open for the following contract opportunities:
BOA Annual Congress
Date: 20-23 September 2021
Venue: The Event Complex Aberdeen (TECA)
The BOA Annual Congress will take place 21st-24th September 2021.
The Congress programme will be created around the theme of ‘Tackling Infection’, with four days of lectures alongside three days of orthopaedic exhibition being held for the first time at The Event Complex Aberdeen (TECA).
The NJR will be holding a session about our work, during which we will launch our 18th Annual Report, and we will also have an exhibition stand at the event.
Further details to follow.
NJR Connect - Data Services
Our new surgeon reports portal, NJR Connect - Data Services has gone live this week
All orthopaedic surgeons can now login and review their outcome data and reports. The new system includes the following functionality:
- Dynamic Reports - View and interact with their own data using predefined filters.
- Static reports - View and download a range of pdf and excel document reports. For example: Consultant level reports and Annual clinical reports.
- 90-day Mortality / Attributable revisions module - View a list of records, dating back to 1st January 2019, with ability to drill down to see further details.
- Resources - Access a list of useful supporting documents including system user guides and user training videos, as well as links to other NJR websites.
- NJR Contacts database - Search for other surgeons who practice at the same hospital.
The new login url is: https://platform.njrcentre.org.uk/R4NJR/R4NJR/SignIn
Surgeons will be redirected to the new system should they attempt to login to Clinician Feedback, as this new system replaces that service.
Surgeons should use their Clinician Feedback user ID to log in and will then need to click on the 'Forgotten password' link on the login page, to enable a temporary password to be created and emailed to them, in order to access the system for the first time. The temporary password can be changed at any point thereafter to a password of choice.
Should they encounter any problems in accessing the system surgeons are asked to get in touch with us at the NJR Service Desk by email at: Enquiries@njrcentre.org.uk or by phone: 0845 3459991.
National Joint Registry - Power Point Presentations
Our most recent NJR presentations as below can be viewed here: BOA Videos
- Working together: Excellence through collaboration
- A Patient’s experience of knee surgery during Covid-19
- Infection risk factors and outcomes of treatment
- Are we getting better at what we are doing?
Revision rates dropping for all joints
- The association between obesity, revision, mortality and PROMs in total hip replacement
- Surgical approaches - what we know so far
- Knee surgery - Patella resurfacing and non-resurfacing by implant
Unicompartmental knee replacement / Multicompartmental knee replacement
- The evolving picture of shoulder and elbow arthroplasty
- Dual mobility hip replacement; Infection
NJR Surgeon and Hospital Outcomes Publication - 2020
The surgeon outcomes review period has now concluded and all consultant surgeons who have carried out a hip/knee/ankle/elbow/shoulder joint replacement procedure in any hospital during the three most recent financial years - 1st April 2017 to 31st March 2020.
All hospitals unit and surgeon data outcomes can be viewed at: https://surgeonprofile.njrcentre.org.uk
NJR launches 17th Annual Report during NJR Session at the Virtual BOA Congress 2020
(See link to Congress and Report to review)
We are delighted to announce the publication of the NJR’s 17th Annual Report. This is the formal public report of the registry and you can find it at the NJR’s dedicated Annual Report website: reports.njrcentre.org.uk. The analyses of patients’ outcomes after surgery, along with executive summaries of all NJR working committees are presented, as well as Implant and Trust, Local Health Board and unit-level outcomes, which can also be found on the website menu listing.
Having collected data since April 2003 with the aim of monitoring devices and improving patient outcomes following hip, knee, ankle, elbow, and shoulder replacement, the NJR now has over three million procedures recorded, making it the largest and most comprehensive registry of its kind in the world.
The report was launched at the British Orthopaedic Association’s Annual Congress, which due to the impact of Covid-19, was organised as a virtual online event this year. The NJR’s session is entitled: “Working together across the sector” and is available for the duration of Congress (15 to 25 September 2020) by clicking on this link: https://www.boa.ac.uk/pre-recorded-webinars/njr-open-access.html
There has been considerable work for the report this year to develop new classifications and to drill down into the analysis of the performance of implants in all joints, enabling a continued thorough and safety-conscious approach to implant outcome monitoring which will be useful to surgeons and patients alike in choosing the best performing implants. We do hope you will visit the NJR’s Annual Report website for further details of this valuable information as well as insight into the registry’s progress during 2019.
NHS trusts and independent sector hospitals have also recently received their own individual NJR Annual Clinical Report. The report includes key performance data in relation to units and surgeons, including the ability for all units to review themselves against local performance and national targets.
Implant choice more important than surgeon skill for hip replacement success
A recent study by the University of Bristol which analysed over 650,000 hip replacement patients across England and Wales over 14 years sought to investigate why one hospital has consistently been identified as having better than expected outcomes compared to other settings. Read about it here https://medicalxpress.com/news/2020-08-implant-choice-important-surgeon-skill.html
July 2020 - Data entry capture resumed for the National Joint Registry
Following recent NHSE wider notification to hospitals of the gradual resumption of elective surgery and associated audit activity in order to support NHS recovery as the Covid-19 pandemic lessens, the National Joint Registry advises data entry staff in all NHS and independent hospitals where joint surgery has resumed, that data entry capture should also resume as normal, in accordance with the volumes of procedures performed.
It is also important that the reduced volumes of arthroplasty procedures that have taken place over the past four months are correctly recorded on the NJR. These are likely to be small numbers of urgent and emergency procedures, but it is essential that we are able to monitor the outcomes of these patients through the NJR’s usual monitoring procedures. We therefore ask that hospitals review their surgical caseload over this period to ensure that any missed cases are entered retrospectively onto the NJR.
For any advice and support on NJR data entry or training: please contact our Helpdesk on 0845 345 9991 or by email firstname.lastname@example.org
NJR Regional Events
The National Joint Registry is always pleased to invite all staff in both the NHS and independent sector to attend the NJR annual programme of free-to-attend regional events and our last event took place on 30th October. Due to the uncertainty of COVID-19 we have postponed the planning for any NJR events this year until we know more about the possibility of public gatherings. By attending an NJR event, delegates will take away skills to demonstrate the highest possible standards of clinical governance that all hospitals strive to achieve. All staff involved with the NJR process in your hospitals are welcome including: data entry, pre-assessment, theatre, clinical governance staff, surgeons, managers and nurses.
Because the NJR is a national mandatory audit, time to attend can be requested from your line-manager to support your attendance, as part of ongoing continuing professional development training and we will be providing certificates for all delegates. The programme presents a unique networking opportunity for all those engaged with the NJR and involved in assuring data quality and patient safety.
Due to the Covid-19 pandemic we have paused all planning for our regional events programme for the forseeable future - we will review the situation in September and are hopeful to then be able to advise plans for 2021.
Healthcare Conference UK events
The events listed below are organised by an external events company and may be of interest:
July 2020 - Patient Decision Support Tool
NJR data is behind the Patient Decision Support Tool, the first comprehensive web-based patient tool for supporting consideration of joint replacement, representing a practical example of an effective software implementation of a health information system for the orthopaedic sector.
Read the newly published paper written by the scientists who developed the tool, showing how user-centred design can be practically applied to produce an effective health information system, while also improving its development efficiency - https://www.sciencedirect.com/science/article/pii/S1386505620301568
July 2020 - NJR Statement on the publication of The Cumberlege Report
The National Joint Registry (NJR) welcomes the report recommendations from the Independent Medicines and Medical Devices Safety Review, chaired by Baroness Julia Cumberlege. The NJR also fully supports the development of a wider implant medical devices registry to ensure greater patient safety.
(Read the full statement here)
June 2020 - Effect of Bearing Surface on Survival of Cementless and Hybrid Total Hip Arthoplasty
We’re very pleased to congratulate Professor Edward Davis and his team on their recently published study on the effects of bearing surface on survival of cementless and hybrid THA.
You can read it here: https://journals.lww.com/jbjsoa/Fulltext/2020/06000/Effect_of_Bearing_Surface_on_Survival_of.10.aspx
April 2020 - Impact of COVID-19 on NJR and other National Clinical Audits
The Government has announced this week that the UK’s health systems are making changes to respond to the coronavirus pandemic. NHSE and Welsh Government have agreed the following stance:
All national clinical audit, confidential enquiries [commissioned / funded by NHSEI] and national joint registry data collection can be suspended. Analysis and preparation of current reports can continue at the discretion of the audit provider, where it does not impact front line clinical capacity.
All audit data that can be collected during this pandemic will give insights into how Coronavirus has impacted in other areas such as:
- elderly patients (hip fracture, dementia, heart failure)
- those presenting for emergency laparotomy
- those with cancer and diabetes
to name but a few.
Child death database, PICANET and MBRRACE-UK perinatal surveillance will be required for current clinical management and should continue
March 2020 - Covid 19 and the Suspension of Elective Surgery
The Government has announced this week that the UK’s health systems are making changes to respond to the coronavirus pandemic. As part of this response there will be widespread suspension of elective surgery, with the exception of cancer patients and some other urgent procedures.
Whilst the National Joint Registry is in alignment with the absolute necessity of this postponement in freeing up essential services for those who are in dire need of these due the spread and impact of Covid-19, we would like to express our empathy with those patients whom the delay will impact and advise that the British Orthopaedic Association has helpfully published some ‘Frequently Asked Questions’ for patients, which they will keep updated as the coronavirus situation unfolds. You can view these FAQs here: https://www.boa.ac.uk/resources/coronavirus-boa-faqs-for-patients.html
Nov 2019 - The National Joint Registry welcomes the States of Guernsey on Board
The National Joint Registry (NJR) is delighted to welcome the States of Guernsey onto the registry having extended its data collection, reporting and information services to Guernsey's Princess Elizabeth Hospital (PEH) from November 2019.
Three Mil lionth NJR Record Milestone Reached
A patient at The Royal Orthopaedic Hospital is the three millionth entry in the National Joint Registry. Press Release