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NJR welcomes new independent healthcare sector representative to its Steering Committee

The National Joint Registry for England, Wales, Northern Ireland and the Isle of Man (NJR) is delighted to welcome a new independent healthcare sector representative to its Steering Committee.  The NJR Steering Committee is responsible for the work and strategic direction of the world’s largest joint replacement registry.

Mr David Macdonald is a consultant orthopaedic surgeon who practices at Spire Leeds Hospital with a special interest in hip and knee replacement surgery.  He was a consultant at Leeds Teaching Hospitals NHS Trust from 1992 to 2015.  From 1 April 2015, Mr Macdonald has worked as assistant medical director for Spire Healthcare on a national basis.  He is the Appraisal Lead for Spire Healthcare and responsible for professional governance issues.  Mr Macdonald is a Performance Assessor for the GMC.  His time is split equally between clinical practice and management.

NJR Chairman Laurel Powers-Freeling said:

“I look forward to working with David over the coming years.  David’s wealth of experience both within the NHS but now more recently in his role as assistant medical director for Spire Healthcare at a national level will be invaluable for our committee.  Having practising surgeons, with different but complementary areas of experience as part of our committee is of real benefit.

“It is the Steering Committee’s role to ensure that the NJR achieves its vision; working to protect patient safety and to drive forward quality in joint replacement surgery across the whole orthopaedic sector.  Therefore, we especially look forward to calling upon David’s expertise and input as the NJR expands its Data Quality Audit programme to the independent sector from this financial year to achieve these aims.

“I would also like to take this opportunity to thank outgoing independent healthcare sector representative Dr Jean-Jacques de Gorter for his contribution over the last 3 years.”

Of the appointment, Mr Macdonald said:

“I am delighted to be joining the NJR Steering Committee. I’ve been actively involved with the NJR since its inception as a consultant orthopaedic surgeon with a special interest in hip and knee replacements.  My current position with Spire Healthcare will enable me to coordinate between the NJR and other independent providers.  The Data Quality Audit programme and the interaction of the NJR with the Private Healthcare Information Network (PHIN) will give the independent sector the opportunity to demonstrate the highest possible standards of clinical governance that all hospitals strive to achieve.”


The NJR Steering Committee is a NHS England Committee of Experts and is responsible for the work and progress of the NJR.

The NJR Steering comprises the following stakeholders: 

  • Orthopaedic surgeons
  • Patients
  • NHS and independent healthcare providers
  • Allied health professional
  • Public health/Epidemiology
  • Industry (orthopaedic implant suppliers)


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