Search  Search
Font Size:     Small text Medium text Large text   email pageemail pageprint pageprint page

National Joint Registry launch data collection for shoulder and elbow joint replacements

1 April 2012

The benefits of the National Joint Registry for England and Wales - which already monitors performance for 1.2 million hip, knee and ankle joints - extends to shoulder and elbow replacements from April 2012.

The National Joint Registry (NJR) will collect details of shoulder and elbow joint replacements from today (1 April 2012). For the first time in England and Wales, the performance of shoulder and elbow replacements will be monitored on a national scale.

Based on available data, between 2,000 and 3,000 shoulder and elbow procedures are performed each year.

National Joint Registry Lead Elaine Young said: "This is fantastic news for patients and the profession. We are delighted to be able to extend the benefits of the National Joint Registry to another key area of orthopaedic surgery. In the coming years, as the data grows, we will be able to share best practice and sound evidence on the performance of shoulder and elbow implants."

The NJR has collected data since 2003 for hip and knee replacements and since 2010, for ankle replacements.

The British Elbow and Shoulder Society (BESS) has approved the data collection, and welcomed its launch. The launch follows a year of preparations, in which the data set was developed with shoulder and elbow surgeons and agreed by the BESS executive and membership.

President of the British Elbow and Shoulder Society Professor Andy Carr from the University of Oxford commented: "This is a key achievement for BESS. It has been major objective for the society to improve the quality of care by encouraging the national collection of data. By building this comprehensive set of data on shoulder and elbow replacement surgery across England Wales, it can only help drive up the quality of care for patients. It will deliver broad evidence on which surgeons can make the best possible implant choice for and with the patient."

The Review of Central Returns (ROCR) has approved the collection (approval number ROCR/OR/0019/006MAND).

About data collection: New data collection forms have been developed for shoulders and elbows. These are now available for download from the Data collection forms page. The Data Entry system will be updated with new screens for recording shoulder and elbow procedures on 1 April. The Patient consent forms have now been updated to include shoulders and elbows. Are you a data manager? If you have further questions please contact the NJR Service Desk and ask to contact your Regional Co-ordinator.

About the levy: The levy rate for shoulder and elbow joints will be the same as the levy applied to hip, knee and ankle replacement joints and will be charged at £20 gross for financial year 2012-2013. Suppliers will begin levy collection for shoulder and elbow implants on 1 April 2012.


  • The National Joint Registry (NJR) of England and Wales was established in 2002. Its purpose is to define, improve and maintain the quality of care of individuals receiving hip, knee and ankle joint replacement surgery across the NHS and independent healthcare sector. Data collection began in April 2003 and the registry now holds over 1 million records and more records about certain procedure types than any other registry in the world. As a result of the increasing volume and quality of data it is possible to make accurate analysis available to all stakeholders and contribute significantly to good practice and patient safety.

  • The British Elbow and Shoulder Society was founded as a result of an increasing interest in shoulder and elbow surgery in the UK in 1987. Some of its key objectives are to:
    • foster and advance the science and practice of elbow and shoulder care through scientific meetings, educational programs and by encouraging research
    • strive to standardise assessment, scoring of disability, and nomenclature relevant to the elbow and shoulder
    • improve quality of care by encouraging the national collection of scientific data and functional outcomes
    • function as an educational society to further learning through scientific meetings, educational Fellowships, and both knowledge- based and skills-based educational courses.

Copyright © 2020 National Joint Registry Terms and conditions Privacy policy Login