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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:

deirdra.taylor@njr.org.uk or call  020 3857 5044 / Mobile 07967 676063

Sign up for our news bulletins by clicking here

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News

 

We are pleased to share details of our forthcoming webinar to guide and facilitate the use of NJR data for research: 

NJR Research Webinar: Monday 17th January 2022 - 13:00 to 17:00

As the largest data collection of its kind in the world, our strategy is to make NJR data widely available to the research community to further the understanding of joint diseases and the determinants for successful outcomes for patients having these common procedures. The NJR is engaged in an active research programme and welcomes external requests for use of data that will maximise the research potential of this rich resource.

To enable wider awareness of this valuable resource, we are pleased to be holding a webinar for anyone interested in the use of NJR data as part of any future research activity. The online event will provide a varied and stimulating programme which will advise on how to access and utilise the data, guide through the process and governance requirements, provide an introduction to the statistics and support required, as well as highlight the importance of patient and public involvement in research. 
The event aims to motivate and support ideas for the development of future projects with a range of presentations from the expert NJR Research Committee, Research Fellows and NJR Management Team, offering an opportunity for participant interaction with Q&A sessions throughout.

You can find further webinar details, the full programme and how to register here.

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New NJR Weekly Total Volume Activity Reports

As a new NJR service we are now sharing a weekly total volume activity report on our website.
You can see this is available on the right hand side of the homepage.

Please note that whilst we encourage all hospitals to enter procedure data as soon as they can, this weekly activity report only contains data that have already been entered into the registry – data for some procedures that have already taken place may be still yet to be entered, so these figures may not represent absolute true volumes at any point in time.

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NJR Annual Report 2021 launched at BOA Annual Congress:

The NJR Annual Report 2021 was launched at the BOA Annual Congress this week and can be found here. You can download the PDF and also view all online parts on the report including an overview of this year’s work developments and activities as well as reports from all of our sub-committees and a special feature on COVID-19.

This, our 18th Annual Report, was launched during the NJR’s presentation session at Congress, where the authors of the report special feature addressed the impact of COVID-19 on procedure volumes, alongside a moving presentation on the patient perspective of what it is like to be on a long waiting list especially when combined with the ongoing uncertainty of treatment timelines. 

All our presentations this year followed the Congress theme of ‘Tackling Infection’ 

We also had a lot of interest in the NJR’s information stand at the event which delegates visited to download a QR code to give them direct access to the new annual report online and to see our featured research topic information. Visitors were also able to find out more about the developments to upgrade NJR clinical reporting services with a video demonstration of the functionality of our new portal NJR Connect - Data Services and to meet with our Compliance Officers on the stand, who were there to support surgeons’ visits to the new site. 

All in all it was excellent to be back out at event like the BOA Congress at last - and to see so many familiar faces!

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NJR Annual Clinical Reports

NHS trusts and independent sector hospitals also receive their own individual NJR Annual Clinical Report and these have been uplaoded this week also.

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 - ithis year's report is available to download at NJR Connect - Data Services for surgeons; or at the NJR Management Reporting feedback portal for hospital management staff.

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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

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Tender bids for the following contract opportunities:

  • HQIP NCA 2110 - NJR Data Management, Solutions and Associated ServicesVenue: The Event Complex Aberdeen (TECA) 
    The Data Management Solutions contract offers the opportunity to partner with a global exemplar registry for the capture, management  and reporting of data for joint replacements performed by public and private healthcare providers. 

    Details and timeline for the submission of bids: https://www.hqip.org.uk/tenders/hqip-nca-2110-njr-data-management-solutions-and-associated-services/

    This tender is open for submissions until 12 noon on 29th September 2021
  • HQIP NCA 2110 - NJR Data Management, Solutions and Associated ServicesVenue: The Event Complex Aberdeen (TECA) 
    The Data Management Solutions contract offers the opportunity to partner with a global exemplar registry for the capture, management  and reporting of data for joint replacements performed by public and private healthcare providers. 

    Details and timeline for the submission of bids: https://www.hqip.org.uk/tenders/hqip-nca-2110-njr-data-management-solutions-and-associated-services/

    This tender closed for submissions on 15th September 2021

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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.

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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  

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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

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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
enquiries@njrcentre.org.uk

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Forthcoming Events
 

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:

 

 

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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

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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)

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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  

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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

 

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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

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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.

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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

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