Clinical Outcomes Programme
NHS England piloted clinical outcomes prograame (COP) in 2013 for ten specialities and orthopaedics was one of these first ten specialties to publish data at individual clinician-level at www.njrsurgeonhospitalprofile.org.uk and via NHS Choices.
Since then, it has extended to thirteen specialties and the programme seeks to develop each year to include additional quality measures and present surgeon-level information to patients and the public domain as part of the delivery of the NHS openness and transparency programme.
NHS England has also mandated publication of consultant outcomes through the NHS Standard Contract and individual clinician's consent is not required.
The NJR supports the national clinical audit and publishes outcomes here: Surgeon and Hospital Profile
The Healthcare Quality Improvement Partnership continues to oversee the delivery of the whole clinical outcomes programme, working closely with NHS Choices, the Royal College of Surgeons, along with the specialist societies and clinical audit project teams for each specialty.
Who agrees on the measures for publication?
The British Orthopaedic Association, specialist orthopaedic societies and the NJR continue to work together to agree on the proposals and plan for publication each year. The activity and outcomes indicators are also then agreed with the HQIP clinical outcomes publication team who manage the programme on behalf of NHS England.
When will the 2019 results be published?
The indicators will be published in the first quarter of 2020 at www.njrsurgeonhospitalprofile.org.uk, but will no longer be published on the NHS website (there will be a link to the NJR website instead).
Publication Review Process
The data for publication, displayed in its 'preview' format is available to surgeons to view via NJR Clinician Feedback throughout the year and was available during the whole month of December 2019 to be checked and any amendments should have been requested by 31st December.
During that time, surgeons are also be able to submit any additional profiles information - including a photo, specialty areas and professional membership(s).
Activity and outcomes data can actually be accessed and checked at any time durng the year through a number of tools including reports available through the NJR Regional Coordinators, NJR Clinician Feedback and Consultant Level Reports.
The NJR Regional Coordinators are a local support and can offer advice and support in doing this and you can find out who your NJR Regional Coordinator is here.
What is the individual consultant-level report referred to in correspondence?
The report can only be accessed by surgeons through NJR Clinician Feedback. Activity and mortality data in this report will help consultants to validate their recorded activity and mortality events in advance of the publication of NJR data for consultant outcomes publication and on an ongoing basis. Some of the data included in the report is not related to consultant outcomes, though the NJR would encourage surgeons to validate all the data held in the database about their practice.
In the consultant level report there is:
12-month and 36-month practice profiles
Use of ODEP-rated hip stem and hip cup prostheses
90-day mortality rate and recorded mortality events
When will the public facing profiles be available to preview?
The preview of public facing profiles is available through NJR Clinician Feedback for all surgeons was up to 31st December 2019.
Throughout December 2019 surgeons have been able to submit any additional profile information - including a photo, specialty areas and professional membership(s).
How are small numbers of procedures displayed on the website?
Consultants in charge showing less than five procedures will have numbers masked on the NJR Surgeon and Hospital Profile site in accordance with the Office of National Statistics small numbers policy.
How are new Consultants in charge identifiable to patients?
An indicator showing time passed since first procedure submitted as Consultant in charge will be included on the activity profiles.
What if records are too few, too many or incorrect?
Please email email@example.com in the first instance who will be able to advise you. Arrange liaison with the hospital data manager to ensure that all records relating to 18/19 have been entered and whether any missing records can still found in the 'edit stack' i.e. they are being held back from submission to the NJR system because of incomplete or incorrect information.
As outlined in NHS England and HQIP’s previous correspondence to Medical Directors, data should be correct at point of entry, with validation designed to pick up any minor errors that may slip through. If a consultant finds data to be very inaccurate, this matter should be addressed within the Trust. The NJR would urge consultants to speak to their Medical Director as soon as possible about any required verification activity and find out more about the NJR's wider plans for checking the quality of data. Find out more here.
Last updated February 2020