Noticeboard for NJR regional support network representatives
Please see the resources below for use by all our regional representatives
- Click the relevant tile and scroll down for all information
Role of the NJR Regional Clinical Coordinator
Role of the NJR Regional Clinical Coordinator
NJR Regional Clinical Coordinators (RCCs) serve to provide two-way communication link between the hospitals in their regions and the surgeons providing data to the registry and to the NJR Management Team staff working for the registry. The RCC Committee comprises of representatives from all regions across England, Northern Ireland and Wales, from both NHS and independent sector hospitals and acts as a central way for the NJR to ensure the ongoing clinical relevance of its work, creating a channel for suggestions and feedback from RCC members and their regions, to be considered at strategic and operational level.
RCCs also have a key role supporting the improvement of the quality of data in the registry and in turn, the quality of NJR’s evidence to support surgeons and clinical teams at a local level.
You can find out more about the role of the RCC and the RCC Committee here.
You can find out who the current RCC for each region is here.
Role of the NJR Clinical Liaison Lead
Role of the NJR Clinical Liaison Lead
The NJR Clinical Liaison Lead (CLL) role is performed by a designated surgeon or other healthcare professional within all hospitals performing joint replacement surgery.
CLLs provide support to their relevant NJR Regional Clinical Coordinator (RCC) and NJR Compliance Officer (CO) as required, facilitating NJR-related considerations and issues that may arise. The CLL will also help support their hospital’s NJR data quality audits.
You can view the role description here.
Regional Support
Teams Channel
Regional Support Teams Channel
Click this link for access to the NJR Regional Support Microsoft Teams Channel. Look for the headings (Posts, Files and Notes) to view NJR information.
If you encounter any issues, please contact NJR Admin at njradmin@njr.org.uk.
Interpreting NJR Funnel Plots to aid surgeons
Interpreting NJR Funnel Plots to aid surgeons
We are grateful to Professor Mike Whitehouse for allowing us to share slides from his NJR Session presentation at BOA Congress – Sept 2025
Click here to see the presentation
System enhancements
NJR Connect – Data Services & log-in
System Enhancements
NJR Connect – Data Services & log-in
We are always interested in your feedback as system users of NJR Connect – Data Services. Feedback so far has enabled us to further develop both the data entry and reporting systems and we plan to introduce regular enhancements across the
year to constantly improve your user experience.
Exporting your own surgeon-level data from NJR Clinician Feedback
– For information how to download the patient status report, click here.
– More detailed information on accessing and downloading all the reports and the reporting functions can be found on pages 13-18 of the “NJR Connect Logging In Getting Started” user guide, (see this in Resources tab of NJR Connect when you log in).
Click here to read about the system enhancements we have made this year.
You can access NJR Connect here.
NJR Data Quality
Audits
NJR Data Quality Audits
High-quality data are the foundation of any joint replacement registry and now with around 4.6 million records our valuable data is a fundamental driver to help inform improved quality of care for patients, so it is imperative that the data provides an accurate picture.
The NJR’s programme of work to improve the quality of our data has been a key focus in recent years, driven through
the NJR’s Data Quality Strategy.
Key to this strategy has been our national programme aimed at assessing data completeness and quality within the registry
and we conduct our audit programme to retrospectively check the quality of data within all hospitals reporting to the registry, on an annual basis.
We encourage hospitals to achieve our high targets in these audits through our Quality Data Provider Scheme – you can find details of all our audits, achievement criteria and deadlines for data submissions here.
NJR Regional Reports
(published quarterly)
NJR Regional Reports
Click this link for access to our quarterly report for each region that you will find in the NJR Regional Support Microsoft Teams Channel. Look for the headings (Posts, Files and Notes) to view NJR information.
If you encounter any issues, please contact NJR Admin at njradmin@njr.org.uk.
NJR Consent
Process
Asking patients for their consent to be on the registry
Details of joint replacement operations are recorded in the registry in order to ensure the safety of patients and help to monitor and improve patient outcomes. We also ask patients for consent for their details to be included in the registry so that should there ever be any problems with any implant or procedure type, they can easily be identified for follow-up through their hospital.
All patients having hip, knee, ankle, elbow and shoulder replacement surgery should be given the opportunity to have their procedure details captured in the registry.
Most patients are very happy to have their data included and to date just under 4 million joint replacement records have been captured in the registry.
By capturing this information we are able to:
• Help identify patients who have received specific implants that are subsequently performing poorly.
• Link patients’ primary and revision procedures via the NHS/national patient number, enabling us to determine how long different types of joint replacement implants last.
• Invite patients to take part in feedback activities about their surgery, so that patient outcome and satisfaction can be assessed and monitored.
You can find more information and all NJR documents related to consent here.
NJR Hospital Escalation
Process
NJR Escalation Pathway
NJR Hospital Escalation Process Coming soon.
You can find the flowchart for the escalation pathway here.
(The National Joint Registry monitors a number of compliance indicators across all hospitals performing joint replacements.
These include linkability, patient consent and engagement with the NJR data quality audit. Where hospitals are not meeting the required targets, the NJR team works with hospitals to identify issues and provide support via the NJR Hospital Escalation Process.)
NJR Outlier Process
Hospitals
NJR Outlier Process – Hospitals
Monitoring hospital (unit) performance is one of our key functions as part of the NJR Accountability and Transparency Model which has been in place since 2017. Our monitoring process identifies hospitals with a revision ratio (an indication of implant failure or surgical performance) that is higher than expected.
We have a process in place to contact these hospitals so that an appropriate review of practice can be taken to identify possible causes and actions. Data analyses in the registry are risk-adjusted in order to make a fair comparison between different hospitals.
To read more about the NJR Alert and Alarm hospital (unit) process click here.
Significant dates
for your diary
Significant dates for your diary
Click here to see dates that are useful to note for your NJR work – we will regularly update this document as we have new information to share with you.