As reported last year, the NJR was one of the first ten national audits to publish consultant-level surgeon information. This was done in partnership with specialist orthopaedic surgical associations under NHS England’s transparency agenda.
Indicators for the first year included the number and types of hip and knee joint replacement procedures undertaken, along with 90-day mortality rates. These indicators were provided for both surgeons and hospitals.
For 2014/15 these indicators were extended to include the number of ankle, elbow, and shoulder replacement procedures undertaken, looking at a surgeon’s one and three year practice and comparing it to a national average. In addition to the 90-day mortality indicators for hips and knees, the use of ODEP-rated products for hip replacements was included.
Consultants are able to preview their data in NJR Clinician Feedback prior to the data being published. Although the Consultant Outcomes Publication is directed at consultants working in NHS England hospitals, the information provided takes account of surgeons’ private practice and surgeons in Wales and Northern Ireland can opt in, via NJR Clinician Feedback, to have their data published on the website.
Early in 2015, hospital dashboards were created for the service (www.surgeonhospitalprofile.org.uk). These provide a series of hospital-level indicators. For hip and knee replacements these include:
Whilst the indicators to be published in 2015 have yet to be finalised, the NJR Steering Committee does not feel that it is appropriate to publish surgeon level revision rates until such time as the data is validated. The current data quality work being undertaken by the NJR is outlined by the Chairman of the Data Quality Sub-committee in his report.
Highlights: Our work
NJR Surgeon and Hospital Profile
Getting It Right First Time
NJR 12th Annual Report 2015
Online appendices - NJR 12th Annual Report 2015
Prostheses used in hip, knee, ankle, elbow and shoulder replacement procedures
Trust-, Local Health Board- and unit-level activity and outcomes
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