There are initiatives that are not included with the NJR but which are dependent upon NJR involvement and support.
Beyond Compliance was established to support the safe and stepwise introduction of new or modified joint replacements. An independent panel of experts, known as the Beyond Compliance Advisory Group, work with manufacturers of new or modified orthopaedic implants to assess the relative risk of any new product, and the rate at which it should be introduced to the market.
Beyond Compliance collects and analyses outcomes data on the in-market performance of these implants. With the consent of the patient, Beyond Compliance collates data from NJR, national PROMs data, and data uploaded by the implanting surgeon. This data is made available to surgeons using the implant, to the manufacturer and to independent assessors from the Beyond Compliance Advisory Group, to provide real-time monitoring of the implant’s performance.
The Group monitors early performance of implants, in order that any potential problems relating to a product or its surgical use can be identified before large numbers have been implanted.
Further information about Beyond Compliance and the details of the implants currently registered for the service can be found at the Beyond Compliance website.
The Orthopaedic Data Evaluation Panel (ODEP) was established in 2002 to monitor National Institute for Health and Care Excellence (NICE) guidelines on primary hip implants. This was extended to knee implants in 2014 with the inclusion of shoulder implants starting in 2017.
ODEP assigns ratings to implants based on a simple and independently verified assessment of implant performance against national clinical guidelines. ODEP uses data from multiple sources to make those assessments, including data from the NJR.
The NJR enables manufacturers to access and review data on their implants via NJR Supplier Feedback, which can form part of the evidence submitted by manufacturers to ODEP as part of the assessment process. For further information about ODEP and ODEP ratings, please visit the ODEP website.
In 2018, an ODEP extension was added to the NJR’s data warehouse along with the development of an interface between the ODEP database and the data warehouse, enabling the latter to publish and share ODEP data more easily. The NJR can now, for example, store historical ODEP data for implants so that it can report on ODEP ratings at different time points. Previously, the NJR could only report on the ODEP rating at the time the report was generated.