NJR Board (NJRB)
The NJR Board (formerly the NJR Steering Committee) is designated as an NHSE ‘Expert Advisory Committee.’ It leads and manages activities related to joint replacement surgery and provides independent advice on joint replacement to NHSE.
The NJR is an independent organisation, ownership sits with NJR/HQIP. Oversight of the NJR and its funding arrangements rests with the NHSE Medical Directorate who provide delegated authority to HQIP to ‘host’ the NJR on their behalf and so provide the NJR with its legal identity, data controllership and governance arrangements.
While HQIP acts as host and service provider to the NJR and has responsibility for the legal governance of the NJR, it is the NJR Board that leads and manages day-to-day activities of the NJR. A Scheme of Delegation between the HQIP Board of Trustees and the NJR Board provides a framework for defining the relationship between both organisations and facilitating the effective separation of legal governance and clinical leadership.
Joint NHSE/NJR/HQIP Accountability meetings are held on a quarterly basis. Representative/s of each organisation are in attendance. The NJR Chair, Medical Director/Vice Chair, and Director of Operations represent the NJR and the HQIP CEO represents HQIP.
Meetings between the NJR and NHSE Outcomes and Registry Programme (ORP) are held on a bi-monthly basis, to discuss issues of alignment and partnership between both parties, related to the national outcome registry platform, data development and the national mandatory Medical Device Outcome Registry. The NJR Chair, NJR Medical Director/Vice Chair and NJR Director of Operations represent the NJR.
The NJR Board membership is formally recruited and the Board meets quarterly. The current list of members and their declarations are listed in the report online appendices (available in the Document Download section on this website).
NJR committees
Eight committees support the work of the NJR Board:
• Executive Committee - Chair, Professor Sir Paul Curran
• Medical Advisory Committee - Chair, Mr Tim Wilton
• Editorial Committee - Chair, Professor Mike Reed
• Implant Scrutiny Committee - Chair, Mr Peter Howard
• Surgeon Performance Committee - Chair, Mr Peter Howard
• Research Committee - Chair, Professor Mark Wilkinson
• Data Quality Committee - Chair, Mr Derek Pegg
• Regional Clinical Coordinators Committee - Chair, Mr Derek Pegg
NJR Management Team (NJRMT)
The NJR Management Team is led by the NJR Director of Operations and supports the work of the NJR Board and its committees. The team is responsible for the overall operational, contract and performance management of the NJR and for the associated communication to support NJR business activity and stakeholder engagement. The NJR’s services are delivered under two separate contracts, which are overseen, managed and monitored by the NJR Management Team.
These are:
Contract Lot 1: Data Management, Data Solutions and Associated Services
The NJR’s data management and data solutions work is contracted to a team within NEC Software Solutions (NEC). NEC has responsibility for the management and development of the data collection and reporting software infrastructure. NEC is also contracted to facilitate the front-face of the ‘NJR Service Desk’, a team who provide day-to-day information and support to the NJR’s stakeholders. A team of four NJR Compliance Officers and a Data Quality Officer also supports orthopaedic hospital teams across all NHS and independent sector hospitals.
Contract Lot 2: Statistical Analysis, Solutions and Associated Services
The NJR’s statistical analysis work is contracted to a combined team from the Universities of Bristol and Oxford. The team is responsible for the delivery of analyses of the NJR’s data and data from other sources, and for developing and implementing the statistical methodologies for the identification of potential outlier performance. Their role also includes planned and ad hoc data analyses, in addition to those included in the NJR Annual Report or that are central to the work of our Implant Scrutiny Committee and our Surgical Performance Committee.