NJR Steering Committee (NJRSC)
The NJR Steering Committee is designated as an NHSE ‘Advisory Committee.’ It leads and manages activities in relation to joint replacement surgery and provides independent advice on joint replacement to NHSE.
NHSE’s Medical Directorate has ultimate ownership of the NJR and oversight of its funding arrangements but has delegated authority to the Healthcare Quality Improvement Partnership (HQIP) to host the NJR on their behalf and so provide the NJR with its legal identity and necessary data controllership and governance arrangements. While HQIP acts as host and service provider to NJR, it is the NJRSC that leads and manages day-to-day activities of the NJR and internal NJR governance resides with the NJRSC.
NHSE’s strategic oversight of NJR is facilitated by the Medical Director for Transformation, National Medical and Transformation Directorates (currently, Dr Vin Diwakar) and at least twice-yearly meetings between the NJR Chair and National Medical Director (currently, Professor Sir Stephen Powis), are held to discuss areas of strategy and policy.
Joint NHSE/NJR/HQIP accountability meetings are held quarterly, with representatives of each organisation in attendance. The NJR Chair, Medical Director and Director of Operations, represent the registry.
The NJRSC meets quarterly and the membership is formally recruited. The current list of members and their declarations are listed in the report online appendices (available in the Downloads section on this website).
NJR Sub-committees
Eight sub-committees support the work of the NJR Steering Committee:
• Executive Committee - Chair, Professor Sir Paul Curran
• Medical Advisory Committee - Chair, Mr Timothy 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 NJRSC and its sub-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.