NJR Surgeon and Hospital Profile
Hospital

Hospital: BMI Priory Hospital

BMI Healthcare
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Lehel Balint6096587 H K S
Mohamed Mohyi Eldin Khaled El-Shazly3628955 K
Mohammed Faisal4659013 H K
Marcus Green3253320 K S
Aashish Gulati6052466 H K
Mohammad Jawaid Iqbal4362382 H K
Lee Marcus Jeys4189930 H K
Sokratis Kalogrianitis4187000 E S
Nikhil Kharwadkar5207525 H K
Duncan John Andrew Learmonth2565736 H K S
Samir Nabil Fahmy Massoud4063638 K S
Callum Wilson McBryde4513339 H
Derek McMinn2401603 H K
Akshay Mehra5194521 H K
Alaa Eldin Moftah4387910 H K
John Neary O'Hara1394382 H
Paul Jeremy Parker3054820 H K
Andrew Michael Pearson4206707 H K
Divya Prakash4272207 H K
Binod Kumar Singh3606753 K
Andrew Martin Charles Thomas2413396 H K E S
Ronan Treacy2833024 H K
Key :
H Hip surgery
K Knee surgery
A Ankle surgery
E Elbow surgery
S Shoulder surgery
12-MONTH PRACTICE PROFILE (1 YEAR)
Data for 1 April 2019 - 31 March 2020
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-115236
Hip Revision-Fewer Than 523
Knee PrimaryPatello-Femoral Replacement54
Knee PrimaryTotal knee replacement197234
Knee PrimaryUnicondylar Knee Replacement2735
Knee Revision-718
Shoulder Primary-1720
           Total368+570
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2017 - 31 March 2020
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-443711
Hip Revision-1766
Knee PrimaryPatello-Femoral Replacement1610
Knee PrimaryTotal knee replacement583692
Knee PrimaryUnicondylar Knee Replacement7995
Knee Revision-1652
Shoulder Primary-4556
Shoulder Revision-Fewer Than 58
           Total1199+1690
HIPS
PATIENT IMPROVEMENT AND OUTCOMES

This information display shows you how this hospital compares to the national rates for a range of patient improvement and outcomes measures used to demonstrate quality in joint replacement surgery. Against each measure you will be able to see whether this hospital is performing better than expected, within the expected range or worse than expected for this type of surgery. This hospital is represented on the chart by the black marker ().

It is important to note that the types of patients a hospital treats and the procedures it carries out can explain variation in patient outcomes after surgery. Please click on the “How to interpret this chart” button for further information.

 
Patient improvement

Patient improvement, featured in this chart, looks at three measures of patient-reported outcomes that are routinely assessed following hip/knee replacement in England. This information is not currently collected in Wales, Northern Ireland, the Isle of Man, the States of Guernsey or the independent sector and as a result, no data is available to display.

The measures are referred to using their technical names 'Oxford hip/knee score', 'EQ-5D' and 'EQ-VAS' click here for a non-technical introduction to these.

Data for 1 April 2019 - 31 March 2020


Click on the   to find out more about the quality measure and its source data
 

Patient Reported Improvement MeasureThis Trust Patient Records AnalysedTrust Avg Health GainNational Avg Health Gain
Oxford hip ScoreNo Data Available--
EQ-5DNo Data Available--
EQ-VASNo Data Available--
 

Patient outcomes

Patient outcomes, featured in this second chart below, looks at mortality and revision. Please click on the “How to interpret this chart” button for further information including additional notes on factors that may affect the results shown including whether the hospital is providing a full and accurate submission of first-time joint replacement and revision operation data to the NJR.

Data for August 2010 - August 2020


Click on the   to find out more about the quality measure and its source data
 

Patient Outcomes Quality MeasureThis Hospital Patient Records AnalysedThis Hospital RatioNational Ratio
90 Day Mortality: Operations Aug15-Aug20As Expected7250.501.00
Revision Rate: Operations Aug10-Aug20As Expected11761.001.00
Revision Rate: Operations Aug15-Aug20As Expected7331.171.00
 
ABOUT THE PATIENTS WHO WERE TREATED

This information display shows overall characteristics for first-time hip replacement patients treated at this hospital between 1 April 2003 and 31 March 2020. Against each characteristic you will be able to see whether this hospital has treated a greater or fewer number of patients of a particular type. This hospital is represented on the chart by the black marker ().

The types of patients a hospital treats can explain variation in patient outcomes after surgery. Please click on the “How to interpret this chart” button for further information.

For hospitals in England and Wales, the NJR has collected information since 2003. For Northern Ireland since 2013, for the Isle of Man since 2015 and for the States of Guernsey since 2019.

Data for 1 April 2003 - 31 March 2020


Click on the   to find out more about the quality measure and its source data
 

Percentage Of Patients Who Were:This HospitalNational Average
Male51%40%
Under 60 years of age39%21%
Severely Obese (BMI of 35 or greater)8%13%
At higher risk of medical problems before or after Surgery (ASA 3+)3%17%
Diagnosed with conditions other than Osteoarthritis4%9%
 
90-DAY MORTALITY
Data for August 2015 to August 2020 Hospital risk adjusted 90-day mortality

What does this mean?

This shows 90-day mortality following hip surgery for this hospital, based on the type of patients this hospital has seen.

The hospital you are reviewing is highlighted as an orange triangle. Progression along the horizontal axis (x axis) means that the hospital has done more cases and/or cases at a higher mortality risk such as older patients. Progression along the vertical axis (y axis) means the hospital has had more deaths.

The vertical axis figures are presented as a standardised mortality ratio. This means the values do not represent percentages of patients who have died, but they represent the proportion of deaths compared to the national average. The data is also ‘risk adjusted’ to take account of the fact that different hospitals may operate on more higher-risk or lower-risk patients e.g. because of demographics in the patient population they work with.

  • Hospitals on the central (green) horizontal line (at national average ratio figure of 1) have had exactly the average expected mortality
  • Hospitals either side of the central green line but below the upper red line have had a level of mortality that is within the expected range
  • Any hospitals that appear above the top red line which represents a Control limit (99.8%) have a mortality rate that is higher than expected

The overall 90-day mortality rate following primary hip replacement surgery is approximately 0.3%.

USE OF ODEP RATED IMPLANTSAbout ODEP
Data for 1 April 2019 - 31 March 2020
No Implant Not ODEP rated ODEP rated
Implant typeNo. of primary procedures using an ODEP rated implantNo. of primary procedures using non ODEP rated implantNo. of primary procedures submitted without any implant details% of procedures using an ODEP rated implant
Hip stem1140199%
Hip cup1141099%
 
KNEES
PATIENT IMPROVEMENT AND OUTCOMES

This information display shows you how this hospital compares to the national rates for a range of patient improvement and outcomes measures used to demonstrate quality in joint replacement surgery. Against each measure you will be able to see whether this hospital is performing better than expected, within the expected range or worse than expected for this type of surgery. This hospital is represented on the chart by the black marker ().

It is important to note that the types of patients a hospital treats and the procedures it carries out can explain variation in patient outcomes after surgery. Please click on the “How to interpret this chart” button for further information.

 
Patient improvement

Patient improvement, featured in this chart, looks at three measures of patient-reported outcomes that are routinely assessed following hip/knee replacement in England. This information is not currently collected in Wales, Northern Ireland, the Isle of Man, the States of Guernsey or the independent sector and as a result, no data is available to display.

The measures are referred to using their technical names 'Oxford hip/knee score', 'EQ-5D' and 'EQ-VAS' click here for a non-technical introduction to these.

Data for 1 April 2019 - 31 March 2020


Click on the   to find out more about the quality measure and its source data
 

Patient Reported Improvement MeasureThis Trust Patient Records AnalysedTrust Avg Health GainNational Avg Health Gain
Oxford knee ScoreNo Data Available--
EQ-5DNo Data Available--
EQ-VASNo Data Available--
 

Patient outcomes

Patient outcomes, featured in this second chart below, looks at mortality and revision. Please click on the “How to interpret this chart” button for further information including additional notes on factors that may affect the results shown including whether the hospital is providing a full and accurate submission of first-time joint replacement and revision operation data to the NJR.

Data for August 2010 - August 2020


Click on the   to find out more about the quality measure and its source data
 

Patient Outcomes Quality MeasureThis Hospital Patient Records AnalysedThis Hospital RatioNational Ratio
90 Day Mortality: Operations Aug15-Aug20As Expected9480.401.00
Revision Rate: Operations Aug10-Aug20Better Than Expected15360.421.00
Revision Rate: Operations Aug15-Aug20Better Than Expected9630.241.00
 
ABOUT THE PATIENTS WHO WERE TREATED

This information display shows overall characteristics for first-time knee replacement patients treated at this hospital between 1 April 2003 and 31 March 2020. Against each characteristic you will be able to see whether this hospital has treated a greater or fewer number of patients of a particular type. This hospital is represented on the chart by the black marker ().

The types of patients a hospital treats can explain variation in patient outcomes after surgery.

For hospitals in England and Wales, the NJR has collected information since 2003. For Northern Ireland since 2013, for the Isle of Man since 2015 and for the States of Guernsey since 2019.

Please click on the “How to interpret this chart” button for further information.

Data for 1 April 2003 - 31 March 2020


Click on the   to find out more about the quality measure and its source data
 

Percentage Of Patients Who Were:This HospitalNational Average
Male46%43%
Under 60 years of age24%17%
Severely Obese (BMI of 35 or greater)17%23%
At higher risk of medical problems before or after Surgery (ASA 3+)7%17%
Diagnosed with conditions other than Osteoarthritis1%3%
 
90-DAY MORTALITY
Data for August 2015 to August 2020 Hospital risk adjusted 90-day mortality

What does this mean?

This shows 90-day mortality following knee surgery for this hospital, based on the type of patients this hospital has seen.

The hospital you are reviewing is highlighted as an orange triangle. Progression along the horizontal axis (x axis) means that the hospital has done more cases and/or cases at a higher mortality risk such as older patients. Progression along the vertical axis (y axis) means the hospital has had more deaths.

The vertical axis figures are presented as a standardised mortality ratio. This means the values do not represent percentages of patients who have died, but they represent the proportion of deaths compared to the national average. The data is also ‘risk adjusted’ to take account of the fact that different hospitals may operate on more higher-risk or lower-risk patients e.g. because of demographics in the patient population they work with.

  • Hospitals on the central (green) horizontal line (at national average ratio figure of 1) have had exactly the average expected mortality
  • Hospitals either side of the central green line but below the upper red line have had a level of mortality that is within the expected range
  • Any hospitals that appear above the top red line which represents a Control limit (99.8%) have a mortality rate that is higher than expected

The overall 90-day mortality rate following primary knee replacement surgery is approximately 0.2%.

SHOULDERS
ABOUT THE PATIENTS WHO WERE TREATED

This information display shows overall characteristics for first-time shoulder replacement patients treated at this hospital between 1 April 2012 and 31 March 2020. Against each characteristic you will be able to see whether this hospital has treated a greater or fewer number of patients of a particular type. This hospital is represented on the chart by the black marker ().

The types of patients a hospital treats can explain variation in patient outcomes after surgery.

Note: Data submission for Northern Ireland hospitals started in February 2013, for the Isle of Man in July 2015 and for the States of Guernsey in November 2019.

Please click on the “How to interpret this chart” button for further information.

Data for 1 April 2012 - 31 March 2020


Click on the   to find out more about the quality measure and its source data
 

Percentage Of Patients Who Were:This HospitalNational Average
Male33%30%
Under 60 years of age11%11%
At higher risk of medical problems before or after Surgery (ASA 3+)11%30%
Diagnosed with conditions other than Osteoarthritis31%46%
 
QUALITY OF THE INFORMATION SUBMITTED BY THIS HOSPITAL

This information display shows whether this hospital is submitting all of the data they should to the NJR (compliance), whether those records have corresponding patient details (patient consent) and whether the records have a valid NHS or national patient number. This is important so that the NJR can measure how long implants last and look at other areas of surgical performance.

The display also shows a result for data entry delay. This indicates whether the hospital is submitting their information in a timely way. This is important so that the NJR can report an accurate and full picture of performance to hospitals, the surgeons who work there as well as to patients and the public.

This hospital is represented on the chart by the black marker (). Please click on the “How to interpret this chart” button for further information.

Data for 1 April 2019 - 31 March 2020


Click on the   to find out more about the quality measure and its source data
 

Quality Measure This HospitalNational Expected
Compliance (for the Trust)No Data Available--
Revision Compliance (for the Trust)No Data Available--
ConsentBetter Than Expected98.1%90.0%
Valid NHS numberBetter Than Expected97.6%95.0%
Time taken to enter dataWorse Than Expected102 Days30 Days
 
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If there is no profile for an individual surgeon it is likely to be because of concerns about the accuracy of the data originally supplied to the NJR and it has, therefore, been decided not to publish this surgeon's data.

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