NJR Surgeon and Hospital Profile
Hospital

Hospital: Circle Reading

Circle
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Antonio Andrade3331169 H K
Chinnakonda Arvind4364308 H K A
Henry Colin Brownlow3334478 S
Umer Butt6039456 K
Andrew Chambler3678699 E S
Sandor Csernus6133513 H K
Neville Lawrence Clifford Davies4723837 H K S
Richard Dodds2943048 H K
Graeme Fernandez2310273 H K S
Nicholas Antonio Ferran6045654 H E S
Rajinder Parkash Goel3263341 H K
Hazem Hassouna6070956 H K
Klaus Hilt6092047 H K
Joshi Jacob5192955 H K
Amar Malhas6103303 E S
John Morley4099752 H K S
Sean Thomas O'Leary3328004 K
Arpit Devindra Patel4503473 H K
Thomas Charles Barnett Pollard4702368 H K
Shawn Tavares3427350 H K
Edward Tayton6052801 H K S
Ashwin K.R. Unnithan6040444 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 2018 - 31 March 2019
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-332246
Hip Revision-524
Knee PrimaryTotal knee replacement228243
Knee PrimaryUnicondylar Knee Replacement5035
Knee Revision-518
Ankle Revision-Fewer Than 53
Shoulder Primary-2220
Shoulder Revision-Fewer Than 54
           Total642+593
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2016 - 31 March 2019
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-928717
Hip Revision-1369
Knee PrimaryPatello-Femoral ReplacementFewer Than 511
Knee PrimaryTotal knee replacement654703
Knee PrimaryUnicondylar Knee Replacement16292
Knee Revision-852
Ankle Primary-Fewer Than 512
Ankle Revision-Fewer Than 55
Shoulder Primary-7854
Shoulder Revision-78
           Total1850+1723
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 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 2018 - 31 March 2019


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 ScoreAs Expected3223.6622.74
EQ-5DAs Expected300.5260.469
EQ-VASAs Expected3014.3714.41
 

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 2009 - August 2019


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 Aug14-Aug19As Expected14710.601.00
Revision Rate: Operations Aug09-Aug19As Expected18561.281.00
Revision Rate: Operations Aug14-Aug19As Expected14951.081.00
 
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 2019. 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 and for the Isle of Man since 2015.

Data for 1 April 2003 - 31 March 2019


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

Percentage Of Patients Who Were:This HospitalNational Average
Male41%40%
Under 60 years of age31%21%
Severely Obese (BMI of 35 or greater)9%13%
At higher risk of medical problems before or after Surgery (ASA 3+)7%16%
Diagnosed with conditions other than Osteoarthritis2%9%
 
USE OF ODEP RATED IMPLANTSAbout ODEP
Data for 1 April 2018 - 31 March 2019
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 stem33200100%
Hip cup33110100%
 
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 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 2018 - 31 March 2019


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 ScoreAs Expected3515.1617.33
EQ-5DAs Expected340.2540.341
EQ-VASAs Expected308.797.51
 

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 2009 - August 2019


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 Aug14-Aug19As Expected13041.411.00
Revision Rate: Operations Aug09-Aug19As Expected16011.281.00
Revision Rate: Operations Aug14-Aug19As Expected13121.571.00
 
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 2019. 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 and for the Isle of Man since 2015.

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

Data for 1 April 2003 - 31 March 2019


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

Percentage Of Patients Who Were:This HospitalNational Average
Male43%43%
Under 60 years of age18%17%
Severely Obese (BMI of 35 or greater)18%23%
At higher risk of medical problems before or after Surgery (ASA 3+)7%16%
Diagnosed with conditions other than Osteoarthritis1%3%
 
ANKLES
ABOUT THE PATIENTS WHO WERE TREATED

This information display shows overall characteristics for first-time ankle replacement patients treated at this hospital between 1 April 2010 and 31 March 2019. 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 and for the Isle of Man in July 2015.

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

Data for 1 April 2010 - 31 March 2019


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

Percentage Of Patients Who Were:This HospitalNational Average
Male71%59%
Under 60 years of age17%20%
Severely Obese (BMI of 35 or greater)0%13%
At higher risk of medical problems before or after Surgery (ASA 3+)14%16%
Diagnosed with conditions other than Osteoarthritis0%12%
 
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 2019. 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 and for the Isle of Man in July 2015.

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

Data for 1 April 2012 - 31 March 2019


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

Percentage Of Patients Who Were:This HospitalNational Average
Male34%30%
Under 60 years of age12%11%
At higher risk of medical problems before or after Surgery (ASA 3+)11%30%
Diagnosed with conditions other than Osteoarthritis27%45%
 
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 2018 - 31 March 2019


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 Expected93.1%90.0%
Valid NHS numberAs Expected94.1%95.0%
Time taken to enter dataAs Expected22 Days30 Days
 
Window
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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