NJR Surgeon and Hospital Profile
Hospital

Hospital: Gateway Surgical Centre

Barts Health NHS Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Pramod Achan4038450 H K
Kashif Shijah Noshirwan Akhtar6055341 K
Homa Arshad4673042 H K
Rejpaul Bhumbra6028717 H K
Sumati Bothra4654991 H K
Adrian Carlos4306267 E S
Paul Culpan4306009 H K
Sebastian Dawson-Bowling4736143 H K S
Claire Elaine Fitzgerald6074850 H E S
Ragai Gadel Rab3154531 H K
Sammy Hanna6032381 H K
Mandeep Lamba4076494 H K
Shahbux Lashari4239505 H K
Joshua Lee4629696 H K
Paul Lee5199546 H K
Nicola Maffulli3043530 K
Thomas Bernard McAuliffe2491682 H K
Steven Millington4533096 H K A S
Lee Parker6051393 H K A
Graham Robbins3200580 H K A
Gareth Scott2496333 H K
Kesavan Richard Sri-Ram4729170 H K
John Gregory Stammers6149377 K
Konstantinos Tsitskaris6108953 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-123246
Hip Revision-1124
Knee PrimaryPatello-Femoral ReplacementFewer Than 54
Knee PrimaryTotal knee replacement222243
Knee PrimaryUnicondylar Knee Replacement2635
Knee Revision-1518
Ankle Primary-Fewer Than 56
Elbow Primary-Fewer Than 54
Elbow Revision-Fewer Than 53
Shoulder Primary-720
           Total404+603
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-457717
Hip Revision-3069
Knee PrimaryPatello-Femoral Replacement711
Knee PrimaryTotal knee replacement857703
Knee PrimaryUnicondylar Knee Replacement7692
Knee Revision-4652
Ankle Primary-Fewer Than 512
Elbow Primary-108
Elbow Revision-Fewer Than 54
Shoulder Primary-2054
           Total1503+1722
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 Expected11122.9822.74
EQ-5DAs Expected1080.4990.469
EQ-VASAs Expected10612.7114.41
 

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 Expected6350.871.00
Revision Rate: Operations Aug09-Aug19As Expected9201.511.00
Revision Rate: Operations Aug14-Aug19As Expected6731.621.00
 
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
Male43%40%
Under 60 years of age30%21%
Severely Obese (BMI of 35 or greater)18%13%
At higher risk of medical problems before or after Surgery (ASA 3+)19%16%
Diagnosed with conditions other than Osteoarthritis17%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 stem1210298%
Hip cup12300100%
 
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 Expected16916.3817.33
EQ-5DAs Expected1600.3330.341
EQ-VASAs Expected1559.357.51
 

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 Expected14291.161.00
Revision Rate: Operations Aug09-Aug19As Expected18701.221.00
Revision Rate: Operations Aug14-Aug19As Expected14461.161.00
 
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
Male36%43%
Under 60 years of age21%17%
Severely Obese (BMI of 35 or greater)31%23%
At higher risk of medical problems before or after Surgery (ASA 3+)20%16%
Diagnosed with conditions other than Osteoarthritis3%3%
 
ELBOWS
ABOUT THE PATIENTS WHO WERE TREATED

This information display shows overall characteristics for first-time elbow 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
Male36%30%
Under 60 years of age82%30%
At higher risk of medical problems before or after Surgery (ASA 3+)9%32%
Diagnosed with conditions other than Osteoarthritis100%79%
 
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
Male19%30%
Under 60 years of age6%11%
At higher risk of medical problems before or after Surgery (ASA 3+)16%30%
Diagnosed with conditions other than Osteoarthritis55%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)As Expected84.4%95.0%
Revision Compliance (for the Trust)Better Than Expected100.0%95.0%
ConsentBetter Than Expected99.5%90.0%
Valid NHS numberBetter Than Expected99.0%95.0%
Time taken to enter dataWorse Than Expected61 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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