Hospital Profile - NJR Surgeon and Hospital Profile

SURGEONS WITH ACTIVITY RECORDED IN NJR

This area lists those surgeons who have one or more hip, knee, ankle, elbow or shoulder procedures recorded on the National Joint Registry for the period 1 April 2019 to 31 March 2022 as Consultant in Charge.<br/><br/><span style="font-weight:bold;">When no data is available:</span> A surgeon will not be listed on the website if they have not undertaken joint replacement surgery in England, Wales, Northern Ireland, the Isle of Man or Guernsey since 2019 as Consultant in Charge of the procedure.

Surgeon Name	GMC Code	Surgeon’s Activity
Kristian Kley	7684148	H K
Ravi Ray	6027651	H K S

Surgeon Name

GMC Code

Surgeon’s Activity

Kristian Kley

7684148

H K

Ravi Ray

6027651

H K S

Key :
H	Hip surgery
K	Knee surgery
A	Ankle surgery
E	Elbow surgery
S	Shoulder surgery

12-MONTH PRACTICE PROFILE (1 YEAR)

Practice profile shows the total number of procedures recorded on the National Joint Registry at the selected hospital for the period 1 April 2021 to 31 March 2022.

Data for 1 April 2021 - 31 March 2022

Operation Type	Operation Subcategory	Procedures Recorded for this Hospital	National Average
Hip Primary	-	Fewer Than 5	245
Knee Primary	Total knee replacement	Fewer Than 5	208
Knee Primary	Unicondylar Knee Replacement	Fewer Than 5	37
Shoulder Primary	-	Fewer Than 5	18
Total		0+	508

36-MONTH PRACTICE PROFILE (3 YEAR)

Data for 1 April 2019 - 31 March 2022

Operation Type	Operation Subcategory	Procedures Recorded for this Hospital	National Average
Hip Primary	-	Fewer Than 5	599
Knee Primary	Total knee replacement	Fewer Than 5	513
Knee Primary	Unicondylar Knee Replacement	Fewer Than 5	85
Shoulder Primary	-	Fewer Than 5	46
Total		0+	1243

HIPS

This area includes a range of quality measures and information for hospitals carrying out first-time hip replacements.

USE OF ODEP RATED IMPLANTSAbout ODEP

This shows the overall use of ODEP-rated hip implants in primary procedures by the hospital between 1 April 2021 and 31 March 2022 as a proportion of their total primary procedures. <br/><br/>What is an ODEP rating? When implants come onto the market, they must meet safety guidelines set down by the National Institute for Health and Care Excellence. The level to which implants comply with the guidelines is assessed independently by the Orthopaedic Data Evaluation Panel (ODEP). ODEP assess the quality of follow-up evidence available for each implant (see https://www.odep.org.uk).<br/><br/>There are a number of reasons why an implant may not have an ODEP rating. For example, new implants that have not been in use for very long, implants being used as part of a clinical trial or reflecting that the manufacturer is yet to submit evidence to ODEP for evaluation.

Data for 1 April 2021 - 31 March 2022

No Implant Not ODEP rated ODEP rated

Implant type	No. of primary procedures using an ODEP rated implant	No. of primary procedures using non ODEP rated implant	No. of primary procedures submitted without any implant details	% of procedures using an ODEP rated implant
Hip stem	Fewer Than 5	0	0	100%
Hip cup	Fewer Than 5	0	0	100%

KNEES

This area includes a range of quality measures and information for hospitals carrying out first-time knee replacements.

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, 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 2021 - 31 March 2022

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

Patient Reported Improvement Measure	This Trust	Trust Avg Health Gain	National Avg Health Gain
Oxford knee Score	No Data Available	-	-
EQ-5D	No Data Available	-	-
EQ-VAS	No 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 2012 - August 2022

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

Patient Outcomes Quality Measure	This Hospital	Patient Records Analysed	This Hospital Ratio	National Ratio
90 Day Mortality: Operations Aug17-Aug22	As Expected	1	1.00	1.00
Revision Rate All Knees: Operations Aug12-Aug22	As Expected	1	0.99	1.00
Revision Rate Total Knee replacement: Operations Aug12-Aug22	No Data Available		-	-
Revision Rate Unicondylar Knees: Operations Aug12-Aug22	As Expected	1	0.99	1.00
Revision Rate: Operations Aug17-Aug22	As Expected	1	0.99	1.00

QUALITY OF THE INFORMATION SUBMITTED BY THIS HOSPITAL

<p>This information display shows whether this hospital is submitting all 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.</p><p>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.</p><p>This hospital is represented on the chart by the black marker (<img src="Images/RedVerticalLine.jpg" style="width:3px;height:15px">). Please click on the “How to interpret this chart” button for further information.</p>

This information display shows whether this hospital is submitting all 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 2021 - 31 March 2022

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

Quality Measure		This Hospital	National Expected
Compliance (for the Trust)	No Data Available	-	-
Revision Compliance (for the Trust)	No Data Available	-	-
Consent	Worse Than Expected	16.7%	90.0%
Valid NHS number	Less than 50%	16.7%	95.0%
Time taken to enter data	Worse Than Expected	68 Days	30 Days

Hospital: Harley Street Specialist Hospital

Harley Street Specialist Hospital

To find out more about the NJR: