NJR Surgeon and Hospital Profile
Hospital

Hospital: Hospital of St John and St Elizabeth

Hospital of St John and St Elizabeth
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Philip Ahrens3677162 E S
Toby Keith Alexander Baring4710033 H E S
Rajarshi Bhattacharya5198409 K
Ghias Bhattee4584463 H K
Jasvinder Singh Daurka4695543 H
James Rous Davis3484294 H A
Damian Russel Griffin3334227 H S
Chinmay Gupte4342319 K
Edward Ibrahim6149191 H E S
Parag Jaiswal6030895 H K
Martin Klinke4772518 A
Sujith Konan6041545 H K
Alexander Liddle6103646 H K S
Nimalan Maruthainar4018573 H K
Satyajit Naique5201132 H K
Harold Nwaboku3265501 H K
Akash Patel6130004 H K
Rahul Patel4533261 H K S
Abbas Rashid6077668 H K E S
Andrew Michael Richards4343657 H E S
Joyti Saksena4206855 H K
Robin Strachan2334477 K
Dimitris Tsekes7059272 H K E S
James Youngman3497627 H K E
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 2023 - 31 March 2024
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-120329
Hip Revision-Fewer Than 522
Knee PrimaryTotal knee replacement44280
Knee PrimaryUnicondylar Knee Replacement952
Knee Revision-Fewer Than 516
Ankle Primary-66
Ankle Revision-Fewer Than 52
Elbow Primary-Fewer Than 55
Shoulder Primary-1524
Shoulder Revision-Fewer Than 53
           Total194+739
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2021 - 31 March 2024
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-261832
Hip Revision-758
Knee PrimaryPatello-Femoral ReplacementFewer Than 511
Knee PrimaryTotal knee replacement145703
Knee PrimaryUnicondylar Knee Replacement27129
Knee Revision-946
Ankle Primary-1514
Ankle Revision-Fewer Than 55
Elbow Primary-1113
Shoulder Primary-3162
Shoulder Revision-Fewer Than 58
           Total506+1881
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, 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 2023 - 31 March 2024


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 May 2013 - May 2023


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 May18-May23As Expected2940.591.00
Revision Rate: Operations May13-May23As Expected6141.841.00
Revision Rate: Operations May18-May23As Expected3262.081.00
 
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 2024. 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 Guernsey since 2019.

Data for 1 April 2003 - 31 March 2024


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 age25%21%
Severely Obese (BMI of 35 or greater)10%13%
At higher risk of medical problems before or after Surgery (ASA 3+)20%19%
Diagnosed with conditions other than Osteoarthritis14%12%
 
90-DAY MORTALITY
Data for May 2018 to May 2023 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 0.24%.

USE OF ODEP RATED IMPLANTSAbout ODEP
Data for 1 April 2023 - 31 March 2024
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 stem75291662%
Hip cup1190199%
 
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, 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 2023 - 31 March 2024


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 May 2013 - May 2023


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 May18-May23As Expected2610.611.00
Revision Rate All Knees: Operations May13-May23Worse Than Expected4623.041.00
Revision Rate Total Knee replacement: Operations May13-May23Worse Than Expected3773.651.00
Revision Rate Unicondylar Knees: Operations May13-May23As Expected721.281.00
Revision Rate All Knees: Operations May18-May23Worse Than Expected2703.601.00
 
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 2024. 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 Guernsey since 2019.

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

Data for 1 April 2003 - 31 March 2024


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

Percentage Of Patients Who Were:This HospitalNational Average
Male44%44%
Under 60 years of age14%17%
Severely Obese (BMI of 35 or greater)14%23%
At higher risk of medical problems before or after Surgery (ASA 3+)17%17%
Diagnosed with conditions other than Osteoarthritis7%4%
 
90-DAY MORTALITY
Data for May 2018 to May 2023 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 0.21%.

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 2024. 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 Guernsey in November 2019.

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

Data for 1 April 2010 - 31 March 2024


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

Percentage Of Patients Who Were:This HospitalNational Average
Male49%60%
Under 60 years of age23%20%
Severely Obese (BMI of 35 or greater)0%14%
At higher risk of medical problems before or after Surgery (ASA 3+)6%18%
Diagnosed with conditions other than Osteoarthritis16%10%
 
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 2024. 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 Guernsey in November 2019.

Note: BMI data submission for Elbows started in June 2018.

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

Data for 1 April 2012 - 31 March 2024


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

Percentage Of Patients Who Were:This HospitalNational Average
Male59%33%
Under 60 years of age71%40%
Severely Obese (BMI of 35 or greater)0%17%
At higher risk of medical problems before or after Surgery (ASA 3+)13%27%
Diagnosed with conditions other than Osteoarthritis96%87%
 
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 2024. 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 Guernsey in November 2019.

Note: BMI data submission for Elbows started in June 2018.

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

Data for 1 April 2012 - 31 March 2024


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 age19%11%
Severely Obese (BMI of 35 or greater)5%18%
At higher risk of medical problems before or after Surgery (ASA 3+)21%32%
Diagnosed with conditions other than Osteoarthritis38%48%
 
QUALITY OF THE INFORMATION SUBMITTED BY THIS HOSPITAL

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 2023 - 31 March 2024


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--
ConsentAs Expected86.3%90.0%
Valid NHS numberAs Expected90.7%95.0%
Time taken to enter dataBetter Than Expected8 Days30 Days
 
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