NJR Surgeon and Hospital Profile
Hospital

Hospital: Royal Orthopaedic Hospital

The Royal Orthopaedic Hospital NHS Foundation Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Adesegun Tiburaniyu Abudu4002147 H K
Yuvraj Agrawal6067701 H K
Karl Alsey6025661 H K
Syed Tanweer Ashraf4593359 K
Khalid Baloch3166949 H K E
George Alfred Cooper6149810 H K
Edward Thomas Davis4285245 H K
Subodh Deshmukh3554650 E
David Dunlop3315097 H
Scott Evans6102469 H K S
Marcus Green3253320 K S
Faisal Hussain4029681 H K S
Lee Marcus Jeys4189930 H K
Samir Nabil Fahmy Massoud4063638 H K S
Callum Wilson McBryde4513339 H
James McKenzie4433361 A
Venkata Krishna Prasad Meda4691501 A
Kirti Moholkar5192081 H K
Guy Vernon Morris6158947 H K
Iosif Pagkalos6165430 H K
Michael Parry6024783 H K S
Andrew Michael Pearson4206707 H
Angelos Politis7145156 H
Hari Pattabiraman Prem4752686 A
Matthew Peter Revell4030452 H K
Akash Sharma6156003 K
David Martyn Snow4449876 K S
Jonathan Daniel Stevenson6122414 H K
Andrew Martin Charles Thomas2413396 H K E S
Roger Michael Tillman2854108 H K
Ronan Treacy2833024 H K
Kasra John Va Faye4049544 H K
Shaik Yousufuddin6051659 A
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 2020 - 31 March 2021
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-663123
Hip Revision-14214
Knee PrimaryPatello-Femoral Replacement63
Knee PrimaryTotal knee replacement41394
Knee PrimaryUnicondylar Knee Replacement5120
Knee Revision-12310
Ankle Primary-Fewer Than 53
Ankle Revision-Fewer Than 51
Elbow Primary-Fewer Than 54
Elbow Revision-Fewer Than 52
Shoulder Primary-389
Shoulder Revision-142
           Total1450+285
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2018 - 31 March 2021
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-3215606
Hip Revision-50156
Knee PrimaryPatello-Femoral Replacement359
Knee PrimaryPrimary Multi-compartmentalFewer Than 52
Knee PrimaryTotal knee replacement2580554
Knee PrimaryUnicondylar Knee Replacement22984
Knee Revision-46844
Ankle Primary-2411
Ankle Revision-Fewer Than 54
Elbow Primary-109
Elbow Revision-65
Shoulder Primary-22048
Shoulder Revision-627
           Total7350+1439
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 2020 - 31 March 2021


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 Expected29023.4523.01
EQ-5DAs Expected2750.4960.475
EQ-VASAs Expected19014.3815.06
 

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 2011 - August 2021


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 Aug16-Aug21As Expected49901.121.00
Revision Rate: Operations Aug11-Aug21As Expected104390.961.00
Revision Rate: Operations Aug16-Aug21As Expected51841.081.00
 
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 2021. 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 2021


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

Percentage Of Patients Who Were:This HospitalNational Average
Male42%40%
Under 60 years of age35%21%
Severely Obese (BMI of 35 or greater)13%13%
At higher risk of medical problems before or after Surgery (ASA 3+)13%17%
Diagnosed with conditions other than Osteoarthritis9%9%
 
90-DAY MORTALITY
Data for August 2016 to August 2021 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 2020 - 31 March 2021
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 stem6542799%
Hip cup6536498%
 
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 2020 - 31 March 2021


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 Expected23117.0116.88
EQ-5DAs Expected2240.3350.319
EQ-VASAs Expected1397.067.69
 

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 2011 - August 2021


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 Aug16-Aug21As Expected45241.221.00
Revision Rate: Operations Aug11-Aug21As Expected86791.021.00
Revision Rate: Operations Aug16-Aug21As Expected45680.971.00
 
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 2021. 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 2021


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

Percentage Of Patients Who Were:This HospitalNational Average
Male40%43%
Under 60 years of age19%17%
Severely Obese (BMI of 35 or greater)23%23%
At higher risk of medical problems before or after Surgery (ASA 3+)14%17%
Diagnosed with conditions other than Osteoarthritis3%3%
 
90-DAY MORTALITY
Data for August 2016 to August 2021 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%.

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 2021. 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 2021


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

Percentage Of Patients Who Were:This HospitalNational Average
Male51%60%
Under 60 years of age20%20%
Severely Obese (BMI of 35 or greater)20%14%
At higher risk of medical problems before or after Surgery (ASA 3+)16%17%
Diagnosed with conditions other than Osteoarthritis11%11%
 
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 2021. 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 2012 - 31 March 2021


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

Percentage Of Patients Who Were:This HospitalNational Average
Male33%31%
Under 60 years of age44%33%
At higher risk of medical problems before or after Surgery (ASA 3+)26%30%
Diagnosed with conditions other than Osteoarthritis80%82%
 
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 2021. 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 2012 - 31 March 2021


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

Percentage Of Patients Who Were:This HospitalNational Average
Male27%30%
Under 60 years of age11%11%
At higher risk of medical problems before or after Surgery (ASA 3+)23%30%
Diagnosed with conditions other than Osteoarthritis47%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 2020 - 31 March 2021


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

Quality Measure This HospitalNational Expected
Compliance (for the Trust)Better Than Expected100.0%95.0%
Revision Compliance (for the Trust)Better Than Expected100.0%95.0%
ConsentBetter Than Expected91.2%90.0%
Valid NHS numberBetter Than Expected97.9%95.0%
Time taken to enter dataWorse Than Expected54 Days30 Days
 
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