NJR Surgeon and Hospital Profile
Hospital

Hospital: The Elective Orthopaedic Centre

Epsom and St Helier University Hospitals NHS Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
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-1366245
Hip Revision-8722
Knee PrimaryPatello-Femoral Replacement194
Knee PrimaryTotal knee replacement1292242
Knee PrimaryUnicondylar Knee Replacement16035
Knee Revision-6216
Shoulder Primary-2820
Shoulder Revision-Fewer Than 53
           Total3014+587
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-4169715
Hip Revision-28063
Knee PrimaryPatello-Femoral Replacement3711
Knee PrimaryTotal knee replacement4234701
Knee PrimaryUnicondylar Knee Replacement50191
Knee Revision-19946
Elbow Primary-Fewer Than 58
Shoulder Primary-10254
Shoulder Revision-57
           Total9527+1696
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 ScoreWorse Than Expected46521.6422.74
EQ-5DAs Expected4410.4570.469
EQ-VASAs Expected44515.4614.41
 

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 Expected65580.591.00
Revision Rate: Operations Aug09-Aug19As Expected125801.061.00
Revision Rate: Operations Aug14-Aug19As Expected67221.051.00
 
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
Male38%40%
Under 60 years of age22%21%
Severely Obese (BMI of 35 or greater)15%13%
At higher risk of medical problems before or after Surgery (ASA 3+)13%16%
Diagnosed with conditions other than Osteoarthritis6%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 stem134910799%
Hip cup134818099%
 
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 Expected51216.3917.33
EQ-5DAs Expected4750.3300.341
EQ-VASAs Expected4697.417.51
 

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 Expected76620.671.00
Revision Rate: Operations Aug09-Aug19As Expected151920.841.00
Revision Rate: Operations Aug14-Aug19As Expected79490.761.00
 
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
Male38%43%
Under 60 years of age13%17%
Severely Obese (BMI of 35 or greater)26%23%
At higher risk of medical problems before or after Surgery (ASA 3+)15%16%
Diagnosed with conditions other than Osteoarthritis3%3%
 
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
Male28%30%
Under 60 years of age10%11%
At higher risk of medical problems before or after Surgery (ASA 3+)32%30%
Diagnosed with conditions other than Osteoarthritis38%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)Better Than Expected95.8%95.0%
Revision Compliance (for the Trust)As Expected86.7%95.0%
ConsentBetter Than Expected98.9%90.0%
Valid NHS numberBetter Than Expected98.4%95.0%
Time taken to enter dataWorse Than Expected108 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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