NJR Surgeon and Hospital Profile
Hospital

Hospital: The Great Western Hospital

Great Western Hospitals NHS Foundation Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Alexander Ashmore4513133 H K S
Richard Adam Brooks3482209 H K
Sandeep Dattatray Deo3314797 H K
Michael Foy2377492 H K
John Joseph Gillooly6036574 H K
John Grice6103739 H K A S
David Hollinghurst4261498 H K
Sarah Irby3468098 A
John Patrick Ivory2925280 H K
Andrew Jones4537430 H K
Mariusz Donat Korycki4121284 H K
Vijayaraj Ramasamy6068422 K
Michael Charles Rigby3658530 H K
Daniel Rolton6128350 H K
Jemma Rooker6128206 H
Venkat Satish4248491 H K
Graham David Smith4293192 H K
Andrew John Beaumont Tasker4740216 H K S
David Williamson2657057 A
David Woods3192025 S
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-487246
Hip Revision-5024
Knee PrimaryPatello-Femoral ReplacementFewer Than 54
Knee PrimaryTotal knee replacement411243
Knee PrimaryUnicondylar Knee Replacement11735
Knee Revision-6018
Ankle Primary-Fewer Than 56
Ankle Revision-Fewer Than 53
Shoulder Primary-3420
Shoulder Revision-Fewer Than 54
           Total1159+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-1436717
Hip Revision-16469
Knee PrimaryPatello-Femoral Replacement2411
Knee PrimaryTotal knee replacement1146703
Knee PrimaryUnicondylar Knee Replacement34492
Knee Revision-18252
Ankle Primary-1212
Ankle Revision-Fewer Than 55
Shoulder Primary-9354
Shoulder Revision-108
           Total3411+1723
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 Expected25322.8822.74
EQ-5DAs Expected2350.4630.469
EQ-VASAs Expected23315.4414.41
 

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 Expected19920.511.00
Revision Rate: Operations Aug09-Aug19As Expected43860.831.00
Revision Rate: Operations Aug14-Aug19As Expected22831.051.00
 
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
Male39%40%
Under 60 years of age19%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 Osteoarthritis14%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 stem48601100%
Hip cup4824199%
 
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 Expected25316.7317.33
EQ-5DAs Expected2300.3060.341
EQ-VASWorse Than Expected2414.307.51
 

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 Expected24160.821.00
Revision Rate: Operations Aug09-Aug19As Expected51391.031.00
Revision Rate: Operations Aug14-Aug19As Expected25201.401.00
 
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
Male43%43%
Under 60 years of age20%17%
Severely Obese (BMI of 35 or greater)30%23%
At higher risk of medical problems before or after Surgery (ASA 3+)16%16%
Diagnosed with conditions other than Osteoarthritis3%3%
 
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 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 2010 - 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
Male56%59%
Under 60 years of age14%20%
Severely Obese (BMI of 35 or greater)9%13%
At higher risk of medical problems before or after Surgery (ASA 3+)19%16%
Diagnosed with conditions other than Osteoarthritis15%12%
 
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
Male26%30%
Under 60 years of age6%11%
At higher risk of medical problems before or after Surgery (ASA 3+)33%30%
Diagnosed with conditions other than Osteoarthritis43%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 Expected98.2%95.0%
Revision Compliance (for the Trust)Better Than Expected100.0%95.0%
ConsentAs Expected89.6%90.0%
Valid NHS numberBetter Than Expected98.5%95.0%
Time taken to enter dataAs Expected28 Days30 Days
 
Window
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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