NJR Surgeon and Hospital Profile
Hospital

Hospital: The Wellington Hospital

HCA International Ltd
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Antonio Andrade3331169 H K S
William John Spicer Aston4412359 H K E S
Neil Bradbury3056750 K
Richard W Carrington3313040 H K
Paul Culpan4306009 H K
James Donaldson6050025 H K
Mark Simon Falworth4316271 H E S
Andrew Goldberg4113571 A
Chinmay Gupte4342319 K
Omar Haddo4309239 S
Raghbir Singh Khakha6148323 H K
Sujith Konan6041545 H K
Michael Kurer2568973 H E S
Martin Logan4415125 K
Robert Marston3082441 H K
Nimalan Maruthainar4018573 H K
Jonathan Miles4428644 H K
Ali Mohammed Noorani4744272 S
Samir Oussedik4622974 H K
Rahul Patel4533261 H K
MATTHEW SALA2773256 S
Ben George Ieuan Spiegelberg6090006 H K
Giles Stafford4628891 H
Howard Ware2654793 H K
Timothy Waters4201393 H K
Adrian Wilson4110217 H K
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 2021 - 31 March 2022
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-181245
Hip Revision-Fewer Than 519
Knee PrimaryPatello-Femoral ReplacementFewer Than 54
Knee PrimaryTotal knee replacement90208
Knee PrimaryUnicondylar Knee Replacement1437
Knee Revision-715
Ankle Primary-115
Ankle Revision-Fewer Than 52
Shoulder Primary-Fewer Than 518
Shoulder Revision-Fewer Than 54
           Total303+557
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2019 - 31 March 2022
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-461599
Hip Revision-1952
Knee PrimaryPatello-Femoral ReplacementFewer Than 58
Knee PrimaryTotal knee replacement171513
Knee PrimaryUnicondylar Knee Replacement2485
Knee Revision-2341
Ankle Primary-3411
Ankle Revision-94
Shoulder Primary-846
Shoulder Revision-Fewer Than 57
           Total749+1366
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 2021 - 31 March 2022


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 August 2012 - August 2022


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 Aug17-Aug22As Expected5911.561.00
Revision Rate: Operations Aug12-Aug22As Expected8250.651.00
Revision Rate: Operations Aug17-Aug22As Expected6330.511.00
 
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 2022. 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 2022


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

Percentage Of Patients Who Were:This HospitalNational Average
Male51%40%
Under 60 years of age48%21%
Severely Obese (BMI of 35 or greater)6%13%
At higher risk of medical problems before or after Surgery (ASA 3+)7%17%
Diagnosed with conditions other than Osteoarthritis6%9%
 
90-DAY MORTALITY
Data for August 2017 to August 2022 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 2021 - 31 March 2022
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 stem1801099%
Hip cup1800199%
 
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 2021 - 31 March 2022


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 August 2012 - August 2022


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 Aug17-Aug22As Expected3050.651.00
Revision Rate All Knees: Operations Aug12-Aug22As Expected5621.111.00
Revision Rate Total Knee replacement: Operations Aug12-Aug22As Expected4861.301.00
Revision Rate Unicondylar Knees: Operations Aug12-Aug22As Expected620.371.00
Revision Rate: Operations Aug17-Aug22As Expected3161.141.00
 
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 2022. 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 2022


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

Percentage Of Patients Who Were:This HospitalNational Average
Male47%44%
Under 60 years of age18%17%
Severely Obese (BMI of 35 or greater)17%23%
At higher risk of medical problems before or after Surgery (ASA 3+)6%17%
Diagnosed with conditions other than Osteoarthritis1%3%
 
90-DAY MORTALITY
Data for August 2017 to August 2022 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 2022. 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 2022


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

Percentage Of Patients Who Were:This HospitalNational Average
Male42%60%
Under 60 years of age42%20%
Severely Obese (BMI of 35 or greater)6%14%
At higher risk of medical problems before or after Surgery (ASA 3+)19%17%
Diagnosed with conditions other than Osteoarthritis15%10%
 
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 2022. 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 2022


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

Percentage Of Patients Who Were:This HospitalNational Average
Male20%30%
Under 60 years of age0%11%
Severely Obese (BMI of 35 or greater)9%18%
At higher risk of medical problems before or after Surgery (ASA 3+)30%31%
Diagnosed with conditions other than Osteoarthritis65%47%
 
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 2021 - 31 March 2022


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--
ConsentBetter Than Expected99.4%90.0%
Valid NHS numberAs Expected93.2%95.0%
Time taken to enter dataBetter Than Expected2 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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