NJR Surgeon and Hospital Profile
Hospital

Hospital: Wrightington Hospital

Wrightington Wigan and Leigh NHS Foundation Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Richard Stephen Bale3166932 H S
Timothy Nicholas Board4313429 H K
Amol Rajiv Chitre6029601 H K
Anthony David Clayson2593168 H K
Timothy Martin Clough3680155 K A
Benjamin Coupe4673286 K
James Hawitt Davenport4710727 H A
Hiren Maganlal Divecha6148025 H K
Giles Foley6099662 H K
Lennard Funk3602917 S
Anil Kumar Gambhir3543377 H K
Mukesh Venkatesh Hemmady4661139 H K
John Pattison Hodgkinson2388421 H K
Jeremy Jarratt4013949 H K
Michael Karski4653378 A
Peter Richard Kay2714482 H K S
Aslam Mohammed2982344 H K
Puneet Monga6034744 S
Srimathi Rajagopalan Murali3533459 H E
Chye Yew Ng6048707 H K E
Jeremy Oakley6030834 H K
Sunil Panchani6101638 H K
George Pavlou6025257 H K
Martyn Porter2499587 H K
Bodo Purbach4142636 H K
Maged Wasfy Ragheb Sedhom5165450 H K
Asim Rajpura6072968 H K
Videshnandan Raut3533734 H K
Joseph Ring6145549 K
William Ryan3188976 H K
Rafael Sales Fernandez7330367 H K
Nikhil Arun Shah5185583 H K
Numan Ali Shah6098086 H K
Sanjeev Sharma5208944 H K A
Debbie Anne Shaw6121052 H K
Robert Smith4088125 K A
Sumedh Chittaranjan Talwalkar4359447 E
Ian Alexander Trail2437404 E S
Michael Walton4717607 S
Adam Charles Watts4427193 E
Grace White6053056 H K
Henry Wynn Jones4552006 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 2018 - 31 March 2019
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-1493245
Hip Revision-30022
Knee PrimaryPatello-Femoral ReplacementFewer Than 54
Knee PrimaryTotal knee replacement1173242
Knee PrimaryUnicondylar Knee Replacement6135
Knee Revision-11616
Ankle Primary-706
Ankle Revision-Fewer Than 52
Elbow Primary-334
Elbow Revision-202
Shoulder Primary-17920
Shoulder Revision-593
           Total3504+601
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-4172715
Hip Revision-86863
Knee PrimaryPatello-Femoral Replacement1811
Knee PrimaryTotal knee replacement3553701
Knee PrimaryUnicondylar Knee Replacement11691
Knee Revision-33146
Ankle Primary-17912
Ankle Revision-204
Elbow Primary-888
Elbow Revision-424
Shoulder Primary-52054
Shoulder Revision-1627
           Total100691716
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 Expected59522.5122.74
EQ-5DAs Expected5420.4610.469
EQ-VASAs Expected53415.2414.41
 

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 Expected63141.311.00
Revision Rate: Operations Aug09-Aug19As Expected114430.901.00
Revision Rate: Operations Aug14-Aug19As Expected65210.751.00
 
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
Male44%40%
Under 60 years of age30%21%
Severely Obese (BMI of 35 or greater)13%13%
At higher risk of medical problems before or after Surgery (ASA 3+)17%16%
Diagnosed with conditions other than Osteoarthritis9%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 stem14845499%
Hip cup147914099%
 
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 Expected51817.7917.33
EQ-5DAs Expected4930.3550.341
EQ-VASAs Expected4758.657.51
 

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 Expected56871.771.00
Revision Rate: Operations Aug09-Aug19Better Than Expected97900.791.00
Revision Rate: Operations Aug14-Aug19As Expected57720.941.00
 
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
Male46%43%
Under 60 years of age18%17%
Severely Obese (BMI of 35 or greater)25%23%
At higher risk of medical problems before or after Surgery (ASA 3+)23%16%
Diagnosed with conditions other than Osteoarthritis5%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
Male60%59%
Under 60 years of age22%20%
Severely Obese (BMI of 35 or greater)16%13%
At higher risk of medical problems before or after Surgery (ASA 3+)19%16%
Diagnosed with conditions other than Osteoarthritis13%12%
 
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 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
Male33%30%
Under 60 years of age40%30%
At higher risk of medical problems before or after Surgery (ASA 3+)31%32%
Diagnosed with conditions other than Osteoarthritis80%79%
 
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
Male34%30%
Under 60 years of age14%11%
At higher risk of medical problems before or after Surgery (ASA 3+)30%30%
Diagnosed with conditions other than Osteoarthritis53%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 Expected100.0%95.0%
Revision Compliance (for the Trust)Better Than Expected100.0%95.0%
ConsentBetter Than Expected97.2%90.0%
Valid NHS numberBetter Than Expected97.1%95.0%
Time taken to enter dataBetter Than Expected15 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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