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 S
Simon Benjamin Barton6120595 H K
Timothy Nicholas Board4313429 H K
Amol Rajiv Chitre6029601 H K
Anthony David Clayson2593168 H K
Timothy Martin Clough3680155 A
Benjamin Coupe4673286 K
James Hawitt Davenport4710727 H A
Hiren Maganlal Divecha6148025 H K
Giles Foley6099662 K
Brendan Joseph Gallagher7015642 H E S
Anil Kumar Gambhir3543377 H K
Mukesh Venkatesh Hemmady4661139 H K
John Pattison Hodgkinson2388421 H K
Jeremy Jarratt4013949 H K E
Michael Karski4653378 A
Peter Richard Kay2714482 H K A
Aslam Mohammed2982344 H K
Puneet Monga6034744 S
Srimathi Rajagopalan Murali3533459 E
Hajime Nagai5202620 H K
Chye Yew Ng6048707 E
Jeremy Oakley6030834 H K
Sunil Panchani6101638 H K
George Pavlou6025257 H K
Martyn Porter2499587 H K
Bodo Purbach4142636 H K
Asim Rajpura6072968 H
Videshnandan Raut3533734 K
Matthew Richard Ricks6160692 E S
William Ryan3188976 H K
Rafael Sales Fernandez7330367 H K
Nikhil Arun Shah5185583 H K
Numan Ali Shah6098086 H K
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
Andrew Charles Wright6157854 E S
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 2020 - 31 March 2021
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-515123
Hip Revision-15314
Knee PrimaryPatello-Femoral Replacement53
Knee PrimaryTotal knee replacement30894
Knee PrimaryUnicondylar Knee Replacement2220
Knee Revision-5210
Ankle Primary-83
Ankle Revision-Fewer Than 51
Elbow Primary-184
Elbow Revision-142
Shoulder Primary-149
Shoulder Revision-252
           Total1134+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-3445606
Hip Revision-76256
Knee PrimaryPatello-Femoral Replacement239
Knee PrimaryTotal knee replacement2682554
Knee PrimaryUnicondylar Knee Replacement14684
Knee Revision-34044
Ankle Primary-14911
Ankle Revision-154
Elbow Primary-899
Elbow Revision-615
Shoulder Primary-36848
Shoulder Revision-1717
           Total82511437
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 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 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 Expected57500.931.00
Revision Rate: Operations Aug11-Aug21As Expected115600.851.00
Revision Rate: Operations Aug16-Aug21As Expected59520.781.00
 
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
Male43%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+)18%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 stem5104199%
Hip cup50213097%
 
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 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 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 Expected50421.671.00
Revision Rate: Operations Aug11-Aug21As Expected97510.901.00
Revision Rate: Operations Aug16-Aug21As Expected51231.091.00
 
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
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%17%
Diagnosed with conditions other than Osteoarthritis5%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
Male60%60%
Under 60 years of age23%20%
Severely Obese (BMI of 35 or greater)17%14%
At higher risk of medical problems before or after Surgery (ASA 3+)20%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
Male29%31%
Under 60 years of age39%33%
At higher risk of medical problems before or after Surgery (ASA 3+)28%30%
Diagnosed with conditions other than Osteoarthritis85%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
Male35%30%
Under 60 years of age14%11%
At higher risk of medical problems before or after Surgery (ASA 3+)31%30%
Diagnosed with conditions other than Osteoarthritis53%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 Expected96.7%90.0%
Valid NHS numberBetter Than Expected96.6%95.0%
Time taken to enter dataBetter Than Expected8 Days30 Days
 
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