Surgeon Profile - NJR Surgeon and Hospital Profile

SURGEON PROFILE

This section shows the types of procedure in which the surgeon specialises.

HOSPITALS IN WHICH THE SURGEON HAS ACTIVITY RECORDED IN NJR

This lists all hospitals in which the selected surgeon has hip, knee, ankle, elbow or shoulder procedures recorded on the National Joint Registry for the period 1 April 2020 to 31 March 2023, where surgery is recorded in the name of the selected surgeon (they are the Consultant in Charge of the patient but not necessarily the operating surgeon).

The Tunbridge Wells Hospital

12-MONTH PRACTICE PROFILE (1 YEAR)

Practice profile shows the total number of procedures recorded on the National Joint Registry for the period 1 April 2022 to 31 March 2023, where surgery is recorded in the name of the selected surgeon (where they are the Consultant in Charge of the patient but not necessarily the operating surgeon).

Data for 1 April 2022 - 31 March 2023

Operation Type	Operation Subcategory	Procedures Recorded for this Surgeon	National Average
Hip Primary	-	Fewer Than 5	61
Hip Revision	-	Fewer Than 5	8
Elbow Primary	-	Fewer Than 5	3
Total	-	0+	72


Time from first procedure submitted to the NJR as Consultant in Charge	More than 36 months

Time from first procedure submitted to the NJR as Consultant in Charge

More than 36 months

36-MONTH PRACTICE PROFILE (3 YEAR)

Practice profile shows the total number of procedures recorded on the National Joint Registry for the period 1 April 2020 to 31 March 2023, where surgery is recorded in the name of the selected surgeon (where they are the Consultant in Charge of the patient but not necessarily the operating surgeon).

Data for 1 April 2020 - 31 March 2023

Operation Type	Operation Subcategory	Procedures Recorded for this Surgeon	National Average
Hip Primary	-	Fewer Than 5	124
Hip Revision	-	Fewer Than 5	16
Elbow Primary	-	Fewer Than 5	6
Total	-	0+	146


Time from first procedure submitted to the NJR as Consultant in Charge	More than 36 months

Time from first procedure submitted to the NJR as Consultant in Charge

More than 36 months

HIPS

This area includes a range of quality measures and information for surgeons carrying out first-time hip replacements.

ABOUT THE PATIENTS WHO WERE TREATED

<p>This information display shows overall characteristics for first-time hip replacement patients treated by this surgeon between 1 April 2003 and 31 March 2023. Against each characteristic you will be able to see whether this surgeon has treated a greater or fewer number of patients of a particular type. This surgeon is represented on the chart by the black marker (<img src="Images/RedVerticalLine.jpg" style="width:3px;height:15px">). </p><p>The types of patients a surgeon treats can explain variation in patient outcomes after surgery. Please click on the “How to interpret this chart” button for further information.</p><p> For surgeons in England and Wales, the NJR has collected information since 2003. For Northern Ireland information has been collected since February 2013, for the Isle of Man since July 2015 and for Guernsey since November 2019.</p>

This information display shows overall characteristics for first-time hip replacement patients treated by this surgeon between 1 April 2003 and 31 March 2023. Against each characteristic you will be able to see whether this surgeon has been responsible for a greater or fewer number of patients of a particular type. This surgeon is represented on the chart by the black marker ().

The types of patients a surgeon treats can explain variation in patient outcomes after surgery. Please click on the “How to interpret this chart” button for further information.

For surgeons in England and Wales, the NJR has collected information since 2003. For surgeons in Northern Ireland since February 2013, for surgeons in the Isle of Man since July 2015 and for surgeons in Guernsey since November 2019.

Data for 1 April 2003 - 31 March 2023

Click on the

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

Percentage Of Patients Who Were:	This Surgeon	National Average
Male	30%	40%
Under 60 years of age	5%	21%
Severely Obese (BMI of 35 or greater)	6%	13%
At higher risk of medical problems before or after Surgery (ASA 3+)	27%	18%
Diagnosed with conditions other than Osteoarthritis	32%	9%

USE OF ODEP RATED IMPLANTS About ODEP

This shows the overall use of ODEP-rated hip implants in primary procedures by the Consultant in Charge between 1 April 2022 and 31 March 2023 as a proportion of their total primary procedures in the given time period. <br/><br/>What is an ODEP rating? When implants come onto the market, they must meet safety guidelines set down by the National Institute for Health and Care Excellence. The level to which implants comply with the guidelines is assessed independently by the Orthopaedic Data Evaluation Panel (ODEP). ODEP assess the quality of follow-up evidence available for each implant (see https://www.odep.org.uk).<br/><br/>There are a number of reasons why an implant may not have an ODEP rating. For example, new implants that have not been in use for very long, implants being used as part of a clinical trial or reflecting that the manufacturer is yet to submit evidence to ODEP for evaluation.

Data for 1 April 2022 - 31 March 2023

No Implant Not ODEP rated ODEP rated

Implant type	No. of primary procedures using an ODEP rated implant	No. of primary procedures using non ODEP rated implant	No. of primary procedures submitted without any implant details	% of procedures using an ODEP rated implant
Hip Stem	Fewer Than 5	0	0	100%
Hip Cup	Fewer Than 5	0	0	100%

ELBOWS

This area includes a range of quality measures and information for surgeons carrying out first-time elbow replacements.

ABOUT THE PATIENTS WHO WERE TREATED

<p>This information display shows overall characteristics for first-time elbow replacement patients treated by this surgeon between 1 April 2012 and 31 March 2023. Against each characteristic you will be able to see whether this surgeon has treated a greater or fewer number of patients of a particular type. This surgeon is represented on the chart by the black marker (<img src="Images/RedVerticalLine.jpg" style="width:3px;height:15px">). </p><p>The types of patients a surgeon treats can explain variation in patient outcomes after surgery. Please click on the “How to interpret this chart” button for further information.</p><p> For surgeons in England and Wales, the NJR has collected information since 2012. For Northern Ireland information has been collected since February 2013, for the Isle of Man since July 2015 and for Guernsey since November 2019.</p>

This information display shows overall characteristics for first-time elbow replacement patients treated by this surgeon between 1 April 2012 and 31 March 2023. Against each characteristic you will be able to see whether this surgeon has been responsible for a greater or fewer number of patients of a particular type. This surgeon is represented on the chart by the black marker ().

The types of patients a surgeon treats can explain variation in patient outcomes after surgery. Please click on the “How to interpret this chart” button for further information.

For surgeons in England and Wales, the NJR has collected information since 2012. For surgeons in Northern Ireland since February 2013, for surgeons in the Isle of Man since July 2015 and for surgeons in Guernsey since November 2019. BMI data submission for Elbows started in June 2018.

Data for 1 April 2012 - 31 March 2023

Click on the

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

Percentage Of Patients Who Were:	This Surgeon	National Average
Male	31%	33%
Under 60 years of age	25%	40%
Severely Obese (BMI of 35 or greater)	No Data Available	-
At higher risk of medical problems before or after Surgery (ASA 3+)	0%	27%
Diagnosed with conditions other than Osteoarthritis	88%	87%

Surgeon: James Nicholl

GMC: 3291986

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