NJR Surgeon and Hospital Profile

Surgeon: Dominic Spicer

GMC: 3340677
SURGEON PROFILE
Surgeon
HOSPITALS IN WHICH THE SURGEON HAS ACTIVITY RECORDED IN NJR
12-MONTH PRACTICE PROFILE (1 YEAR)
Data for 1 April 2022 - 31 March 2023
Operation Type Operation SubcategoryProcedures Recorded for this SurgeonNational Average
Hip Primary-Fewer Than 561
Knee PrimaryPatello-Femoral ReplacementFewer Than 54
Knee PrimaryTotal knee replacement4756
Knee PrimaryUnicondylar Knee ReplacementFewer Than 520
Knee Revision-116
           Total-58+147
Time from first procedure submitted to the NJR as Consultant in ChargeMore than 36 months
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2020 - 31 March 2023
Operation Type Operation SubcategoryProcedures Recorded for this SurgeonNational Average
Hip Primary-7124
Knee PrimaryPatello-Femoral Replacement57
Knee PrimaryTotal knee replacement89115
Knee PrimaryUnicondylar Knee ReplacementFewer Than 541
Knee Revision-3513
           Total-136+300
Time from first procedure submitted to the NJR as Consultant in ChargeMore than 36 months
HIPS
ABOUT THE PATIENTS WHO WERE TREATED

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 SurgeonNational Average
Male38%40%
Under 60 years of age14%21%
Severely Obese (BMI of 35 or greater)13%13%
At higher risk of medical problems before or after Surgery (ASA 3+)22%18%
Diagnosed with conditions other than Osteoarthritis19%9%
 
HIPS – 90-DAY MORTALITY
Data for May 2018 to May 2023 Surgeon risk adjusted 90-day mortality

What does this mean?

This shows 90-day mortality following hip surgery for this surgeon, based on the type of patients this surgeon has seen.

The surgeon you are reviewing is highlighted as an orange triangle. Progression along the horizontal axis (x axis) means that the surgeon 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 surgeon 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 surgeons may operate on more higher-risk or lower-risk patients e.g. because of demographics in the patient population they work with.

  • Surgeons on the central (green) horizontal line (at national average ratio figure of 1) have had exactly the average expected mortality
  • Surgeons 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 surgeons 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 IMPLANTS About ODEP
Data for 1 April 2022 - 31 March 2023
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 StemFewer Than 500100%
Hip CupFewer Than 500100%
 
KNEES
ABOUT THE PATIENTS WHO WERE TREATED

This information display shows overall characteristics for first-time knee 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 SurgeonNational Average
Male31%44%
Under 60 years of age17%17%
Severely Obese (BMI of 35 or greater)26%23%
At higher risk of medical problems before or after Surgery (ASA 3+)21%17%
Diagnosed with conditions other than Osteoarthritis4%3%
 
KNEES - 90-DAY MORTALITY
Data for May 2018 to May 2023 Surgeon risk adjusted 90-day mortality

What does this mean?

This shows 90-day mortality following knee surgery for this surgeon, based on the type of patients this surgeon has seen.

The surgeon you are reviewing is highlighted as an orange triangle. Progression along the horizontal axis (x axis) means that the surgeon 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 surgeon 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 surgeons may operate on more higher-risk or lower-risk patients e.g. because of demographics in the patient population they work with.

  • Surgeons on the central (green) horizontal line (at national average ratio figure of 1) have had exactly the average expected mortality
  • Surgeons 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 surgeons 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%.

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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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