Transcription
HIPSKNEESANKLESELBOWSSHOULDERSPROMsImplant andunit-level activityand outcomes14th Annual Report2017National Joint Registryfor England, Wales,Northern Ireland andthe Isle of ManISSN 2054-183X (Online)Surgical data to 31 December 2016
Part 44.1 Implantperformance
National Joint Registry 14th Annual ReportThe implant scrutiny group reports Level 1 outlier implants to the MHRA. Since the committee’s formation in 2009there have been four hip stems, five hip acetabular components and 19 hip stem/cup combinations reported. Sixknee brands have been notified.An implant is considered to be a Level 1 outlier when its Patient Time Incident Rate (PTIR) is more than twice thePTIR of the group, allowing for confidence intervals. These are shown as the number of revisions per 100 patientyears. As of March 2015, we have started to identify the best performing implants, these would have a PTIR lessthan half that of their group, allowing for confidence intervals.Hip implant performanceTable 1 Level 1 outlier stems reported to MHRA.Stem nameASRNumbers implanted2,885Latest PTIR2.97Notified as outlier2010Last implantedJuly 20101052.312011September 2009S-ROM Cementless stem3,1001.512011March 2017S-ROM Cementless MoM*1,0412.902011May 2015Corin Proxima*S-ROM Cementless stem with MoM articulation - ASR socket, Pinnacle with MoM liner or Ultima cupTable 2 Level 1 outlier acetabular components reported to MHRA.Cup nameASRNumbers implanted6,181Latest PTIR4.16Notified as outlier2010Last implantedJuly 20101921.902010December 2006Ultima MoM cupM2A 381,4792.792014June 2011Delta One TT2142.612015March 2017Trabecular Metal Revision Shell2721.742017March 2017Latest PTIR2.96Notified as outlier2010Last implantedJuly 2010Metafix Stem Cormet 2000 Resurfacing Cup2.912010February 2011CPT Adept Resurfacing Cup3.422011May 2010Corail ASR Resurfacing Cup5.592011June 2010CPT BHR Resurfacing Cup2.572011September 2010Accolade Mitch TRH Cup2.802011January 2011Summit Cementless Stem ASR Resurfacing Cup4.512012August 2009CPT Durom Resurfacing Cup2.472012September 2009S-Rom Cementless Stem ASR Resurfacing Cup4.422012February 2010CPCS BHR Resurfacing Cup1.402012May 2010Anthology BHR Resurfacing Cup3.222012August 2011SL-Plus Cementless Stem Cormet 2000 Resurfacing Cup2.222013April 2010Bimetric Cementless Stem M2A 381.892014June 2011Table 3 Level 1 outlier stem/cup combinations.CombinationASR Resurfacing Head ASR Resurfacing Cupwww.njrcentre.org.uk3
National Joint Registry 14th Annual ReportTable 3 (continued)CombinationCorin Proxima Cormet 2000 Resurfacing CupLatest PTIR2.39Notified as outlier2015Last implantedSeptember 2009Synergy stem BHR cup1.752016May 2011CPT Exceed ABT Cemented2.812017February 2017Exeter V40 Trabecular Metal Revision Shell2.142017March 2017Note: Combinations which no longer have a PTIR falling in to the outlier category are not shown.Best performing hip implantsThere are no hip implants or combinations performing statistically less than half their expected PTIR.Knee implant performanceTable 4 Level 1 outlier implants reported to MHRA. All of these implants have been discontinued.Knee brandJRI bicondylarLatest PTIR1.83Notified as outlier2009Last implantedJune 2010Tack1.702009August 2008St Leger1.492011August 2005Journey Deuce3.042014June 2013SLK Evo1.632016April 2013Journey Oxinium1.072017July 2016Best performing knee implantsThere are no knee implants performing statistically less than half their expected PTIR.www.njrcentre.org.uk4
Part 44.2 Unitperformance
National Joint Registry 14th Annual ReportThis section shows indicators for hip and knee jointreplacement procedures by Trust, Local Health Boardand unit (hospital). This was first included in 2012 andis part of the Government’s transparency agenda.It is based on procedures carried out during the2016 calendar year and submitted to the NJR by 28February 2017.Note: Part Four information (excluding outlier analysis)is based on the actual operation date (1 January 2016to 31 December 2016) whereas data in Part One isbased on the date the procedure was submitted(1 April 2016 to 31 March 2017).www.njrcentre.org.uk6
Part 44.3 Unitoutlier analysismethodology
National Joint Registry 14th Annual ReportUnit outlier analysis covers all primary proceduresperformed from 1 April 2003 to 1 March 2017.Summary of the methodology for unit 90-daymortality rates:The outlier analyses made use of funnel plots fromstatistical process control methodology. These aim todistinguish normal variation between units (which is tobe expected) from unusual differences (termed ‘specialcause’ variation), which may indicate the need for furtherinvestigation. Funnel plots enable units of different sizesto be compared; performance indicators based onsmaller numbers of patients will have greater variabilityand this in turn is reflected by wider control limits. The standardised mortality ratio (SMR) is plottedagainst number of expected deaths. The SMR is thenumber of actual deaths within 90 days of primaryjoint replacement divided by the number of expecteddeaths in this period. The number of expecteddeaths has been calculated after adjustment forpatient characteristics (age, gender and ASA gradeof patients). Analysis for hips has excluded operationsundertaken for trauma, failed hemi-arthroplasty and,since November 2014 (when recording of this began),hips implanted for metastatic cancerSummary of the methodology for unit revision rates: The standardised revision ratio (SRR) is plotted againstthe number of expected revisions. The SRR is the totalnumber of revisions divided by the number of expectedrevisions for that unit’s caseload in respect of the agegroup, gender and the diagnosis of the patients. If theSRR is 1, the number of revisions is compatible withthe number expected for that unit Control limits are as for revisions above Control limits for funnel plots are normally set at95% and 99.8% (approximates to 2 or 3 standarddeviations). Our normal six-monthly review processfocuses on those above the upper limit of the latter.One might expect, however, that one in 500 wouldbe outside the 99.8% limits (above or below) just bychance. In the following table we have highlighted inred (1) units above the upper of the 99.8% controllimits. Previously we have reported on those unitsabove the 99.99% control limits but this has beenremoved from this year’s reportIn earlier Annual Reports, the NJR have reported outlyinghospitals based on all cases submitted to the NJR sinceApril 2003. To reflect changes in hospital practices andcomponent use, the NJR now also reports outlyinghospitals based on only the last five years of primaryoperation data. This five year cut of data excludes fromanalysis the majority of withdrawn outlier implants, andmetal on metal total hip replacements, and thus betterrepresents contemporary practice.Any units identified as potential outliers in Part Fourhave been notified. All units are provided with an AnnualClinical Report and additionally have access to an onlineNJR Management Feedback system which is updatedannually.Please note for the data in following table:Compliance, Consent and Linkability are:Red if lower than 80%Amber if equal to or greater than 80% and lower than 95%Green if 95% or more Linkability for some hospitals will be lower than expected if they have private patients from outside England and WalesPart Four data covers procedures carried out between 1 January 2016 and 31 December 2016Outlier analyses are:Red if units are above the upper of the 99.8% control limits (approximates to 3 standard deviations (SDs))The table uses the following footnotes:1 Compliance (NHS Trust/Local Health Board Only) - the percentage of cases submitted to the NJR compared to HES/PEDW.2 Consent Rate - percentage of cases submitted to the NJR with patient consent confirmed.3 Linkability - the proportion of records which include a valid patient’s NHS number compared with the number of procedures recorded on the NJR.4 Outliers with respect to 90-day mortality following primary operations performed from 2003 onwards. Units above the upper of the 99.8% control limits (approx 3SDs) are flagged in red (1).5 Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units abovethe upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).6 Outliers with respect to revisions (at any time) following primary operations performed from 2012 onwards [from 1 March 2012 to 1 March 2017 inclusive]. Unitsabove the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).7 Data for hospitals are excluded as there is no tracing service for units in Northern Ireland.8 Compliance figures were unavailable.www.njrcentre.org.uk8
911931189%Neath Port Talbot HospitalPrincess Of Wales HospitalAintree University Hospitals NHSFoundation Trust548Airedale General Hospital12980%St Peter's HospitalBarking Havering And Redbridge UniversityHospitals NHS Trust1315219159917411710No. 4%98%ConsentRate inkability(%) 1.866.665.870.367.769.6AverageAge AtOperation201690-dayMortality41Revisionrate since20035Outliers: HipsRevisionrate since2012690-dayMortality4Revisionrate since20035Outliers: Kneeswww.njrcentre.org.ukCompliance (NHS Trust/Local Health Board Only) - the percentage of cases submitted to the NJR compared to HES/PEDW.Consent Rate - percentage of cases submitted to the NJR with patient consent confirmed.Linkability - the proportion of records which include a valid patient’s NHS number compared with the number of procedures recorded on the NJR.Outliers with respect to 90-day mortality following primary operations performed from 2003 onwards. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Data for hospitals are excluded as there is no tracing service for units in Northern Ireland.Compliance figures were erageASA Grade2016Compliance, consent and linkability are red if lower than 80%, green if 95% or more and amber in between7974Ysbyty Ystrad FawrAshford Hospital736St Woolos Hospital99%336Royal Gwent HospitalAshford And St Peter's Hospitals NHSFoundation Trust704Nevill Hall Hospital111%97%Airedale NHS Foundation TrustAneurin Bevan Health Board632University Hospital Aintree21769Morriston HospitalAintree University Hospital Sefton Suite92%No. ofProcedures2016Compliance(NHS Trust/LocalHealth BoardOnly)1Abertawe Bro Morgannwg UniversityHealth BoardHospitalTrust/Local Health Board/CompanyNational Joint Registry 14th Annual Report1Revisionrate since20126
10416109%91631812101632081212No. 7%90%ConsentRate te since20035Outliers: HipsRevisionrate since2012690-dayMortality4Revisionrate since20035Outliers: Kneeswww.njrcentre.org.ukCompliance (NHS Trust/Local Health Board Only) - the percentage of cases submitted to the NJR compared to HES/PEDW.Consent Rate - percentage of cases submitted to the NJR with patient consent confirmed.Linkability - the proportion of records which include a valid patient’s NHS number compared with the number of procedures recorded on the NJR.Outliers with respect to 90-day mortality following primary operations performed from 2003 onwards. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Data for hospitals are excluded as there is no tracing service for units in Northern Ireland.Compliance figures were 39%37%AverageAge 100%Linkability(%) 20163AverageASA Grade2016Compliance, consent and linkability are red if lower than 80%, green if 95% or more and amber in betweenAbergele HospitalBetsi Cadwaladr University Health Board174Royal Victoria Hospital306Bedford Hospital South WingN/A83%Bedford Hospital NHS Trust2611607Basildon University HospitalMusgrave Park Hospital94%Basildon And Thurrock University HospitalsNHS Foundation TrustBelfast HSC Trust336Whipps Cross University Hospital74473Gateway Surgical Centre25692%Barts Health NHS TrustThe Royal London Hospital605Newham General Hospital93%Barnsley District General Hospital62494No. ofProcedures2016Compliance(NHS Trust/LocalHealth BoardOnly)1Barnsley Hospital NHS Foundation TrustQueens HospitalKing George HospitalHospitalTrust/Local Health Board/CompanyNational Joint Registry 14th Annual ReportRevisionrate since20126
1187%680N/A851794%210Blackpool Teaching Hospitals NHSFoundation TrustBlackpool Victoria HospitalBradford Teaching Hospitals NHSFoundation TrustBradford Royal InfirmaryBrighton And Sussex University HospitalsNHS TrustPrincess Royal Hospital86%68693%Burton Hospitals NHS Foundation TrustQueens Hospital Burton Upon TrentCalderdale And Huddersfield NHSFoundation Trust911819515101211127No. ConsentRate lity(%) 70.769.870.571.9AverageAge AtOperation201690-dayMortality41Revisionrate since20035Outliers: HipsRevisionrate since2012690-dayMortality41Revisionrate since20035Outliers: Kneeswww.njrcentre.org.ukCompliance (NHS Trust/Local Health Board Only) - the percentage of cases submitted to the NJR compared to HES/PEDW.Consent Rate - percentage of cases submitted to the NJR with patient consent confirmed.Linkability - the proportion of records which include a valid patient’s NHS number compared with the number of procedures recorded on the NJR.Outliers with respect to 90-day mortality following primary operations performed from 2003 onwards. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Data for hospitals are excluded as there is no tracing service for units in Northern Ireland.Compliance figures were geASA Grade2016Compliance, consent and linkability are red if lower than 80%, green if 95% or more and amber in between672Wycombe Hospital4690%Buckinghamshire Healthcare NHS TrustStoke Mandeville Hospital971Sussex Orthopaedic NHSTreatment Centre13752Ysbyty GwyneddRoyal Sussex County Hospital39565No. ofProcedures2016Compliance(NHS Trust/LocalHealth BoardOnly)1Wrexham Maelor HospitalGlan Clwyd General HospitalHospitalTrust/Local Health Board/CompanyNational Joint Registry 14th Annual ReportRevisionrate since20126
1297195%34333993%79891%973Trafford General HospitalChelsea And Westminster Hospital NHSFoundation TrustChelsea & Westminster HospitalWest Middlesex University HospitalChesterfield Royal Hospital NHSFoundation TrustChesterfield Royal HospitalCity Hospitals Sunderland NHS FoundationTrustSunderland Royal Hospital141189331471919716No. 1%ConsentRate lity(%) 68.669.968.969.8AverageAge AtOperation201690-dayMortality41Revisionrate since20035Outliers: HipsRevisionrate since2012690-dayMortality41Revisionrate since20035Outliers: Kneeswww.njrcentre.org.ukCompliance (NHS Trust/Local Health Board Only) - the percentage of cases submitted to the NJR compared to HES/PEDW.Consent Rate - percentage of cases submitted to the NJR with patient consent confirmed.Linkability - the proportion of records which include a valid patient’s NHS number compared with the number of procedures recorded on the NJR.Outliers with respect to 90-day mortality following primary operations performed from 2003 onwards. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Data for hospitals are excluded as there is no tracing service for units in Northern Ireland.Compliance figures were geASA Grade2016Compliance, consent and linkability are red if lower than 80%, green if 95% or more and amber in between111150%Manchester Royal InfirmaryCentral Manchester University HospitalsNHS Foundation Trust181391University Hospital of WalesLlandough Hospital916109%Addenbrooke's HospitalCardiff and Vale University Health Board77%24Huddersfield Royal InfirmaryCambridge University Hospitals NHSFoundation Trust818No. ofProcedures2016Compliance(NHS Trust/LocalHealth BoardOnly)1Calderdale Royal HospitalHospitalTrust/Local Health Board/CompanyNational Joint Registry 14th Annual ReportRevisionrate since20126
1368%28592%51427731286%Countess Of Chester Hospital NHSFoundation TrustCountess Of Chester HospitalCounty Durham And Darlington NHSFoundation TrustBishop Auckland HospitalDarlington Memorial HospitalUniversity Hospital Of North DurhamCroydon Health Services NHS Trust70330290%1984Darent Valley HospitalQueen Mary's Hospital SidcupDerby Hospitals NHS Foundation TrustRoyal Derby Hospital20710967101120613No. 89%ConsentRate ability(%) 69.667.572.172.1AverageAge AtOperation201690-dayMortality41Revisionrate since20035Outliers: HipsRevisionrate since2012690-dayMortality4Revisionrate since20035Outliers: Kneeswww.njrcentre.org.ukCompliance (NHS Trust/Local Health Board Only) - the percentage of cases submitted to the NJR compared to HES/PEDW.Consent Rate - percentage of cases submitted to the NJR with patient consent confirmed.Linkability - the proportion of records which include a valid patient’s NHS number compared with the number of procedures recorded on the NJR.Outliers with respect to 90-day mortality following primary operations performed from 2003 onwards. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Data for hospitals are excluded as there is no tracing service for units in Northern Ireland.Compliance figures were geASA Grade2016Compliance, consent and linkability are red if lower than 80%, green if 95% or more and amber in between26985%Dartford And Gravesham NHS Trust190Prince Charles HospitalThe Royal Glamorgan Hospital113%Cwm Taf Health Board311023Colchester General HospitalCroydon University Hospital94%No. ofProcedures2016Compliance(NHS Trust/LocalHealth BoardOnly)1Colchester Hospital University NHSFoundation TrustHospitalTrust/Local Health Board/CompanyNational Joint Registry 14th Annual ReportRevisionrate since20126
14135Lister Hospital92%73544Burnley General HospitalRoyal Blackburn Infirmary12201597161510115No. sentRate y(%) 770.369.1AverageAge AtOperation201690-dayMortality4Revisionrate since20035Outliers: HipsRevisionrate since2012690-dayMortality4Revisionrate since20035Outliers: Kneeswww.njrcentre.org.ukCompliance (NHS Trust/Local Health Board Only) - the percentage of cases submitted to the NJR compared to HES/PEDW.Consent Rate - percentage of cases submitted to the NJR with patient consent confirmed.Linkability - the proportion of records which include a valid patient’s NHS number compared with the number of procedures recorded on the NJR.Outliers with respect to 90-day mortality following primary operations performed from 2003 onwards. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Data for hospitals are excluded as there is no tracing service for units in Northern Ireland.Compliance figures were SA Grade2016Compliance, consent and linkability are red if lower than 80%, green if 95% or more and amber in between1114East Lancashire Hospitals NHS Trust67380%William Harvey Hospital (Ashford)East Kent Hospitals University NHSFoundation TrustQueen Elizabeth The QueenMother Hospital49382%East And North Hertfordshire NHS TrustMacclesfield District General Hospital681Dorset County Hospital56994%Dorset County Hospital NHSFoundation Trust95%319Doncaster Royal InfirmaryEast Cheshire NHS Trust188Bassetlaw HospitalLister Treatment Centre37%No. ofProcedures2016Compliance(NHS Trust/LocalHealth BoardOnly)1Doncaster And Bassetlaw Hospitals NHSFoundation TrustHospitalTrust/Local Health Board/CompanyNational Joint Registry 14th Annual ReportRevisionrate since20126
1599%53987%978810George Eliot Hospital NHS TrustGeorge Eliot Hospital - Acute ServicesGloucestershire Hospitals NHSFoundation TrustCheltenham General HospitalGloucestershire Royal Hospital15197151011183421614No. %95%ConsentRate nkability(%) 769.974.273.172.472.1AverageAge AtOperation201690-dayMortality4Revisionrate since20035Outliers: HipsRevisionrate since2012690-dayMortality41Revisionrate since20035Outliers: Kneeswww.njrcentre.org.ukCompliance (NHS Trust/Local Health Board Only) - the percentage of cases submitted to the NJR compared to HES/PEDW.Consent Rate - percentage of cases submitted to the NJR with patient consent confirmed.Linkability - the proportion of records which include a valid patient’s NHS number compared with the number of procedures recorded on the NJR.Outliers with respect to 90-day mortality following primary operations performed from 2003 onwards. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Data for hospitals are excluded as there is no tracing service for units in Northern Ireland.Compliance figures were erageASA Grade2016Compliance, consent and linkability are red if lower than 80%, green if 95% or more and amber in between86%228Wexham Park Hospital1156782Heatherwood HospitalThe North East NHS Surgery Centre1142Frimley Park HospitalGateshead Health NHS Foundation Trust147%Frimley Health NHS Foundation Trust23059The Elective Orthopaedic CentreSt Helier Hospital84%Epsom And St Helier University HospitalsNHS Trust11407Eastbourne District General HospitalEpsom Hospital525163%No. ofProcedures2016Compliance(NHS Trust/LocalHealth BoardOnly)1Conquest HospitalEast Sussex Healthcare NHS TrustHospitalTrust/Local Health Board/CompanyNational Joint Registry 14th Annual ReportRevisionrate since20126
1683%773Guy's And St Thomas' NHSFoundation TrustGuy's Hospital50477%96970%470Royal Hampshire County HospitalHarrogate And District NHSFoundation TrustHarrogate District HospitalHeart of England NHS Foundation TrustGood Hope Hospital94%92498%Hinchingbrooke Health Care NHS TrustHinchingbrooke HospitalHomerton University Hospital NHSFoundation Trust6221999%22%38%81%91%85%5%77%93%ConsentRate (%)2016299%98%99%96%97%98%45%93%98%Linkability(%) .6AverageAge AtOperation201690-dayMortality41Revisionrate since20035Outliers: HipsRevisionrate since2012690-dayMortality411Revisionrate since20035Outliers: Kneeswww.njrcentre.org.ukCompliance (NHS Trust/Local Health Board Only) - the percentage of cases submitted to the NJR compared to HES/PEDW.Consent Rate - percentage of cases submitted to the NJR with patient consent confirmed.Linkability - the proportion of records which include a valid patient’s NHS number compared with the number of procedures recorded on the NJR.Outliers with respect to 90-day mortality following primary operations performed from 2003 onwards. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003 onwards [from 1 April 2003 to 1 March 2017 inclusive]. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Data for hospitals are excluded as there is no tracing service for units in Northern Ireland.Compliance figures were unavailable.2.22.22.32.02.12.12.22.12.1AverageASA Grade2016Compliance, consent and linkability are red if lower than 80%, green if 95% or more and amber in between929Solihull HospitalHeartlands Hospital9897Basingstoke and North Hampshire Hospital91590%31718No. ofConsultants2016Hampshire Hospitals NHSFoundation Trust201139The Great Western HospitalSt Thomas' Hospital78%No. ofProcedures2016Compliance(NHS Trust/LocalHealth BoardOnly)1Great Western Hospitals NHSFoundation TrustHospitalTrust/Local Health Board/CompanyNational Joint Registry 14th Annual ReportRevisionrate since20126
17559Charing Cross HospitalN/A8301Isle of Man SecondaryHealthcare DirectorateNoble's Hospital411819799313239No. %ConsentRate lity(%) 70.972.769.165.6AverageAge AtOperation201690-dayMortality41Revisionrate since20035Outliers: Hips1Revisionrate since2012690-dayMortality411Revisionrate since20035Outliers: Kneeswww.njrcentre.org.ukCompliance (NHS Trust/Local Health Board Only) - the percentage of cases submitted to the NJR compared to HES/PEDW.Consent Rate - percentage of cases submitted to the NJR with patient consent confirmed.Linkability - the proportion of records which include a valid patient’s NHS number compared with the number of procedures recorded on the NJR.Outliers with respect to 90-day mortality following primary operations performed from 2003 onwards. Units above the upper of the 99.8% control limits (approx 3 SDs) are flagged in red (1).Outliers with respect to revisions (at any time) following primary operations performed from 2003
Accolade Mitch TRH Cup 2.80 2011 January 2011 Summit Cementless Stem ASR Resurfacing Cup 4.51 2012 August 2009 CPT Durom Resurfacing Cup 2.47 2012 September 2009 S-Rom Cementless Stem ASR Resurfacing Cup 4.42 2012 February 2010 CPCS BHR Resurfacing Cup 1.40 2012 May 2010 Anthology BHR Resurfacing Cup 3.22 2012 August 2011
