NJR Surgeon and Hospital Profile
Hospital

Hospital: King George Hospital

Barking Havering And Redbridge University Hospitals NHS Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Ashok Vishnu Acharya5168461 H K A
mr Nurul Islam Ahad4069775 H
Ahmad Ali4392905 H K
Dr Syed Asif Ali5207046 K
Ali Hamed Abdulrazak Al-Sabti3233216 H K S
Rahij ANWAR4752679 H K
Ubaid Aslam4781459 K
Sunil Auplish4429229 H K E S
Dean Baiju4234586 H K
Mr Sunil Kumar Bajaj5199338 H K
Mr Homayoun Banan3364596 H K
Mr George E Bannerman4462189 K
Mr Adil Mohammed Salih Mohammed Ismaeel6095620 H K
Kin Kong2699590 H K
Mr Geza Kordas6135979 H K
Sunil Kumar3327618 H K
Brian Levack1730175 H K S
Sean Masterson3674248 H K
James Min-Leong Wong4723844 H
Harbhajan Plaha2380588 H K
Kandiah Ratnakumar3047572 H K
Trevor Seepaul4572330 H K
Sanjay K Sinha5205697 H K
Krishna Kanth Vemulapalli4488866 H K A
John William White3604249 H K S
Saeed Zaki4376936 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 2013 - 31 March 2014
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-183209
Hip Revision-1228
Knee PrimaryPatello-Femoral ReplacementFewer Than 55
Knee PrimaryTotal knee replacement308211
Knee PrimaryUnicondylar Knee Replacement1221
Knee Revision-1717
Ankle Primary-Fewer Than 54
Elbow Primary-Fewer Than 52
Shoulder Primary-514
           Total537+511
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2011 - 31 March 2014
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-558587
Hip Revision-5880
Knee PrimaryPatello-Femoral Replacement811
Knee PrimaryTotal knee replacement876600
Knee PrimaryUnicondylar Knee Replacement2558
Knee Revision-5748
Ankle Primary-68
Ankle Revision-Fewer Than 53
Elbow Primary-Fewer Than 54
Shoulder Primary-1124
Shoulder Revision-Fewer Than 55
           Total1599+1428
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 or Northern Ireland 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 2013 - 31 March 2014


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 Expected7619.2021.34
EQ-5DAs Expected730.3650.436
EQ-VASAs Expected679.5111.48
 

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.

Data for 1 April 2003 - 31 July 2014


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 MortalityAs Expected10461.001.00
Revision Rate: Operations Apr03-Jul14As Expected10591.111.00
Revision Rate: Operations Apr09-Jul14As Expected8831.081.00
 
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 2014. 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. Northern Ireland joined in 2013 and as a result, the information on patients treated in NI only dates from February 2013.

Data for 1 April 2003 - 31 March 2014


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

Percentage Of Patients Who Were:This HospitalNational Average
Male40%40%
Under 60 years of age23%21%
Severely Obese (BMI of 35 or greater)21%12%
At higher risk of medical problems before or after Surgery (ASA 3+)24%14%
Diagnosed with conditions other than Osteoarthritis5%7%
 
MORTALITY RATE
Data for 1st April 2003 to 31st July 2014 Hospital risk adjusted 90-Days mortality rate

What does this mean?

This shows the 90 day mortality rate following hip surgery for this hospital, based on the type of patients this hospital has seen. The national average 90 day mortality rate following primary hip replacement surgery is approximately 0.4%.

The hospital you are reviewing is highlighted as an orange triangle. Progression along the x (horizontal) axis means that the hospital has done more cases and/or cases at a higher mortality risk such as older patients. Progression along the y (vertical) axis means the hospital has had more deaths. The y axis figures are presented as a ratio. This means the values do not represent percentages of patients who have died, but they represent the proportion of deaths compared to the average.

  • Hospitals on the central (green) horizontal line (at a figure of 1) have had exactly the average expected mortality taking into account their case mix and number of cases.
  • Hospitals either side of the central green line but below the upper red line have had a level of mortality (when taking into account their case mix and number of cases) that is within the expected range.
  • Any hospitals that appear above the top red line (which represents a '99.8% Confidence Limit line') have a mortality rate that is higher than expected

The data is ‘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).

USE OF ODEP RATED IMPLANTS
Data for 1 April 2013 to 31 March 2014
Non-ODEP rated ODEP rated
Implant typeNo. of primary procedures using an ODEP rated implantNo. of primary procedures using a non-ODEP rated implant% of procedures using an ODEP rated implant
Hip stem1156863%
Hip cup1097460%
 
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 or Northern Ireland 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 2013 - 31 March 2014


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 ScoreWorse Than Expected11812.7516.23
EQ-5DWorse Than Expected1070.2510.323
EQ-VASWorse Than Expected102-1.745.66
 

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.

Data for 1 April 2003 - 31 July 2014


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 MortalityAs Expected15671.111.00
Revision Rate: Operations Apr03-Jul14As Expected15681.001.00
Revision Rate: Operations Apr09-Jul14As Expected13400.861.00
 
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 2014. 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. Northern Ireland joined in 2013 and, as a result, the information on patients treated in NI only dates form February 2013.

Please click on the ‘how to interpret this chart’ button for further information.

Data for 1 April 2003 - 31 March 2014


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

Percentage Of Patients Who Were:This HospitalNational Average
Male37%43%
Under 60 years of age11%16%
Severely Obese (BMI of 35 or greater)30%22%
At higher risk of medical problems before or after Surgery (ASA 3+)27%15%
Diagnosed with conditions other than Osteoarthritis4%3%
 
KNEES - MORTALITY RATE
Data for 1st April 2003 to 31st July 2014 Hospital risk adjusted 90-Days mortality rate

What does this mean?

This shows the 90 day mortality rate following knee surgery for this hospital, based on the type of patients this hospital has seen. The national average 90 day mortality rate following primary knee replacement surgery is approximately 0.3%.

The hospital you are reviewing is highlighted as an orange triangle. Progression along the x (horizontal) axis means that the hospital has done more cases and/or cases at a higher mortality risk such as older patients. Progression along the y (vertical) axis means the hospital has had more deaths. The y axis figures are presented as a ratio. This means the values do not represent percentages of patients who have died, but they represent the proportion of deaths compared to the average.

  • Hospitals on the central (green) horizontal line (at a figure of 1) have had exactly the average expected mortality taking into account their case mix and number of cases.
  • Hospitals either side of the central green line but below the upper red line have had a level of mortality (when taking into account their case mix and number of cases) that is within the expected range.
  • Any hospitals that appear above the top red line (which represents a '99.8% Confidence Limit line') have a mortality rate that is higher than expected.

The data is ‘risk adjusted’ to take account of the fact that different hospital may operate on more higher-risk or lower-risk patients (e.g. because of demographics in the patient population they work with).

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 2013 - 31 March 2014


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

Quality Measure This HospitalNational Expected
Compliance (For the Trust)Worse Than Expected66.3%85.0%
ConsentWorse Than Expected69.3%85.0%
Valid NHS numberAs Expected98.0%92.0%
Time taken to enter dataWorse Than Expected70 Days30 Days
 
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This surgeon’s profile has not been included for publication. Surgeons whose current practice is only in Wales, Northern Ireland or the private sector are not automatically included but may choose to opt in.

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