NJR Surgeon and Hospital Profile
Hospital

Hospital: St Richard's Hospital

Western Sussex Hospitals NHS Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Adam Ajis6048783 H A
Aneel Ansari4718378 H K
Adhish Avasthi6084273 H K S
Sabine Burgert3213470 H
Simon Cavanagh2525202 H K E S
Ruy Eduardo Da Assuncao4482437 H K
Miguel De Oliveira4229261 H
Laurence Dodd6029178 H K
John Pradeep Vedraj Edwin6094384 H S
Koushik Ghosh6104170 K
Sharad Goyal4396198 H K
Mayank Gupta4273772 H K
Hazem Hassouna6070956 H K
Vinod Hegde4251549 H K S
Richard Mark Fleming Hill3543449 H K E S
Samantha Hook4627584 H K
Vijaya Kumar Hosahalli Kempanna5207320 H K
Rebecca Kampa4626590 H E S
Namita Kendall3103717 K
Michael Moss2803456 H K
Kush Narang3524518 H K E S
Simon Hastings Palmer3485350 H K A
Biyyam Madhusudhan Rao4596417 H K
Nirav Natvarlal Shah4599939 H K
Tarang Tandon6067798 H K
Lee James Taylor2372318 H K
Philip Wraighte4737759 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 2017 - 31 March 2018
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-485226
Hip Revision-8324
Knee PrimaryTotal knee replacement411228
Knee PrimaryUnicondylar Knee Replacement5331
Knee Revision-6717
Ankle Primary-95
Ankle Revision-Fewer Than 52
Elbow Primary-73
Elbow Revision-Fewer Than 52
Shoulder Primary-8318
Shoulder Revision-73
           Total1205+559
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2015 - 31 March 2018
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-1575686
Hip Revision-29670
Knee Primary-Fewer Than 52
Knee PrimaryPatello-Femoral Replacement611
Knee PrimaryTotal knee replacement1596692
Knee PrimaryUnicondylar Knee Replacement17983
Knee Revision-24550
Ankle Primary-3311
Ankle Revision-Fewer Than 54
Elbow Primary-187
Elbow Revision-Fewer Than 54
Shoulder Primary-23450
Shoulder Revision-258
           Total4207+1678
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 2017 - 31 March 2018


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 Expected19022.1922.60
EQ-5DAs Expected1800.4640.470
EQ-VASWorse Than Expected1829.8813.87
 

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 April 2003 - August 2018


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 Aug13-Aug18As Expected24261.001.00
Revision Rate: Operations Apr03-Aug18As Expected60891.121.00
Revision Rate: Operations Aug13-Aug18Worse Than Expected27411.821.00
 
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 2018. 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 2018


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

Percentage Of Patients Who Were:This HospitalNational Average
Male38%40%
Under 60 years of age13%21%
Severely Obese (BMI of 35 or greater)15%13%
At higher risk of medical problems before or after Surgery (ASA 3+)23%16%
Diagnosed with conditions other than Osteoarthritis12%8%
 
USE OF ODEP RATED IMPLANTSAbout ODEP
Data for 1 April 2017 - 31 March 2018
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 stem4823099%
Hip cup45827094%
 
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 2017 - 31 March 2018


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 ScoreAs Expected21417.2317.14
EQ-5DAs Expected1990.3480.340
EQ-VASAs Expected1998.178.07
 

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 April 2003 - August 2018


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 Aug13-Aug18As Expected28291.001.00
Revision Rate: Operations Apr03-Aug18Worse Than Expected63711.751.00
Revision Rate: Operations Aug13-Aug18Worse Than Expected28461.631.00
 
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 2018. 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 from February 2013.

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

Data for 1 April 2003 - 31 March 2018


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

Percentage Of Patients Who Were:This HospitalNational Average
Male43%43%
Under 60 years of age12%17%
Severely Obese (BMI of 35 or greater)23%23%
At higher risk of medical problems before or after Surgery (ASA 3+)21%16%
Diagnosed with conditions other than Osteoarthritis2%3%
 
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 2018. 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 2010. Northern Ireland joined in 2013 and, as a result, the information on patients treated in NI only dates from February 2013.

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

Data for 1 April 2010 - 31 March 2018


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

Percentage Of Patients Who Were:This HospitalNational Average
Male47%59%
Under 60 years of age5%20%
Severely Obese (BMI of 35 or greater)9%13%
At higher risk of medical problems before or after Surgery (ASA 3+)32%16%
Diagnosed with conditions other than Osteoarthritis8%12%
 
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 2018. 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 2012. Northern Ireland joined in 2013 and, as a result, the information on patients treated in NI only dates from February 2013.

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

Data for 1 April 2012 - 31 March 2018


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

Percentage Of Patients Who Were:This HospitalNational Average
Male26%29%
Under 60 years of age23%29%
At higher risk of medical problems before or after Surgery (ASA 3+)55%33%
Diagnosed with conditions other than Osteoarthritis65%77%
 
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 2018. 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 2012. Northern Ireland joined in 2013 and, as a result, the information on patients treated in NI only dates from February 2013.

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

Data for 1 April 2012 - 31 March 2018


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

Percentage Of Patients Who Were:This HospitalNational Average
Male26%29%
Under 60 years of age7%11%
At higher risk of medical problems before or after Surgery (ASA 3+)39%29%
Diagnosed with conditions other than Osteoarthritis43%44%
 
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 2017 - 31 March 2018


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 Expected95.5%85.0%
Revision Compliance (for the Trust)Better Than Expected100.0%85.0%
ConsentAs Expected89.2%85.0%
Valid NHS numberBetter Than Expected97.0%85.0%
Time taken to enter dataAs Expected16 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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