This month: MoM guidance, implant price-benchmarking, OPAL study
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National Joint Registry
NJR regional event
As the NJR is a national mandatory audit, time can be requested from your managers to support your attendance as part of ongoing professional development training.
Final call for registration: the NJR’s next regional event will be held in London
Thursday 19 October 2017, 10am – 4pm
Emmanuel Centre, 9-23 Marsham Street, London

The National Joint Registry is calling all non-surgical staff in both the NHS and independent sector alike who are involved with the NJR – for example, from pre-assessment units, theatre, data entry, patient safety and clinical governance managers – to the next free-to-attend meeting in its programme of free-to-attend regional events.

Who should attend?

The one-day educational conference is aimed specifically for non-surgical healthcare staff engaged with the National Joint Registry. The overarching theme will be on improving data quality and collection for hospital staff, for example, from pre-assessment units, theatre, data entry, patient safety and clinical governance managers. 

To register your attendance please click here > 

Consultants and surgical staff are encouraged to attend the BOA's 2017 Annual Congress which will be taking place at the ACC Liverpool from 19th – 22nd September 2017. See below for more details on the NJR's activities at the congress.

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NJR subscription now includes access to enhanced implant price-benchmarking
The NJR offers a considerable number of services and has worked hard to ensure that the subscription model used not only enables savings but ensures providers pay a fair and proportionate contribution. The subscription charge has remained at its current rate since 2014 with the cost frozen again for 2017/18.

Subscription now includes EMBED service

To offer even greater value for money, for 2017/18 the NJR’s enhanced implant price-benchmarking service, EMBED, will be included as part of the standard NJR subscription charge. This was previously charged at a cost of £5,000 per NHS Trust/Health Board.

The EMBED service offers both surgeons individual reports relating to their own implant use and greater capability to hospital procurement and healthcare management teams to drill down further into pricing data.

Learn more about EMBED and how it can help your hospital via the NJR website here >  

Follow the NJR on Social Media:
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Reminder: revised MHRA guidance on metal on metal (MoM) hip replacements
The Medicines and Healthcare Products Regulatory Agency’s (MHRA) recently revised guidance around ongoing review of patients with metal on metal (MoM) hip replacements (ref: MDA/2017/018).

Full MHRA revised guidance online here >

To support hospitals in identifying patients, the National Joint Registry will supply NHS Trusts and Local Health Boards with records of patients registered with MoM hip replacements. Please download the following confidential information request form to enable you to access these data.

NJR MoM data request template >

NJR MoM webpage including FAQs >

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The NJR at the BOA's Annual Congress
19 - 21 September 2017, ACC Liverpool

The NJR will be based at Stand 143 during the BOA's CongressThe NJR's team of Regional Coordinators and information analysts will be on hand to discuss any queries relating to NJR data or services.

New for 2017, the NJR stand will also be home to an interactive 'mini-theatre' where we plan to schedule presentations relating to NJR services or use of registry data during refreshment and lunch breaks throughout the Congress.

Additionally, the NJR Main Auditorium session, titled ‘The NJR, Independent Research, Quality and Innovation’, will feature six selected research studies which champion how external researchers have made use of the NJR's dataset to answer questions of clinical significance and to demonstrate how the registry dataset has provided opportunities for this. The session is taking place on Tuesday 19 September, 2.15pm-3.55pm.

There are also two BOA led sessions involving the NJR on Wednesday 20 September:
  1. Data and Registries: What do they mean for my practice? - 8.30am-10am, Main Auditorium
  2. National Registry Hot Topics: an open Q&A - 10.30am-12pm, Meeting Room A

Alongside all of this, the NJR's 14th Annual Report is published on Tuesday 19 September via the NJR's dedicated report website:

NJR research information and related updates:
NJR/RCS Research Fellow – new appointment
We extend a warm welcome to Jonathan Evans, newly appointed NJR/RCS Research Fellow. Jonathan will be completing a research project titled 'Extended benchmarking in hip prostheses'.

Read more about Jonathan's appointment >

The NJR/RCS Research Fellowship is a rolling scheme. The next round of applications will launch in September 2017 with submission deadline end of January 2018. Full application details will be made available via the website and future NJR eBulletins.

Periprosthetic fracture – topic now re-open for new research applications
New research applications to NJR Research Sub-committee
The first step is to submit a project ‘expression of interest’ (EoI) to for initial review. Short form and submission deadlines for formally invited applications through 2018 are on the NJR website.

Read more about NJR research applications here >

Research progress reports/ final reports

Please be reminded that all approved research studies are required to submit 6 month interim progress report, and final report to the NJR. If you have not yet done so, please complete and send to

Download the progress report template here >
Current work on the topic of periprosthetic fracture is nearing completion. Researchers please note that this topic is now re-open for any applicants who wish to submit an expression of interest in this study area.

If you have previously submitted an EoI in this topic area and would like it to be reconsidered now that the topic is reopen, please notify

Outcomes following metal-on-metal hip revision have improved but could get even better, new study finds
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A new study has found that outcomes following metal-on-metal hip revision surgery performed for abnormal reactions to metal have improved since the initial reports were published over five years ago, and are now similar to the outcomes in patients with other types of hip replacement undergoing revision surgery.

The biggest study in the world of its kind, published earlier this month, used NJR data on 2,535 metal-on-metal hip replacement patients undergoing revision surgery performed for abnormal reactions to metal (also known as adverse reactions to metal debris - ARMD).

Read the full study via the Bone and Joint Journal here >

August release of provisional quarterly Patient Reported Outcome Measures (PROMs) in England 
Patients undergoing elective inpatient surgery for four common elective procedures (hip and knee replacement, varicose vein surgery and groin hernia surgery) funded by the English NHS are asked to complete questionnaires before and after their operations to assess improvement in health as perceived by the patients themselves.

Read the latest data release from NHS Digital here >

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Patients: accessing your NJR data
Patients can obtain a copy of the data held on their hip, knee, ankle, elbow or shoulder replacement operation recorded in the registry, providing they consented prior to their operation, by completing a Patient Data Request form and sending the signed form to the NJR Centre at the address on the form.

We would normally expect to provide your data within two to three weeks, although during periods of high demand it may take longer.

Patient Operation Data Request (PDF) >

If you don't have access to a printer, you can contact the NJR Helpdesk via t
elephone on 0845 345 9991 or email:

Learn more about Patient Consent here >

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Have you seen the NJR's Public and Patient Guides to joint replacement surgery?
The National Joint Registry's latest editions of its Public and Patient Guides (PPGs) to joint replacement surgery are available to download and view online.

The guides include information on Annual Report facts and analysis, including introduction to joint replacement surgery and x-rays about hip, knee, ankle, elbow and shoulder joint replacements.

Public and Patient Guides to the 13th Annual Report:

Please do share this information with friends, family and/ or colleagues via:
NJR Surgeon and Hospital Profile

Through the NJR Surgeon and Hospital Profile service you can find information about:

1) Consultant surgeons who carry out hip, knee, ankle, elbow and shoulder joint replacement surgery for the NHS in England 

2) Hospitals where those joint replacement operations are carried out.

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