This month: how the NJR is monitoring implant, hospital and surgeon performance
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National Joint Registry
Martyn Porter
Our data is improving patient care – Martyn Porter
National Joint Registry Medical Director, Mr Martyn Porter, outlines how NJR data is helping to drive even greater patient safety and quality of care for joint replacement patients through the development of a new NJR Accountability and Transparency Model:

📖 Read: NHS England guest blog by Martyn on the NJR's new monitoring processes >

Integrating NJR data across a regulatory and professional framework

Structured across five key processes, the Model defines roles and strengthens responsibilities for monitoring orthopaedic ‘never events’, implant, hospital and surgeon performance, and surgeons’ individual reflection of their practice.

Explore the Model, the processes and all documents here >

🎧 Listen: NJR Director of Operations outlines how the key processes that make up the Model have been developed >

📹 In the following video Mike Swanson, of Northgate Public Services (the NJR's data management contractors), outlines the forthcoming changes
Planned changes to the NJR Minimum Data Set
The set of data fields collected by the NJR is known as the Minimum Dataset (MDS). The majority of MDS data fields relate to the patient's operation details and are collected in the operating theatre.

The NJR is planning changes to the NJR MDS. The implementation of MDS Version 7 will see refinement of the data that is collected for primary and revision hip, knee, ankle, elbow and shoulder joint replacement.

The NJR will write to all hospitals who report to the registry ahead of the implementation of MDSv7, which is expected to come into effect mid-April 2018.
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Joint RCS/NJR Research Fellowship 2018/19
Applications are now open for the NJR's Research Fellowship opportunity – a two-year partnership project with the Royal College of Surgeons – with the successful candidate to be appointed in early 2018, for a start 2018/19.

Closing date for applications is 29 January 2018 at 5pm. Interviews will be held in spring 2018 (date TBC).

The role is designed for orthopaedic trainees who wish to contribute to the analysis of data from the National Joint Registry and undertake a period of independent research into arthroplasty.

To apply, visit the RCS website here >
Find out more about NJR research fellows >

How to make the most of the NJR's pricing data
The NJR's implant price-benchmarking service gives Trusts, Local Health Boards and providers the unique opportunity to benchmark the price they pay for orthopaedic implants against the ‘best’ national prices achieved. The NJR’s enhanced implant price-benchmarking service offers surgeons individual reports relating to their own implant use.

Full details of the NJR's implant price-benchmarking service >

Richard Armstrong, Head of Health Solutions for Northgate Public Services (the NJR's data management contractors), outlines how surgeons can better understand their pricing data and how this can be accessed in the following video:
COP details
NJR surgeon and hospital data now refreshed
The National Joint Registry's Surgeon and Hospital Profile website has been refreshed with the latest clinical outcomes publication data.

You can explore the refreshed data here >

The NJR's Surgeon and Hospital Profile allows patients, their friends, family and carers to view surgeon and hospital specific data in their local area. This is intended to help patients find information to help them make informed decisions about their care and their surgery.

The data displayed is the 2017/18 round of orthopaedic clinical outcomes publication (COP) – an ongoing part of NHS England's transparency agenda.

The data periods covered are:
  • 12 month profile FY2016/17
  • 36 month profile FY2014/15 to FY2016/17

Full information via the NJR website here >
AB quote
Metal-on-metal hip implant patients are undergoing further surgery sooner, new study suggests
A new study (published Friday, 5 January 2018 in The Bone and Joint Journal) has found that the rate of metal-on-metal (MoM) hip implant patients undergoing revision (or re-do) surgery has increased over time.

The observed differences are in part due to increased patient surveillance and a lowering of the threshold for further surgery, researchers at the Universities of Oxford and Bristol have suggested.

Using data from the NJR researchers examined the five-year revision rates for MoM hips implanted from 2007 onwards and compared them to MoM hips implanted before 2007. The results show a significant increase in revision surgery for all primary MoM hip replacement designs implanted from 2007 onwards compared to surgeries performed before 2007.

Full information and comment via the NJR website here >
NICE is looking for members to join the hip, knee and shoulder joint replacement guideline committee.
The National Guideline Centre (NGC) is commissioned by the National Institute of Health and Care Excellence (NICE) to develop and produce evidence based guidelines.

The NGC is currently recruiting for clinicians and specialists with experience and knowledge in hip, knee and shoulder joint replacements to become Guideline Committee (GC) members. They are specifically looking to recruit the following:

Full members
• 1 orthopaedic surgeon specialising in shoulder replacements
• 1–2 orthopaedic surgeon(s) specialising in hip replacements
• 1–2 orthopaedic surgeon(s) specialising in knee replacements
• 1 physiotherapist specialising in the upper limbs
• 1 occupational therapist
• 1 pre-assessment nurse
• 1 commissioner

Co-opted members
• 1 anaesthetist
• 1 extended scope practitioner (with expertise in orthopaedic triage).

Full details about the call for members can be found here >

The closing date for applications is Monday, 5 February 2018 at 5pm. Interviews will be held in London on 6–8 March 2018.

Data quality and anomaly monitoring
Anita Cannon, NJR regional coordinator and data anomaly lead, outlines the work involved for hospitals and hospital data managers to ensure the most accurate recording of joint replacement procedures.

Watch Anita’s presentation here >

NJR data is a fundamental driver to inform improved quality of care for patients. Want to discuss ways to improve your hospital’s data quality? Then get in touch with the NJR’s Data Quality Team via:
NJR AR 2017
14th Annual Report from the NJR
Published in September, the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man (NJR) 14th Annual Report highlighted a record number of procedures being performed during 2016/17.

Download the report online here >

NJR dedicated Annual Report website:
Read all the latest data and analyses on hip, knee, ankle, elbow and shoulder joint replacement via:

Further analysis from NJR Medical Director via NHS England guest blog here >

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Public and Patient Guides to the Annual Report
The National Joint Registry's Public and Patient Guides are available for free in hardcopy* for patients, pre-operative units, and GPs by calling the NJR Centre on: 0845 345 9991.

Or download online now:

*UK distribution only; subject to availability; the NJR Service Desk is operational Monday to Friday 9am-5pm, exc. public holidays.
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Patient data requests
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 >

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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