NJR Surgeon and Hospital Profile
Hospital

Hospital: Altnagelvin Area Hospital

Western HSC Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Ala El Din Mohammed Abbas5198272 H S
Joseph Daniel Acton3564396 H K
Ubaid Aslam4781459 H K
Robert Alan Bruce-Brand7645123 H K
Fayaz Callachand6074488 H K S
Andrew Philip Charlwood3351352 H E S
Daniel David Dawson7039289 H K
Philip Andrew Foster4526762 H K
Desmond Patrick Gibson6032199 H K
Brian Hanratty4517560 H K
Paul Hegarty7140584 H K
Kieran Joseph Lappin4024624 E
Alistair Ivan William Mayne7271450 H K
Daryl McAuley7453346 H
Daniel Denis McCaffrey6028154 H K
Michael John McCormack2566902 H K
Darren McCusker7140826 H E S
Ashok Ramasamy7532475 H K E
Margaret Elaine Robinson4627003 H
Mark Robinson7278066 H K
Michael James Stokes6144087 H K
Neville William Thompson4305613 H E S
Andrew Walls7039385 H A
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 2025 - 31 March 2026
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Revision-3623
Hip PrimaryTotal hip replacement271294
Hip PrimaryHip hemiarthroplasty231163
Knee Revision-1318
Knee PrimaryPatello-Femoral ReplacementFewer Than 57
Knee PrimaryUnicondylar Knee Replacement5066
Knee PrimaryTotal knee replacement208302
Ankle Revision-Fewer Than 53
Ankle Primary-Fewer Than 58
Elbow Revision-Fewer Than 53
Elbow Primary-206
Shoulder Revision-64
Shoulder Primary-4530
           Total880+927
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2023 - 31 March 2026
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip PrimaryHip hemiarthroplasty627373
Hip PrimaryTotal hip replacement772868
Hip Revision-12663
Knee PrimaryTotal knee replacement615852
Knee PrimaryPatello-Femoral ReplacementFewer Than 514
Knee PrimaryUnicondylar Knee Replacement147171
Knee Revision-5951
Ankle Revision-Fewer Than 55
Ankle Primary-Fewer Than 519
Elbow Revision-Fewer Than 56
Elbow Primary-5114
Shoulder Revision-199
Shoulder Primary-13281
           Total2548+2526
HIPS
PATIENT OUTCOMES

This information display shows you how this hospital compares to the national rates for a range of patient 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 a red triangle.

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 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 February 2016 - February 2026


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
0
1
2
3
4
5
90 Day Mortality: Operations February 2021 - February 2026Inside control limits2042.881.00
Revision Rate: Operations February 2016 - February 2026Outside control limits12430.411.00
Revision Rate: Operations February 2021 - February 2026Inside control limits2730.491.00
 
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 2026. 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. For Northern Ireland since 2013, for the Isle of Man since 2015, for Guernsey since 2019 and for Jersey since 2025.

Data for 1 April 2003 - 31 March 2026


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

Percentage Of Patients Who Were:This HospitalNational Average
Male46%40%
Under 60 years of age22%20%
Severely Obese (BMI of 35 or greater)15%13%
At higher risk of medical problems before or after Surgery (ASA 3+)43%22%
Diagnosed with conditions other than Osteoarthritis40%14%
NHS-funded100%81%
 
90-DAY MORTALITY
Data for February 2021 to February 2026 Hospital risk adjusted 90-day mortality

What does this mean?

This shows 90-day mortality following hip surgery for this hospital, based on the type of patients this hospital has seen.

The hospital you are reviewing is highlighted as an orange triangle. Progression along the horizontal axis (x axis) means that the hospital has done more cases and/or cases at a higher mortality risk such as older patients. Progression along the vertical axis (y axis) means the hospital has had more deaths.

The vertical axis figures are presented as a standardised mortality ratio. This means the values do not represent percentages of patients who have died, but they represent the proportion of deaths compared to the national average. The data is also ‘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.

  • Hospitals on the central (green) horizontal line (at national average ratio figure of 1) have had exactly the average expected mortality
  • Hospitals either side of the central green line but below the upper red line have had a level of mortality that is within the expected range
  • Any hospitals that appear above the top red line which represents a Control limit (99.8%) have a mortality rate that is higher than expected

KNEES
PATIENT OUTCOMES

This information display shows you how this hospital compares to the national rates for a range of patient 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 a red triangle.

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 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 February 2016 - February 2026


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
0
1
2
3
4
5
90 Day Mortality: Operations February 2021 - February 2026Inside control limits1860.701.00
Revision Rate All Knees: Operations February 2016 - February 2026Inside control limits8750.381.00
Revision Rate Total Knee replacement: Operations February 2016 - February 2026Inside control limits7820.411.00
Revision Rate Unicondylar Knees: Operations February 2016 - February 2026Inside control limits890.481.00
Revision Rate: Operations February 2021 - February 2026Inside control limits1960.501.00
 
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 2026. 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. For Northern Ireland since 2013, for the Isle of Man since 2015, for Guernsey since 2019 and for Jersey since 2025.

Please click on the “How to interpret this chart” button for further information.

Data for 1 April 2003 - 31 March 2026


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

Percentage Of Patients Who Were:This HospitalNational Average
Male41%44%
Under 60 years of age16%16%
Severely Obese (BMI of 35 or greater)33%23%
At higher risk of medical problems before or after Surgery (ASA 3+)37%19%
Diagnosed with conditions other than Osteoarthritis5%4%
NHS-funded100%84%
 
90-DAY MORTALITY
Data for February 2021 to February 2026 Hospital risk adjusted 90-day mortality

What does this mean?

This shows 90-day mortality following knee surgery for this hospital, based on the type of patients this hospital has seen.

The hospital you are reviewing is highlighted as an orange triangle. Progression along the horizontal axis (x axis) means that the hospital has done more cases and/or cases at a higher mortality risk such as older patients. Progression along the vertical axis (y axis) means the hospital has had more deaths.

The vertical axis figures are presented as a standardised mortality ratio. This means the values do not represent percentages of patients who have died, but they represent the proportion of deaths compared to the national average. The data is also ‘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.

  • Hospitals on the central (green) horizontal line (at national average ratio figure of 1) have had exactly the average expected mortality
  • Hospitals either side of the central green line but below the upper red line have had a level of mortality that is within the expected range
  • Any hospitals that appear above the top red line which represents a Control limit (99.8%) have a mortality rate that is higher than expected
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 2026. 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.

Note: Data submission for Northern Ireland hospitals started in February 2013, for the Isle of Man in July 2015, for Guernsey in November 2019 and for Jersey since 2025.

Please click on the “How to interpret this chart” button for further information.

Data for 1 April 2010 - 31 March 2026


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

Percentage Of Patients Who Were:This HospitalNational Average
Male50%61%
Under 60 years of age38%19%
Severely Obese (BMI of 35 or greater)11%14%
At higher risk of medical problems before or after Surgery (ASA 3+)15%19%
Diagnosed with conditions other than Osteoarthritis8%11%
NHS-funded100%81%
 
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 2026. 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.

Note: Data submission for Northern Ireland hospitals started in February 2013, for the Isle of Man in July 2015, for Guernsey in November 2019 and for Jersey since 2025.

Note: BMI data submission for Elbows started in June 2018.

Please click on the How to interpret this chart button for further information.

Data for 1 April 2012 - 31 March 2026


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

Percentage Of Patients Who Were:This HospitalNational Average
Male31%33%
Under 60 years of age34%39%
Severely Obese (BMI of 35 or greater)6%18%
At higher risk of medical problems before or after Surgery (ASA 3+)25%28%
Diagnosed with conditions other than Osteoarthritis87%88%
NHS-funded100%97%
 
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 2026. 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.

Note: Data submission for Northern Ireland hospitals started in February 2013, for the Isle of Man in July 2015, for Guernsey in November 2019 and for Jersey since 2025.

Note: BMI data submission for Elbows started in June 2018.

Please click on the How to interpret this chart button for further information.

Data for 1 April 2012 - 31 March 2026


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

Percentage Of Patients Who Were:This HospitalNational Average
Male26%31%
Under 60 years of age17%11%
Severely Obese (BMI of 35 or greater)24%18%
At higher risk of medical problems before or after Surgery (ASA 3+)39%33%
Diagnosed with conditions other than Osteoarthritis58%48%
NHS-funded100%89%
 
QUALITY OF THE INFORMATION SUBMITTED BY THIS HOSPITAL

This information display shows whether this hospital is submitting all 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.

Compliance data for 1 January 2025 – 31 December 2025

All other data for 1 April 2025 – 31 March 2026


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

Quality Measure This HospitalNational Expected
Compliance (for the Trust)No Data Available--
Revision Compliance (for the Trust)No Data Available--
Trauma consent rateAs Expected83.3%90.0%
Elective consent rateBetter Than Expected99.1%90.0%
Valid NHS numberLess than 50%0.5%95.0%
Time taken to enter dataAs Expected22 Days30 Days
 
Window
If there is no profile for an individual surgeon it is likely to be because of concerns about the accuracy of the data originally supplied to the NJR and it has, therefore, been decided not to publish this surgeon's data.

To find out more about the NJR:

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