NJR Surgeon and Hospital Profile
Hospital

Hospital: Royal Gwent Hospital

Aneurin Bevan Health Board
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Shahid Farooq Akhtar6156657 H K
David Baker4082459 H K
Aled Rhys Evans4332185 H K
Gordon Gillespie4537344 H K
Andrew John Grant3080009 K
Kartik Hariharan4064598 A
Kaliannan Kanagaraj4555164 H K
Mark Kemp6128251 H K
Thomas Key7408979 H E S
Rohit Kulkarni4076669 E S
Mark William Delahaye Lewis3489770 H K
John Lloyd4709451 H K
Ian Grant Mackie1710140 H K
Jonathan Richard Alexander Manara7045375 H K E
Hemang Biharilal Mehta4503105 H K E S
Andrew Sutherland Miller6156839 H K
Yogesh Nathdwarawala4040734 H K E
Daniel James Parfitt4711371 H K
Huw Charles Pullen4726397 K S
Khaled Ahmed Mohamed Ramadan4591058 H K
Ulfin Rethnam6037755 H K S
Robin Rice3077580 H K
Andrew Rogers3556968 H E
Nicola Vannet6074842 H K E S
Russell Walker3193631 H K S
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 PrimaryTotal hip replacement404294
Hip Revision-2223
Knee PrimaryUnicondylar Knee Replacement17966
Knee PrimaryPatello-Femoral Replacement157
Knee PrimaryPrimary Multi-compartmentalFewer Than 52
Knee PrimaryTotal knee replacement592302
Knee Revision-3618
Ankle Revision-Fewer Than 53
Elbow Revision-Fewer Than 53
Elbow Primary-206
Shoulder Primary-4530
Shoulder Revision-Fewer Than 54
           Total1313+758
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2023 - 31 March 2026
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip PrimaryTotal hip replacement1024868
Hip Revision-6663
Knee PrimaryTotal knee replacement1388852
Knee PrimaryPatello-Femoral Replacement2114
Knee PrimaryUnicondylar Knee Replacement373171
Knee Revision-8451
Knee PrimaryPrimary Multi-compartmentalFewer Than 54
Ankle Revision-Fewer Than 55
Ankle Primary-919
Elbow Revision-116
Elbow Primary-4114
Shoulder Revision-59
Shoulder Primary-11681
           Total3138+2157
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 2026Outside control limits15282.521.00
Revision Rate: Operations February 2016 - February 2026Inside control limits22210.891.00
Revision Rate: Operations February 2021 - February 2026Inside control limits15550.911.00
 
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
Male40%40%
Under 60 years of age17%20%
Severely Obese (BMI of 35 or greater)31%13%
At higher risk of medical problems before or after Surgery (ASA 3+)43%22%
Diagnosed with conditions other than Osteoarthritis14%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 limits22151.261.00
Revision Rate All Knees: Operations February 2016 - February 2026Inside control limits29850.831.00
Revision Rate Total Knee replacement: Operations February 2016 - February 2026Inside control limits23770.811.00
Revision Rate Unicondylar Knees: Operations February 2016 - February 2026Inside control limits5780.851.00
Revision Rate: Operations February 2021 - February 2026Inside control limits22670.821.00
 
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
Male44%44%
Under 60 years of age15%16%
Severely Obese (BMI of 35 or greater)47%23%
At higher risk of medical problems before or after Surgery (ASA 3+)42%19%
Diagnosed with conditions other than Osteoarthritis2%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 age35%19%
Severely Obese (BMI of 35 or greater)17%14%
At higher risk of medical problems before or after Surgery (ASA 3+)10%19%
Diagnosed with conditions other than Osteoarthritis15%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
Male29%33%
Under 60 years of age34%39%
Severely Obese (BMI of 35 or greater)29%18%
At higher risk of medical problems before or after Surgery (ASA 3+)40%28%
Diagnosed with conditions other than Osteoarthritis94%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
Male22%31%
Under 60 years of age9%11%
Severely Obese (BMI of 35 or greater)31%18%
At higher risk of medical problems before or after Surgery (ASA 3+)52%33%
Diagnosed with conditions other than Osteoarthritis48%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)As Expected93.4%95.0%
Revision Compliance (for the Trust)Worse Than Expected44.9%95.0%
Trauma consent rateBetter Than Expected100.0%90.0%
Elective consent rateBetter Than Expected99.4%90.0%
Valid NHS numberBetter Than Expected99.6%95.0%
Time taken to enter dataAs Expected32 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:

Visit our website at www.njrcentre.org.uk
© Copyright 2026 NJR