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
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
Saqib Masud6076188 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 S
Ulfin Rethnam6037755 H K
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 2024 - 31 March 2025
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-369368
Hip Revision-2323
Knee PrimaryPatello-Femoral ReplacementFewer Than 55
Knee PrimaryTotal knee replacement443305
Knee PrimaryUnicondylar Knee Replacement12163
Knee Revision-2619
Ankle Primary-88
Elbow Primary-116
Elbow Revision-53
Shoulder Primary-3328
Shoulder Revision-Fewer Than 54
           Total1039+832
36-MONTH PRACTICE PROFILE (3 YEAR)
Data for 1 April 2022 - 31 March 2025
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-1017958
Hip Revision-6360
Knee PrimaryPatello-Femoral Replacement612
Knee PrimaryPrimary Multi-compartmentalFewer Than 53
Knee PrimaryTotal knee replacement1163795
Knee PrimaryUnicondylar Knee Replacement252151
Knee Revision-6749
Ankle Primary-1017
Elbow Primary-2914
Elbow Revision-155
Shoulder Primary-10872
Shoulder Revision-Fewer Than 58
           Total2730+2144
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 a black marker or orange 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 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, Northern Ireland, the Isle of Man, Guernsey or the independent sector 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 2024 - 31 March 2025


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 ScoreNo Data Available--
EQ-5DNo Data Available--
EQ-VASNo Data Available--
 

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 August 2015 - August 2025


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
6
90 Day Mortality: Operations August20-August25Inside control limits13552.091.00
Revision Rate: Operations August15-August25Inside control limits20880.901.00
Revision Rate: Operations August20-August25Inside control limits13901.081.00
 
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 2025. 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 and for Guernsey since 2019.

Data for 1 April 2003 - 31 March 2025


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

Percentage Of Patients Who Were:This HospitalNational Average
Male39%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%20%
Diagnosed with conditions other than Osteoarthritis15%13%
 
90-DAY MORTALITY
Data for August 2020 to August 2025 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 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 a black marker or orange 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 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, Northern Ireland, the Isle of Man, Guernsey or the independent sector 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 2024 - 31 March 2025


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 ScoreNo Data Available--
EQ-5DNo Data Available--
EQ-VASNo Data Available--
 

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 August 2015 - August 2025


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 August20-August25Inside control limits18791.191.00
Revision Rate All Knees: Operations August15-August25Inside control limits26870.881.00
Revision Rate Total Knee replacement: Operations August15-August25Inside control limits21510.891.00
Revision Rate Unicondylar Knees: Operations August15-August25Inside control limits5170.801.00
Revision Rate All Knees: Operations August20-August25Inside control limits19180.931.00
 
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 2025. 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 and for Guernsey since 2019.

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

Data for 1 April 2003 - 31 March 2025


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 age16%16%
Severely Obese (BMI of 35 or greater)47%23%
At higher risk of medical problems before or after Surgery (ASA 3+)42%18%
Diagnosed with conditions other than Osteoarthritis2%4%
 
90-DAY MORTALITY
Data for August 2020 to August 2025 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 2025. 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 and for Guernsey in November 2019.

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

Data for 1 April 2010 - 31 March 2025


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%18%
Diagnosed with conditions other than Osteoarthritis15%11%
 
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 2025. 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 and for Guernsey in November 2019.

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 2025


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 age32%40%
Severely Obese (BMI of 35 or greater)32%17%
At higher risk of medical problems before or after Surgery (ASA 3+)38%27%
Diagnosed with conditions other than Osteoarthritis96%88%
 
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 2025. 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 and for Guernsey in November 2019.

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

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

Data for 1 April 2012 - 31 March 2025


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 age10%11%
Severely Obese (BMI of 35 or greater)32%18%
At higher risk of medical problems before or after Surgery (ASA 3+)51%32%
Diagnosed with conditions other than Osteoarthritis47%48%
 
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.

Data for 1 April 2024 - 31 March 2025


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 Expected100.0%95.0%
Revision Compliance (for the Trust)Worse Than Expected66.7%95.0%
ConsentBetter Than Expected99.5%90.0%
Valid NHS numberBetter Than Expected99.8%95.0%
Time taken to enter dataAs Expected40 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.

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