NJR Surgeon and Hospital Profile
Hospital

Hospital: Southmead Hospital

North Bristol NHS Trust
SURGEONS WITH ACTIVITY RECORDED IN NJR
Surgeon NameGMC CodeSurgeon’s Activity
Mehool Acharya4437334 H K
Nathanael Nsanda Nathanael Ahearn6148748 H K
Rouin Amirfeyz5209445 H E
Richard Paul Baker4646549 H K
Simon Millard Bick6065776 H K
Ashley Blom4062307 H
Nicola Catherine Blucher7021014 H K
Alasdair Richard Bott6150365 H E
Timothy Chesser3483592 H K
Damian Clark6088952 H K
Mark Andrew Austen Crowther4031886 H S
Mark Dahill7138743 H A
David Hywel Davies4546292 H K
Kenan Dehne6084753 H K
Stephen J Eastaugh-Waring3591583 H K
Gray Alexander Dyfan Edwards6156741 H K E S
Jonathan Eldridge3334258 K
James Anthony Fagg6102476 H K E S
Selina Rose Graham7419083 H
William Harries3071034 H K
Stephen Hepple3475384 A
Nicholas Howells6079818 H K
Lynn Hutchings6112888 H E
Abdulla Jawed6049820 H K
Sam Carter Jonas7016679 H K
Michael Brian Kelly4193773 H K
Shehzaad Faisal Aziz Khan7266341 H K
Manish Kiran7309727 H K
Philip McCann6077943 H S
Philip McKeag7140721 H K
Sanchit Mehendale5204968 H K
James R D Murray4370150 H K
Zuhair Nawaz6076296 H K
Iain Packham4335676 H E S
Athanasios Pollalis6067958 H K
William Edward Crozier Poole7090208 H
Andrew Porteous3628388 K
Matilda Powell-Bowns7266154 H
Sven Edward Putnis6052783 H K
Andrew Riddick6098618 H E
Bryan Lawrence Riemer6071305 H K
James Richard Robinson4220688 H K
Peter William Robinson6156615 H A
Partha Sarangi2855965 S
James Richard Alexander Smith7049862 H K
Niall Sullivan6162536 H K
Andrew John Beaumont Tasker4740216 H E S
Damien Michael Tucker7095252 H E
Anthony Ward2713986 H K
Jason Crispin John Webb4089016 H
Michael Whitehouse6025765 H K
Daniel Harvey Williams4528984 H K
Ian Geoffrey Winson2429791 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 2024 - 31 March 2025
Operation Type Operation SubcategoryProcedures Recorded for this HospitalNational Average
Hip Primary-852368
Hip Revision-12023
Knee PrimaryPatello-Femoral Replacement105
Knee PrimaryTotal knee replacement321305
Knee PrimaryUnicondylar Knee Replacement10463
Knee Revision-11719
Ankle Primary-318
Ankle Revision-113
Elbow Primary-126
Elbow Revision-53
Shoulder Primary-16728
Shoulder Revision-214
           Total1771835
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-2143958
Hip Revision-32860
Knee PrimaryFocal Knee ReplacementFewer Than 51
Knee PrimaryPatello-Femoral Replacement4612
Knee PrimaryPrimary Multi-compartmentalFewer Than 53
Knee PrimaryTotal knee replacement1046795
Knee PrimaryUnicondylar Knee Replacement254151
Knee Revision-34349
Ankle Primary-6617
Ankle Revision-205
Elbow Primary-4214
Elbow Revision-105
Shoulder Primary-41772
Shoulder Revision-658
           Total4780+2150
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 limits19230.471.00
Revision Rate: Operations August15-August25Inside control limits53021.021.00
Revision Rate: Operations August20-August25Inside control limits23571.051.00
 
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
Male40%40%
Under 60 years of age26%20%
Severely Obese (BMI of 35 or greater)18%13%
At higher risk of medical problems before or after Surgery (ASA 3+)32%20%
Diagnosed with conditions other than Osteoarthritis19%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 limits18200.471.00
Revision Rate All Knees: Operations August15-August25Inside control limits43451.251.00
Revision Rate Total Knee replacement: Operations August15-August25Inside control limits34771.391.00
Revision Rate Unicondylar Knees: Operations August15-August25Inside control limits6960.861.00
Revision Rate All Knees: Operations August20-August25Inside control limits18811.181.00
 
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
Male40%44%
Under 60 years of age20%16%
Severely Obese (BMI of 35 or greater)33%23%
At higher risk of medical problems before or after Surgery (ASA 3+)30%18%
Diagnosed with conditions other than Osteoarthritis9%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
Male43%61%
Under 60 years of age23%19%
Severely Obese (BMI of 35 or greater)17%14%
At higher risk of medical problems before or after Surgery (ASA 3+)18%18%
Diagnosed with conditions other than Osteoarthritis16%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
Male35%33%
Under 60 years of age44%40%
Severely Obese (BMI of 35 or greater)28%17%
At higher risk of medical problems before or after Surgery (ASA 3+)33%27%
Diagnosed with conditions other than Osteoarthritis90%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
Male31%31%
Under 60 years of age11%11%
Severely Obese (BMI of 35 or greater)23%18%
At higher risk of medical problems before or after Surgery (ASA 3+)39%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)Better Than Expected100.0%95.0%
ConsentAs Expected76.1%90.0%
Valid NHS numberBetter Than Expected97.0%95.0%
Time taken to enter dataBetter Than Expected9 Days30 Days
 
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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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