Trust-, Local Health Board- and unit-level activity and outcomes th Annual Report. HIPS KNEES ANKLES ELBOWS SHOULDERS PROMs

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1 HIPS KNEES ANKLES ELBOWS SHOULDERS PROMs -, Local Health Board- and unit-level activity and outcomes th Annual Report 0 National Joint Registry for England, Wales and Northern Ireland ISSN 7-0 (Online) Surgical data to December

2 Part. Introduction

3 National Joint Registry for England, Wales and Northern Ireland th Annual Report Part Four shows indicators for hip and knee joint replacement procedures by, Local Health Board and unit (hospital). This section was first included in 0 and is part of the Government s transparency agenda. It is based on procedures carried out during the calendar year and submitted to the NJR by 8 February 0. Part Four information (excluding outlier analysis) is based on the actual operation date ( January to December ) whereas data in Part One is based on the date the procedure was submitted ( April to March 0). It is therefore possible for a hospital to have zero submissions in Part Four but not be listed as a nil returner in Part One.

4 Part. Unit outlier analysis methodology

5 National Joint Registry for England, Wales and Northern Ireland th Annual Report Unit outlier analysis covered all primary procedures performed from April 00 to 8 February 0. The outlier analyses made use of funnel plots from statistical process control methodology. These aim to distinguish normal variation between units (which is to be expected) from unusual differences (termed special cause variation), which may indicate the need for further investigation. Funnel plots enable units of different sizes to be compared; performance indicators based on smaller numbers of patients will have greater variability and this in turn is reflected by wider control limits. Summary of the methodology for unit revision rates: The standardised revision ratio (SRR) is plotted against the number of expected revisions. The SRR is the total number of revisions divided by the number of expected revisions for that unit s caseload in respect of the age group, gender and the diagnosis of the patients. If the SRR is, the number of revisions is compatible with the number expected for that unit Control limits for funnel plots are normally set at 9% and 99.8% (roughly equivalent to or standard deviations respectively). Our normal six-monthly review process focuses on those above the upper limit of the latter; one might expect, however, that one in 00 would be outside the 99.8% limits (above or below) just by chance. In the following table we have highlighted in light red () units above the upper limit of the 99.8% control limits but also indicate in dark red () those that are much more extreme, i.e. above the upper limit of the 99.99% control limits Summary of the methodology for unit 90-day mortality rates: The standardised mortality ratio (SMR) is plotted against number of expected deaths. The SMR is the number of actual deaths within 90 days of primary joint replacement divided by the number of expected deaths in this period. The number of expected deaths has been calculated after adjustment for patient characteristics (age, gender and ASA grade of patients). Analysis for hips has excluded operations undertaken for trauma Control limits are as for revisions above Any units identified as potential outliers in Part Four have been notified. All units are provided with an Annual Clinical Report and additionally have access to an online NJR Management Feedback system which is updated bi-annually. Important note about outlying hospitals It is important to note that these results are based on all cases submitted to the NJR since 00. Some of these outlying hospitals may have changed their practice but their overall results have not yet reflected this change. Please note for the data in following table: Compliance, and Linkability are: Red if lower than 80% Amber if equal to or greater than 80% and lower than 9% Green if 9% or more Compliance figures may be low due to delayed data entry Linkability for some hospitals will be lower than expected if they have private patients from outside England and Wales Part Four data covers procedures carried out between January and December Outlier analyses are: Light red if units are outside 99.8% control limits (approx standard deviations (SDs)) Dark red if units are outside 99.99% control limits The table uses the following footnotes: with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

6 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Abertawe Bro Morgannwg University Local Health Board Board Only) 98% (%) (%) Morriston 88 99% 98%. % 9. 0% 9% Neath Port Talbot % 00%.0 9% 8. 0% 0% Princess of Wales % 97%. % 9. 0% % Aintree University s NHS 9% University Aintree 00% 97%. 0% 7. 97% 00% Airedale NHS 0% Airedale General % 00%. % 7.0 % 9% Aneurin Bevan Local Health Board 08% Nevill Hall % 00%. % 8. % 88% Royal Gwent 00% 00%. 7% 7.0 % 8% St Woolos 7 99% 99%.0 % 7. % % Ysbyty Ystrad Fawr 7 00% 00%.9 7% 9.9 0% 0% Ashford and St Peter's s NHS 0% Ashford % 98%.9 % 8. % % St Peter's 9% 98%. % 7. % 8% Barking Havering and Redbridge University s NHS 7% King George 0 9 % 97%. % 7. % 7% Queens 0% 98%. 8% 7. 0% % Hips Knees Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

7 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Barnet and Chase Farm s NHS Board Only) 8% (%) (%) Chase Farm 7% 9%. % 7. 9% 97% Barnsley NHS Foundation 0% Barnsley District General 70 90% 98%. % 7. % 99% Barts and The London NHS 8% Gateway Surgical Centre % 99%. % 7.8 % 9% Newham General 0 00% 00%. % 8. % 9% The Royal London 00% 97%. %. % 7% Whipps Cross University 9 9 9% 78%. % 7. 70% % Basildon and Thurrock University s NHS 88% Basildon University 9 00% 99%. % 9. 9% 9% Bedford NHS 09% Bedford South Wing % 00%. % 7. 0% % Hips Knees Belfast HSC N/A Musgrave Park 99% N/A. N/A N/A 9% % Royal Victoria % N/A.7 N/A N/A 0% 00% Betsi Cadwaladr University Local Health Board 98% Abergele % 00%.9 0% 9.8 % % Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). 7

8 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Board Only) (%) (%) Hips Knees Glan Clwyd General 7 98% 98%.8 % 7. 0% 0% Wrexham Maelor 0 98% 98%. % 9.0 % % Ysbyty Gwynedd 9 9% 97%. % 7. 9% 7% Blackpool Teaching s NHS 88% Blackpool Victoria 9 9% 00%. % 70. % % Bradford Teaching s NHS 08% Bradford Royal Infirmary 77 99% 00%. % 7.0 7% % Brighton and Sussex University s NHS 99% Princess Royal 7 8% 00%. % 7. 7% 9% Royal Sussex County 8 % 00%. 7% 7. 0% 00% Sussex Orthopaedic NHS Treatment Centre Buckinghamshire Healthcare NHS 9 0 9% 98%.0 9% 9. 9% 9% 9% Stoke Mandeville % 9%. 8% 7. 7% 9% Wycombe % 98%. 0% 70. 0% % Burton s NHS Foundation 0% Queens Burton Upon Trent % 00%.0 % 70. % 99% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). 8

9 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Calderdale and Huddersfield NHS Board Only) 0% (%) (%) Calderdale Royal,09 89% 98%. % 9.0 7% 00% Cambridge University s NHS 7% Addenbrooke's 7 99% 99%. % 9.9 0% 9% Cardiff and Vale University Local Health Board 99% Llandough, 7 9% 9%. 8% 8. % 97% Central Manchester University s NHS 9% Manchester Royal Infirmary 7 7% 7%. %. % 97% Trafford General % 97%. % % 8% Chelsea and Westminster NHS 09% Chelsea & Westminster % 9%. 8% 8.9 0% 7% Chesterfield Royal NHS 9% Chesterfield Royal 0 8 9% 99%. 9% 8.8 % % City s Sunderland NHS 0% Sunderland Royal 90 90% 99%. % 8. 7% 00% Hips Knees Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). 9

10 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Colchester University NHS Board Only) 0% (%) (%) Colchester General 98 98% 00%. 7% % 7% Countess of Chester NHS % Countess of Chester 8 99% 99%. % 7. % 00% County Durham and Darlington NHS 9% Bishop Auckland 9 7 9% 00%.9 8% 7. % 9% Darlington Memorial 9 9% 9%. 0% 70. % 90% University of North Durham 97% 98%. % % 98% Croydon Health Services NHS 8% Croydon University % 8%. % 7. 0% 00% Cwm Taf Local Health Board 8% Prince Charles 0 00% 00%. % 8.8 9% 98% The Royal Glamorgan 00% 99%. % 7.7 9% 9% Dartford and Gravesham NHS 87% Darent Valley % 00%. 9% 70. 8% % Queen Mary's Sidcup % 00%. % 9.9 7% 88% Derby s NHS Foundation 08% Royal Derby, 9% 9%.0 % 9. % 00% Hips Knees Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). 0

11 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Doncaster and Bassetlaw s NHS Board Only) (%) (%) Hips Knees % Bassetlaw 9 7 9% 9%. % 9.9 0% 8% Doncaster Royal Infirmary 88% 9%. 9%.8 % % Dorset County NHS 0% Dorset County % 98%. % 70.8 % 99% Ealing NHS % Ealing 8 8% 9%.0 7% 8. 0% 7% East and North Hertfordshire NHS 7% Lister 7% 00%.7 8%. 0% 0% Lister Treatment Centre 98% 99%. % 9.7 % % Queen Elizabeth II 7 8% 98%. % 7. % 8% East Cheshire NHS 7% Macclesfield District General East Kent s University NHS Queen Elizabeth The Queen Mother 7 00% 99%.0 8% 7.8 % 9% 00% 7 9% 99%. 0% % 99% William Harvey (Ashford) 989 9% 97%. % 70. 9% 77% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

12 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company East Lancashire s NHS Board Only) (%) (%) Hips Knees 0% Burnley General % 8%. 0% 70. % 79% Royal Blackburn Infirmary 79 % 9%. % 7.8 % % East Sussex s NHS 9% Conquest 7 99% 99%. % % 99% Eastbourne District General % 9%. % 7.8 8% 98% Epsom and St Helier University s NHS 89% The Elective Orthopaedic Centre,8 9% 98%.0 8% 70. 0% 7% Frimley Park NHS 8% Frimley Park,098 9% 99%.0 0% 9.0 7% 9% Gateshead Health NHS Foundation % The North East NHS Surgery Centre 8 8% 99%. 0% 8. % 9% George Eliot NHS 0% George Eliot - Acute Services Gloucestershire s NHS 9% 99%. % 9. 7% 00% 9% Cheltenham General 77 00% 00%. 0% 7. % 00% Gloucestershire Royal 8 97% 98%.0 % 8. 9% 88% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

13 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Great Western s NHS Board Only) (%) (%) Hips Knees % The Great Western,08 8% 9%. % 8. % 98% Guy's and St Thomas' NHS 0% Guy's 77 8% 90%.0 9%.0 99% 90% St Thomas' % 8%. % % 90% Hampshire s NHS Basingstoke and North Hampshire 0% 9 89% 99%. % 70. % 8% Royal Hampshire County 0 8 9% 97%. % % 9% Harrogate and District NHS 7% Harrogate District % 9%.0 % 70. % 90% Heart of England NHS Foundation 8% Good Hope % 99%.0 7% 70.9 % 9% Solihull 8 8% 9%. % 9. % 80% Heatherwood and Wexham Park s NHS 0% Heatherwood 98% 99%.0 % 9.9 9% 00% Wexham Park 00 9% 98%. % 7. % 97% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

14 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Hinchingbrooke Health Care NHS Board Only) 00% (%) (%) Hinchingbrooke % 9%. % 9. 0% 98% Homerton University NHS 0% Homerton University 88 7% 88%. 7% 7. % 8% Hull and East Yorkshire s NHS 0% Castle Hill 88 7% 9%. 9% 8. % 7% Hull Royal Infirmary 9 8% 00%.0 % 70.0 % 0% Hywel Dda Local Health Board 0% Bronglais General 99% 99%. % 7. 7% 7% Prince Philip 0 98% 00%.9 8% 9.0 % 00% West Wales General 9 89% 9%. 7% 7.7 % 97% Withybush General 78 99% 98%. 8% 9.7 % 99% Imperial College Healthcare NHS 0% Charing Cross 7 9% 98%. % 7.7 8% 88% St Mary's 8 88% 00%. % 7. % 88% Ipswich NHS 0% Ipswich 79 98% 99%. % 70.8 % 00% Hips Knees Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

15 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Board Only) (%) (%) Hips Knees Isle of Wight NHS 0% St Mary's 00% 99%. % % 99% James Paget University s NHS % James Paget University % 98%. 0% 7. % % Kettering General NHS % Kettering General % 98%.0 8% 8. % 99% King's College NHS King's College (Denmark Hill) 0% 99% 98%. % 8. 8% 9% Orpington 7 8 9% 00%. % 7. 0% 00% Princess Royal University 0 88% 9%. 8% 7. % 9% Kingston NHS % Kingston 00% 0%. 0%. 0% 00% Lancashire Teaching s NHS 0% Chorley and South Ribble 78 00% 00%. % 9. 7% 7% Leeds Teaching s NHS 0% Chapel Allerton 90 98% 99%. % 8. % 00% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

16 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Board Only) Lewisham Healthcare NHS 0% (%) (%) Queen Elizabeth Woolwich 8 00% 00%. 9% 7. 0% 89% Riverside Treatment Centre 8 7 9% 9%. 0% 8. % 98% University Lewisham 00% 00%.0 0% 8. 0% 0% Luton and Dunstable NHS 8% Luton & Dunstable 9% 99%. % 9.7 % % Maidstone and Tunbridge Wells NHS 0% The Tunbridge Wells,07 98% 99%. % 7. 9% 98% Medway NHS % Medway Maritime 7 8% 99%. % 9. 90% 9% Mid Cheshire s NHS 9% Leighton 9 98% 9%. % 70.8 % 9% Mid Essex Services NHS 0% Broomfield 78 8% 99%. % 70. % 00% Mid Staffordshire NHS Foundation % Cannock Chase 9 98% 98%. % 8.7 % 7% Stafford 7 97% 00%.7 % 7.0 % 9% Hips Knees Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

17 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Board Only) (%) (%) Hips Knees Mid Yorkshire s NHS 0% Dewsbury and District 8 98% 99%. 0% 8. 9% 89% Pinderfields General 7% 8%. 9% % 9% Pontefract Elective Unit (Treatment Centre) Milton Keynes NHS 8 9% 9%. % 7.9 9% 98% % Milton Keynes % 99%. % 8.9 7% % Norfolk and Norwich University s NHS 09% Norfolk & Norwich, 7 98% 99%. 0% 7.8 0% 9% Northampton General NHS Northampton General (Acute) 0% North Bristol NHS 99% 7 8% 9%. % 9. 9% 7% Frenchay 7% 97%. % 7.7 % 00% Southmead,7 0 9% 97%. % 9.0 % 7% North Cumbria University s NHS 9% Cumberland Infirmary 0 88% 97%. 9% 70. 9% 99% West Cumberland 0 9% 00%. % 70. % 00% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). 7

18 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Northern Devon Healthcare NHS Board Only) 7% (%) (%) North Devon District % 99%.0 % 9.8 % 8% Northern Lincolnshire and Goole s NHS 9% Diana Princess Of Wales 9% 99%. % 70. 9% 8% Goole and District (Acute) 8 99% 99%.9 8% % 97% Scunthorpe General 0 97% 00%. 0% 9. 78% % North Middlesex University NHS 7% North Middlesex 8 00% 99%. % 9. 98% 98% North Tees and Hartlepool NHS % University of Hartlepool 8 8 9% 99%. %.7 % 97% University of North Tees 9 7% 8%. % % 00% Northumbria Healthcare NHS 0% Hexham General 7 9% 00%.8 % 8. 8% 00% North Tyneside General % 99%. % 9. % 00% Wansbeck 87 00% 99%. % 9. % 00% North West London s NHS 0% Central Middlesex 9% 9%.0 7% 9.0 % 77% Northwick Park 7% 8%. 7% 7. % % Hips Knees Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). 8

19 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Nottingham University s NHS Board Only) (%) (%) Hips Knees % Nottingham City,77 7 9% 99%. % 8. % 70% Queens Medical Centre Nottingham University Oxford University s NHS 97% 97%. 9% 7.8 7% 00% % Horton General 8% %. 00% 8. 00% 00% John Radcliffe 9% 97%. 8% 7.0 % 00% Nuffield Orthopaedic Centre,78 7 8% 97%. % 8. 9% 8% Pennine Acute s NHS 99% Fairfield General 00 % 88%. 9% 9. % 70% North Manchester General % 9%. 0% 7. 8% % Royal Oldham 8 80% 97%. 8% 8. % % Peterborough and Stamford s NHS 97% Peterborough City 800 9% 98%. % 70. % 7% Plymouth s NHS 9% Derriford % 99%. % 9.0 % % Poole NHS Foundation % Poole 08 8% 8%. 7% % 9% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). 9

20 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Board Only) (%) (%) Hips Knees Portsmouth s NHS 9% Queen Alexandra, 00% 00%. 0% 70. % 99% Robert Jones and Agnes Hunt Orthopaedic And District NHS Robert Jones & Agnes Hunt Orthopaedic Royal Berkshire NHS Foundation %,90 9% 98%.0 % % 88% % Royal Berkshire 9 98% 99%. 0% 70. 7% 9% Royal Bolton NHS 0% Royal Bolton 9 9% 9%. % 8. % 97% Royal Cornwall s NHS 0% Royal Cornwall (Treliske) % 9%. % 70. 8% % St Michael's 0 99% 9%.9 0%. % % Royal Devon and Exeter NHS Royal Devon & Exeter (Wonford) Royal Free London NHS Foundation %, % 98%. 9% 70. 7% 99% 9% The Royal Free 8 7% 98%. % % 9% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). 0

21 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Royal Liverpool and Broadgreen University s NHS Board Only) (%) (%) Hips Knees 0% Broadgreen 7 7 7% 99%. % 7.7 % 7% The Royal Liverpool University Royal National Orthopaedic NHS The Royal National Orthopaedic (Stanmore) Royal Surrey County NHS 0 9% 00%. 9% % % 8%,0 9% 98%.0 %. 0% 98% 0% Royal Surrey County 0 00% 99%.0 9% 70.7 % % Royal United Bath NHS % Royal United % 99%. % 9.9 % 77% Salford Royal NHS % Salford Royal 7 % 9%. % 8. % 7% Salisbury NHS 0% Salisbury District 7 9 9% 00%.0 % 70. 7% % Sandwell and West Birmingham s NHS 97% Sandwell General 9 9% 99%. 0% 9.0 % % Sheffield Teaching s NHS 89% Northern General 70 90% 9%. % 8. % 8% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

22 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Board Only) (%) (%) Royal Hallamshire 78 9% 9%. % 8. 8% 89% Sherwood Forest s NHS % Kings Mill 8 90% 98%. % 8.8 % 00% Hips Knees Newark 9 8% 00%.8 % 9.0 % 00% Shrewsbury and Telford NHS 0% Royal Shrewsbury % 9%. 0% 7.0 % 8% The Princess Royal 7 9% 99%. % 9. 7% 7% Southampton University s NHS 7% Southampton General 7% 9%.0 % 8. % 9% South Devon Healthcare NHS 9% Torbay % 98%. % 7.9 7% 98% South Eastern HSC N/A Ulster Dundonald 7 9% N/A. N/A N/A 0% 00% Southend University NHS 99% Southend 70 99% 00%. 0% 70.9 % 7% Southern HSC N/A Craigavon Area 7 8% N/A. N/A N/A % 00% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

23 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Southport and Ormskirk NHS Board Only) 07% (%) (%) Ormskirk & District General 9 9% 99%. 0% 7. % 00% South Tees s NHS 9% Friarage 8 9% 00%. % 9.8 7% 9% The James Cook University 7 00% 99%. % 8. % 8% South Tyneside NHS Foundation % South Tyneside District 7 00% 00%. % 9.9 9% 98% South Warwickshire NHS 0% Warwick % 97%.0 8% 9. 00% 99% St George's Healthcare NHS % St George's (Tooting) % 98%. % 9. % 9% St Helens and Knowsley s NHS % Whiston 77 9% 98%. % 8. % 7% Stockport NHS % Stepping Hill 9 9% 9%. % 70. 7% 99% Surrey and Sussex Healthcare NHS 9% East Surrey 8 8% 9%. 8% % 90% Hips Knees Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

24 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Redwood Diagnostic Treatment Centre Tameside NHS Foundation Board Only) (%) (%) Hips Knees 7 77% 98%. % 7. 98% 98% 9% Tameside General 8 99% 00%. % 8. 7% 8% Taunton and Somerset NHS 0% Musgrove Park 0 98% 99%. % 7. 99% 9% The Dudley Group of s NHS % Russells Hall % 99%. % % 9% The Hillingdon NHS % Hillingdon 7 0 % 97%. % 7. 0% 8% Mount Vernon Treatment Centre % 9%.0 7% 8.8 0% 87% The Newcastle Upon Tyne s NHS 8% Freeman,9 7 87% 9%. 0% 8.0 8% 9% The Royal Victoria Infirmary 7 0% 7%. 0% 7. 7% 00% The Princess Alexandra NHS 0% Princess Alexandra % 97%.0 9% 70. 0% 97% The Queen Elizabeth King's Lynn NHS 08% The Queen Elizabeth 9 9 9% 97%. 9% 7. % 00% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

25 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company The Rotherham NHS Foundation Board Only) % (%) (%) Rotherham District General 7 9% 98%. 0% 8. 9% % The Royal Bournemouth and Christchurch s NHS 09% Royal Bournemouth,007 9% 9%. 0% 7. 97% 00% The Royal Orthopaedic NHS 0% Royal Orthopaedic,7 88% 9%.0 9%. 8% % The Royal Wolverhampton s NHS 0% New Cross 9 99% 99%. % 9. 9% 80% The Whittington NHS % The Whittington % 98%.0 % 8.0 % % United Lincolnshire s NHS 9% County Louth 99 9% 00%.0 % 7.0 % 98% Grantham and District 9 7 9% 00%.0 % 9. 9% 9% Lincoln County 98 9% 98%. % 70. % 98% Pilgrim 80 98% 98%. % 9. 9% % University College London s NHS % University College 0 9 7% 9%. %.7 % 7% Hips Knees Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

26 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company University Birmingham NHS Queen Elizabeth Birmingham University of North Staffordshire NHS Board Only) % (%) (%) % 98%. % 7. 9% 00% 99% City General 7 00% 99%. % 9. % 7% University of South Manchester NHS 09% Wythenshawe 0 0 9% 99%. % % 9% University s Bristol NHS 00% Bristol Royal Infirmary 8 77% 9%. % 7.0 7% 00% University s Coventry and Warwickshire NHS 0% of St Cross 99 99% 99%.0 % 8. % 7% University (Coventry) 99% 99%. % 7. % 90% Hips Knees University s of Leicester NHS 89% Leicester General,9 9% 99%. % 9. 8% 9% University s of Morecambe Bay NHS 9% Furness General 8 00% 99%. % 70.0 % 00% Royal Lancaster Infirmary 0 77% 9%. 0% % 89% Westmorland General 8% 99%.8 % 9. 79% 9% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

27 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Board Only) (%) (%) Hips Knees Walsall Healthcare NHS 09% Manor 0 00% 00%. % 9. % 99% Warrington and Halton s NHS The Cheshire and Merseyside Treatment Centre 09% % 9%. % 8.7 % 9% Warrington 7 9 9% 9%. % 70. % % Western HSC N/A Altnagelvin Area 7 9 9% N/A. N/A N/A % 99% Western Sussex s NHS % St Richard's,0 7 87% 00%. 0% 7. % 70% Worthing 00% 00%.0 0% 7. 00% 00% West Hertfordshire s NHS 7% St Albans City 88 9% 98%.0 9% 9. 0% 00% Watford General % 98%. 0% 7. 8% 87% West Middlesex University NHS 87% West Middlesex University % 9%. 7% 70. 8% 00% Weston Area Health NHS 09% Weston General 8 90% 99%. % 70. % 9% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). 7

28 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Board Only) West Suffolk s NHS 8% (%) (%) West Suffolk % 00%. % 7. % 9% Wirral University Teaching Nhs % Arrowe Park 8 77% 9%. 8% 7.0 9% 97% Clatterbridge 0 79% 99%.0 8% 8.0 % 00% Worcestershire Acute s NHS 0% Alexandra 70 99% 00%. 0% 9.9 7% 8% Kidderminster Treatment Centre 90% 99%.8 % 8. % 8% Worcestershire Royal 9 8% 9%. % 7. 7% 99% Wrightington Wigan and Leigh NHS 09% Wrightington, 9 8% 99%. %.7 % 88% Wye Valley NHS 09% Hereford County % 00%.0 % 70. % 9% Yeovil District NHS % Yeovil District % 99%. 7% 70. % 7% York Teaching NHS 07% Scarborough General 8 9% 00%. % 9. % 79% York 7 8% 8%. % 70.9 % 88% Hips Knees Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). 8

29 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Board Only) (%) (%) Hips Knees Aspen Healthcare Limited Claremont 8% 87%.9 % 7. % 80% Holly House % %.0 0% 7. 8% % Parkside 0 97% 8%.8 9%. % 9% Benenden Healthcare Society Benenden 8 99% 99%.0 % 9. % 9% BMI Healthcare BMI Alexandra Cheadle (Cheshire) 99% 87%.0 8% 7. % 9% BMI Bath Clinic (Avon) 8 8% 9%.9 9% 9. 7% 8% BMI Beardwood Private (Lancashire) BMI Bishops Wood (Middlesex) BMI Blackheath (Greater London) 0 80% 9%. % 70.0 % 8% 9 9% 8%.9 % 70. 0% 9% 9 00% 9%.9 %.7 % % BMI Bury St Edmunds (Suffolk) % 9%.0 % 9. 8% 99% BMI Chaucer (Kent) 0 97% 98%.9 % 9.0 7% 7% BMI Chelsfield Park (Kent) 8 99% 9%.9 % 9. % 7% BMI Clementine Churchill (Middlesex) 8 9% 87%.9 % 8.0 % 7% BMI Coombe Wing (Surrey) 0 0 BMI Esperance (East Sussex) 8 00% 97%. % 7.9 8% 97% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). 9

30 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company BMI Fawkham Manor (Kent) BMI Garden (Greater London) BMI Gisburne Park (Lancashire) BMI Goring Hall (West Sussex) Board Only) (%) (%) Hips Knees 00% 9%.9 %.0 % % 8 00% 9%. % 8. 7% 88% 99% 98%. % 9. 0% 8% % 97%.0 % 9.7 9% 9% BMI Hampshire Clinic (Hampshire) 0 98% 9%. % 8.0 % 8% BMI Harrogate (North Yorkshire) 9% 90%.8 8% 8.0 % 8% BMI Highfield (Lancashire) % 89%.0 7% 7. 80% % BMI Huddersfield (West Yorkshire) 00% 00%.7 9% 8.9 0% 00% BMI Kings Oak (Middlesex) 8 80% 88%.0 % 7. 88% 97% BMI Lancaster (Lancashire) 9% 9%.9 % 9. % 00% BMI Lincoln (Lincolnshire) 8 99% 98%.0 % 9. 0% 9% BMI Manor (Bedfordshire) 0 99% 9%.9 7% 8. % 9% BMI Mount Alvernia (Surrey) 7 99% 9%.8 % 9. % % BMI Princess Margaret (Berkshire) 7 00% 89%.8 9% 8. % 9% BMI Priory (West Midlands) % 79%.0 0%. 7% 87% BMI Ridgeway (Wiltshire) % 89%.8 % 7. % 00% BMI Runnymede (Surrey) 9 9% 88%.9 7% 9.0 % % BMI Sandringham (Norfolk) 7 98% 9%.0 8% 9.8 % 97% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). 0

31 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company BMI Sarum Road (Hampshire) Board Only) (%) (%) Hips Knees 99 9% 9%.0 % 9. 0% % BMI Saxon Clinic (Buckinghamshire) % 97%.0 8% 7. 7% % BMI Sefton (Merseyside) 00% 8%.8 %.0 00% 00% BMI Shelburne (Buckinghamshire) 7 00% 97%.9 % 7.9 7% 00% BMI Shirley Oaks (Surrey) 7 7% 8%. 0%.9 % 00% BMI The Beaumont (Lancashire) 8% 87%.9 9% 7. 8% 00% BMI The Cavell (Middlesex) % 7%. 8%.8 88% 89% BMI The Chiltern (Buckinghamshire) % 9%.9 % 8.8 % % BMI The Droitwich Spa (Worcestershire) BMI The Edgbaston (West Midlands) BMI The Foscote (Oxfordshire) % 98%.9 7% 8. % 9% 8 99% 87%.8 %.7 % % 9 99% 99%.9 % % 00% BMI The Harbour (Dorset) 7 9% 90%.9 0% 7. 99% 00% BMI The London Independent (Greater London) BMI The Meriden (West Midlands) BMI The Park (Nottinghamshire) 8 % 8%. 7%.0 88% 00% 97% 9%.9 %. % % 79 9 % 8%.8 % 7.8 % 8% BMI The Sloane (Kent) 87 7% 8%.9 % 9.7 7% 78% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

32 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Board Only) (%) (%) BMI The Somerfield (Kent) 7% 70%. % 8. 79% 00% BMI The South Cheshire Private (Cheshire) BMI Thornbury (South Yorkshire) BMI Three Shires (Northamptonshire) BMI Werndale (Carmarthenshire) 9 99% 98%.9 % 70. 9% 00% 0 99% 9%.8 %.9 % 8% 00% 9%.0 % 7.8 % % 00% 99%.7 % % 00% BMI Winterbourne (Dorset) % 9%.0 9% 7.7 % 99% BMI Woodlands (County Durham) Care UK Barlborough NHS Treatment Centre (Derbyshire) Emersons Green NHS Treatment Centre (Avon) North East London NHS Treatment Centre (Essex) Peninsula NHS Treatment Centre (Devon) Shepton Mallet Treatment Centre (Somerset) Southampton NHS Treatment Centre (Hampshire) 9% 87%.9 8%. 7% 8%, % 00%.0 % 70. 9% % % 00%.9 % % 00% % 00%. 9% 9. % 0% % 00%.0 9% 9.8 % 0% Hips Knees 07 00% 00%.0 0% % 00% 9% 98%. 7% 8. 00% % Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

33 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Circle Board Only) (%) (%) Hips Knees Circle Bath (Avon) 9% 9%.9 0% 9. 8% 8% Circle Reading (Berkshire) 0 8% 98%.9 0% 7. 9% 7% Cromwell Bupa Cromwell (Greater London) 9 8% %.9 9%. 7% 9% East Kent Medical Services Ltd The Spencer Wing - Ashford (Middlesex) 0% 00%.0 0%.8 0% 00% The Spencer Wing - Margate (Kent) 9 90% 99%.9 % 8. 0% 00% Fairfield Independent Fairfield Independent (Merseyside) 9% 97%.9 % 8.8 7% 98% HCA International Ltd London Bridge (London) 77% %.9 %. % % The Lister (London) 7 0% 7%.8 %.7 7% % The Princess Grace (London) 7 7% %.9 %. % % The Wellington (London) 89 7% %.0 %.7 8% 7% Horder Healthcare Horder Healthcare (East Sussex),889 99% 99%.8 9% 70. % % Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

34 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Management Sancta Maria (West Glamorgan) St Hugh's (North East Lincolnshire) of St John and St Elizabeth of St John and St Elizabeth (Greater London) King Edward VII Sister Agnes King Edward VII Sister Agnes (Greater London) Kingsbridge Private Kingsbridge Private (Belfast) North West Independent North West Independent (County Londonderry) Nuffield Health Nuffield Health Bournemouth (Dorset) Nuffield Health Brentwood (Essex) Nuffield Health Brighton (East Sussex) Board Only) (%) (%) 00% 7%. % 7. 8% % 8 98% 99%.0 8% 8.9 9% 89% 0 99% 7%. % 9. 97% 97% Hips Knees 0 7% %.7 % 7. 7% 7% 7 8 7% N/A.8 N/A N/A 8% 9% 70 9% N/A.9 N/A N/A % 90% 99% 9%.0 7% 7.9 9% 99% 0 99% 9%.0 % 8. % % 9% 8%. 8% 7. 0% 79% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

35 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Nuffield Health Bristol (Avon) Nuffield Health Cambridge (Cambridgeshire) Nuffield Health Cheltenham (Gloucestershire) Nuffield Health Chichester (West Sussex) Nuffield Health Derby (Derbyshire) Nuffield Health Exeter (Devon) Nuffield Health Guildford (Surrey) Nuffield Health Haywards Heath (West Sussex) Nuffield Health Hereford (Herefordshire) Nuffield Health Ipswich (Suffolk) Nuffield Health Leeds (West Yorkshire) Nuffield Health Leicester (Leicestershire) Nuffield Health Newcastle-upon- Tyne (Tyne & Wear) Nuffield Health North Staffordshire (Staffordshire) Board Only) (%) (%) Hips Knees % 8%. 7%. % 00% 7 9% 9%.9 % 9.0 % 8% 8 89% 8%.9 % 8. % 00% 9 7 % 8%.9 0% 7.7 % % 99% 97%.8 % 7.9 9% 00% 87 97% 9%.9 % % 00% % 89%.0 7% 9. 7% 7% 9 99% 98%.9 0% 7. % 98% 9 89% 97%.8 8% 70. 0% 7% % 98%.9 9% 70. 9% 00% 8 7 7% 9%.0 % 7.9 % 00% 7 9% 9%.9 % 8.8 7% 9% 8 00% 9%.8 9%. 8% 9% % 97%.9 % 8.8 0% 0% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

36 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Nuffield Health Plymouth (Devon) Nuffield Health Shrewsbury (Shropshire) Nuffield Health Taunton (Somerset) Nuffield Health Tees (Cleveland) Nuffield Health The Grosvenor (Cheshire) Nuffield Health The Manor (Oxfordshire) Nuffield Health Tunbridge Wells (Kent) Nuffield Health Warwickshire (Warwickshire) Nuffield Health Wessex (Hampshire) Nuffield Health Woking (Surrey) Nuffield Health Wolverhampton (West Midlands) Nuffield Health York (North Yorkshire) Board Only) (%) (%) % 98%.9 % 8. % % % 9%.8 % 8. 9% 90% % 98%.9 % 9. 00% % Hips Knees 00% 99%.9 %.8 8% 9% % 98%.0 7% 9.8 % 00% 98% 88%.8 % 8. % 9% 9% 9%.0 7% % 00% 9 97% 98%.0 % 8. 9% 9% 99% 9%.9 9% 70. % 9% 8 90% 9%.9 0% 70. 0% % 8 97% 98%.8 % 70. % 80% 7 9 9% 9%.9 % 9. % 8% Vale (Glamorgan) % 7%.9 7% 7. % 8% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red ().

37 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Orthopaedic Spine and Specialist Orthopaedics and Spine Specialist (Cambridgeshire) Ramsay Health Care Board Only) (%) (%) 00% 00%.9 % 7.8 % 0% Ashtead (Surrey) % 9%.8 % 9.7 9% 8% Clifton Park (North Yorkshire) Hips Knees % 98%.9 % 8. % 7% Duchy (Cornwall),0 98% 98%.9 0% 7. 7% 8% Euxton Hall (Lancashire) 00% 99%.8 %. 8% 70% Fitzwilliam (Cambridgeshire) 0 99% 99%.9 % 8. 8% 8% Fulwood Hall (Lancashire) % 99%.0 0% % 80% Horton NHS Treatment Centre (Oxfordshire) % 98%. % 8.7 % 99% Mount Stuart (Devon) % 97%.9 % 8.9 % 99% New Hall (Wiltshire) % 99%.8 % 9.7 7% % North Downs (Surrey) % 99%.8 % 8. % 7% Nottingham Woodthorpe (Nottinghamshire) % 9%.9 % 7.7 9% 99% Oaklands (Lancashire) 8 99% 00%.7 %. % 99% Oaks (Essex) % 9%.9 % 70.7 % 97% Park Hill (South Yorkshire) % 00%.9 % 9. % 8% Pinehill (Hertfordshire) 8 99% 99%.8 9% 9. 0% 9% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). 7

38 National Joint Registry for England, Wales and Northern Ireland th Annual Report Board/Company Board Only) (%) (%) Hips Knees Renacres Hall (Lancashire) 8 00% 97%.8 %. 8% 00% Rivers (Hertfordshire) 9% 87%.9 % % 79% Rowley Hall (Staffordshire) % 00%. 0% 9. 0% 8% Springfield (Essex) 98 9% 9%.0 % 9. % 00% The Berkshire Independent (Berkshire) 8 98% 9%.9 % % 9% The Yorkshire Clinic (West Yorkshire) 9 9% 9%.9 % 8. % 7% West Midlands (West Midlands) % 9%.9 % 9.0 9% % Winfield (Gloucestershire) 99% 9%.8 % 8. 7% 89% Woodland (Northamptonshire) 8 9% 9%.0 9% 7. % 00% Spire Healthcare Dunedin (Berkshire) 00% 00%.9 % 9. 0% 00% Elland (West Yorkshire) 00% 98%. 0% % 00% Fylde Coast (Lancashire) 89% 9%. % 9. % 8% Hull and East Riding (East Yorkshire) Methley Park (West Yorkshire) % 9%.0 % 8. % 00% 0 00% 98%.0 8% 8.7 % 00% Regency (Cheshire) 8 97% 9%.9 % 70. 9% 00% Spire Alexandra (Kent) % 98%.0 % 8.8 7% 7% Spire Bristol (Avon) 78 9% 9%.9 7%.9 7% 7% Compliance, consent and linkability are red if lower than 80%, green if 9% or more and amber in between with respect to 90-day mortality following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). with respect to revisions (at any time) following primary operations performed from 00 onwards. Units outside 99.8% control limits (approx SDs) are flagged in light red (); those outside 99.99% control limits are flagged in dark red (). 8