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National Joint Registry Benefits for Hospitals

NJR History, Profile and World Class Reputation

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The largest orthopaedic device registry in the world with over 3 million records which feed into Model Hospital and GIRFT Improvement support programmes;

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Able to present joint replacement data up to 15 years of follow up, offering hospitals, surgeons and patients invaluable opportunities to understand the factors that influence outcome and longevity of joint replacement procedures;

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NJR data creates the ability to drive forward change, influence best practice, undertake important research and maximise patient safety;

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NJR data collection and processing are fully compliant with GDPR and Common Law Duty of Confidentiality. Our data processing locations are ISO27001 certified. Patient data is in safe hands.

NJR Outcome Monitoring and Reporting Services:

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NJR Management Feedback where hospital-level Annual Clinical Reports, including a wide-range of informative metrics on performance outcomes, are shared with hospitals and can be used to support local quality improvement for the benefit of patients;

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NJR Annual Report provides useful information about progress and development of the NJR, analysis of clinical activity and outcomes after joint replacement surgery and indicators of implant and hospital activity and outcomes;

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NJR ReportsOnline provides information to surgeons, hospital data managers and suppliers on case totals, case mix and implant usage and ability to download summarised reports;

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NJR StatsOnline enables hospitals to view and download their NJR statistics in respect of number of operations submitted to the NJR and consent rate, providing valuable data in respect of the Best Practice Tariff calculator for hip and knee surgery;

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NJR Surgeon and Hospital Performance Monitoring provides regular monitoring of surgeon and hospital performance to provide early warning of performance issues by alerting surgeons and Medical Directors to poor outcomes;

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NJR Clinician Feedback allows surgeons to review and validate their data on a regular basis and compare their performance with peers on a local and national level;

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NJR Data for Surgeon Appraisals a mechanism to allow surgeons the opportunity to demonstrate and record that they have reviewed and reflected on their NJR data as part of their appraisal and revalidation. Supported by NHS Improvement, NHS England and the British Orthopaedic Society, this function aids both surgeon and appraiser to help drive a positive professional culture with a focus on patient safety;

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NJR Implant Outlier Process supports implant manufacturers in routine post market surveillance of implants, provides information to clinicians, patients, hospitals and regulatory bodies on device performance and providing early warning of potential patient safety issues so appropriate action can be taken.

Price Benchmarking Service:

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Price benchmarking provides individual component granularity of costs for hip and knee implants. This benchmarking has been developed to be clinically meaningful and is not available through other procurement benchmarking services.

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Access to implant pricing reports enable hospitals to achieve transparency in hip and knee implant pricing and understand variation in comparison to other ‘best’ national prices;

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Also provides a unique opportunity to benchmark implant prices against performance in a clinical context and support the most cost effective procurement of orthopaedic implants;

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Many Trusts routinely use NJR data to inform best value and cost efficiency programmes - national evidence shows significant savings in implant costs as a result of using NJR information services.

Benefits for Patient Safety:

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Assist surgeons to choose the best implants for patients;

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Provide early warning of potential device issues through scrutiny of implant performance;

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Provide hospitals with patient details in cases of device recall;

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Planned implementation of an implant scanning application to assist hospitals to determine implant compatibility and limit the risk of ‘never events’ [Healthcare Safety Investigative Branch report 2019 recommendation];

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Empower patients by helping them find out more about implants available to them;

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Enhance patient safety by showing how well implants, surgeons and hospitals perform and take action where it is needed;

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Improve patient safety and reassurance by encouragement of best practice behaviour through provision of surgeon specific data to support clinical appraisals.

Provision of NJR Support Networks:

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NJR Compliance Officers (previously NJR Regional Coordinators): a specialist support team who support NJR Regional Clinical Coordinators and provide advice, training and support in relation to NJR responsibilities to hospital staff and clinicians at local level;

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NJR Regional Clinical Coordinators: a network of orthopaedic surgeons who champion the NJR at local level and are available to offer assistance and advice;

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NJR help desk: available for advice and queries;

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NJR Regional Events: bi-annual training, learning and information forums for hospital staff.

NJR Data Quality Audits:

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Enable hospitals to match information in the NJR with that held on hospital systems to ensure all procedures are captured and data quality is accurate;

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Potential to improve any loss of payment to hospitals under best-practice tariff;

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An automated data quality system allows for direct comparison of a hospital’s reported activity and NJR activity, enabling easier review of discrepancies and reducing the burden to hospital staff in manually checking data;

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The annual NJR Data Quality Award Programme provides hospitals with public recognition for their quality achievements and promotion through NJR communication channels.

NJR Patient and Public Information and use of the dataset:

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NJR ‘Surgeon and Hospital’ reporting, providing access for patients and public, on the performance of hospitals and individual surgeons; View Here‍

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NJR website, including The Patient Decision Support Tool, enabling patients to understand the risks and benefits of surgery and be better equipped to share in evidence-based decision-making and choices on their treatment plans; View Here

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Publication of a range of patient information and Public and Patient Guides;

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NJR Patient Reported Outcome Measures [PROMs] and Patient Reported Experience Measures (PREMs) delivers longitudinal understanding of the patient perspective of their own outcomes and health improvements.

Use of NJR data for Research:

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Because NJR represents a complete and high quality routinely collected data source, NJR data is routinely used by clinicians and academics in observational research, which enhances understanding of performance and outcomes in joint replacement leading to improved standards of care;

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The NJR Data-Access Portal provides a secure means of data sharing with researchers (data access fees apply);

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Available access to full range of publications related to NJR data.

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