RJAH leading the way on hip and knee health gains

Release Date: 23/03/2018

RJAH leading the way on hip and knee health gains

Health gains for patients undergoing hip and knee replacement operations at The Robert Jones and Agnes Hunt Orthopaedic Hospital (RJAH) are exceeding those of all other specialist providers.

The finding comes from the latest set of Patient Reported Outcome Measures (PROMs) published by NHS Digital - the national information and technology partner to the health and social care system.

PROMs show the difference between the health of a patient’s knee pre- and post-operatively. The latest data shows RJAH to be achieving better health gains than the four other specialists in this field as well as other local providers.

Mr Steve White, Medical Director at RJAH, said: “We benchmark our performance against the other specialist orthopaedic providers in the country to give us an indication of how well we are performing. These results are pleasing and show the high quality of care we deliver at RJAH.

“Patients should take a lot of comfort from these scores that they are getting access to some of the best orthopaedic surgeons in the country.

“When offering an operation it is important to balance the probability of benefit and the risk of harms.

“We only offer total hip or knee replacement if the patient’s history, examination and investigations show that the operation is appropriate. The PROMs data shows this approach is effective in enhancing a patient’s quality of life. We should be proud of that.”

The data comes from a calculation called the Oxford score, which is derived from the PROMs questionnaire. This questionnaire measures the effectiveness of care and the health gain as assessed by the patient themselves.

Patients are asked to answer a 12-question survey on activities of daily living which scores them between 0 (the worst possible score) and 48 (the best possible score).

They complete the same survey pre- and six months post-operatively, and the difference between the two scores gives the health gain.  This is then adjusted to allow fair national comparison – with issues including levels of deprivation and patients with other diseases such as diabetes and heart conditions which may affect the final measure.

Knee replacement patients at RJAH saw an average health gain of 19.7 in the 2016/17 results – a score reduced to 17.9 after adjustments had been made. That put the Oswestry-based hospital at the top among its peers, with the Royal Orthopaedic Hospital (ROH) in Birmingham scoring second. The ROH showed health gains of 16.9 that actually went up to 17.1 after adjustments had been made.

It was a similar story with regard to health gains for hip replacement patients. RJAH showed gains of 24 in this area, which was amended to 22.2 following adjustments. ROH was again second with adjusted gains of 22.0 (revised upwards from the raw data of 21.7).

Mr White added: “We are looking at new ways of using this information to give better feedback to patients and our surgeons in our process of continuous improvement.”


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