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HIPS
KNEES
ANKLES
ELBOWS
SHOULDERS
PROMs
ISSN 2054-183X (Online) Surgical data to 31 December 2017
National Joint Registry for England, Wales, Northern Ireland and the Isle of Man
201815th Annual Report
NJR Steering Committee and Sub-committees
April 2017 to March 2018
Appendices 1 and 2
National Joint Registry | 15th Annual Report
2www.njrcentre.org.uk
Appendix 1NJR Steering Committee Membership and Declarations of interestApril 2017 to March 2018A1.1 NJR Steering Committee – Composition
As an NHS England Committee of Experts, the composition of the NJR Steering Committee (NJRSC) by category of representative is:
Chairman 1
Medical Director/Vice Chairman 1
Orthopaedic surgeon 3
Patient/patient organisation 2
Implant manufacturer/supplier industry 2
Public health/epidemiology 1
NHS Trust management 1
Independent healthcare provider 1
Practitioner with special interest in orthopaedic care who is a GP, nurse or allied health professional (physiotherapist or occupational therapist) 1
National Joint Registry | 15th Annual Report
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A1.2 Membership from April 2017
Members are appointed as posts become vacant.
Name Role/representative
Laurel Powers-Freeling Chairman (from April 2011)
Mr Martyn Porter Medical Director and Vice Chairman (from February 2014)
Gillian Coward Patient representative member (from October 2015)
Mr Michael Green Orthopaedic implant supplier member (from November 2013 – November 2017)
Mr Peter Howard Orthopaedic surgeon member (from May 2014)
Mr Rob Hurd NHS Trust management representative member (from May 2014)
Mr David Macdonald Independent healthcare sector representative member (from April 2016)
Sue Musson Patient representative member (from October 2011 – October 2017)
Professor Amar Rangan Orthopaedic surgeon member (from June 2015)
Professor Mark Wilkinson Public health and epidemiology member (from February 2014)
Mr Nicholas Wishart Orthopaedic implant supplier member (from November 2013 – November 2017)
Professor Karen Barker Practitioner with Special Interest in Orthopaedics (from January 2018)
Professor Mike Reed Orthopaedic Surgeon (from January 2018)
Co-opted membership from April 2017
Mr Ian Winson President, British Orthopaedic Association (October 2016 – September 2017)
Mr Ananda Nanu President, British Orthopaedic Society (from October 2017)
Professor Tim Briggs National Director for Clinical Quality and Efficiency, NHS Improvement
Mr Steve Hepple President, British Orthopaedic Foot and Ankle Society (from November 2017)
Mr Hussain Kazi Orthopaedic surgeon (from June 2015 to May 2017)
Mr Matthew Porteous Chairman, NJR Regional Clinical Coordinators
Dr Khalid Razak The Medicines and Healthcare products Regulatory Agency (MHRA)
Mr Robin Rice Welsh Government representative
Mr Andy Smallwood Head of Strategic Sourcing at NHS Wales
National Joint Registry | 15th Annual Report
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A1.3 Observers/attendees from April 2017
The following have regularly attended NJR Steering Committee meetings as observers:
A1.4 Members’ declarations of interest
Name Role/representative
Elaine Young NJR Director of Operations
Dr Carolina Arevalo NJR Associate Director – Contracts and Operations
Eve Riley NJR Associate Director – Research and Governance
James Ludley NJR Senior Communications Officer, HQIP (NJR contractor) (to February 2018)
Jane Ingham CEO, HQIP
RepresentativesNorthgate Public Services (NJR Data management, solutions and associated services contractor)
Representatives University of Bristol (NJR Statistical analysis, support and associated services contractor)
Name
Laurel Powers-Freeling No interests to declare
Mr Martyn Porter
Consultant orthopaedic surgeon, Wrightington, Wigan and Leigh NHS Trust (orthopaedic unit has received financial support from DePuy International for clinical and RSA studies for Elite Plus femoral stem and C-Stem)
Has acted as a consultant to DePuy International in relation to the development of a hip femoral stem (C-Stem AMT) and received royalties on this hip stem
Gillian Coward No interests to declare
Mr Michael Green(from November 2013 – November 2017)
Committee member of Arthritis Research USER Stakeholder Committee
Committee Member of ABHI Orthopaedics Special Interest Section
Mr Peter Howard Occasional honoraria for presenting/lecturing at meetings: UK Thromboprophylaxis forum (x3), Smith & Nephew (x1) and Ceramtec (x2)
Mr Rob Hurd
Chief Executive, Royal National Orthopaedic Hospital Director of Gubis Media Ltd
Joint Senior Responsible Officer, NHS Improvement / Department of Health clinically led efficiency programme - Getting It Right First Time - from 2014
Mr David Macdonald Part-time Assistant Medical Director and Shareholder, Spire Healthcare
Sue Musson(from October 2011 – October 2017)
Managing Director, Firecracker Projects Limited (supplying management consultancy to NHS organisations)
Chair, Lancashire Teaching Hospitals NHS Foundation Trust (from January 2017)
Professor Amar Rangan
Orthopaedic department has received educational grants from DePuy Ltd
Lead investigator for a post market Surveillance study sponsored by DePuy Ltd
Holds non-commercial research grants from the National Institute for Health Research; and a European grant from Horizon 2020
National Joint Registry | 15th Annual Report
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Professor Mark Wilkinson
Financial / personal: Medico-legal advice to Solicitors in relation to MOM hip prostheses
Financial / Non personal: Grant income Amgen Inc
Non-financial: President British Orthopaedic Research Society
Mr Nicholas Wishart(from November 2013 – November 2017)
Director of Adler Ortho UK Ltd Director of Ultra Medica Ltd
Professor Karen Barker(from January 2018)
No interests to declare
Professor Mike Reed(from January 2018)
Speaker for Zimmer on enhanced recovery / quality improvement / infection prevention and treatment
Speaker for Heraeus on infection prevention and treatment
Chief investigator for trial on antibiotic cements for patients with a hip fracture requiring hemiarthroplasty – WHITE8 – The trial is funded by Heraeus. Receives a sessional payment from Northumbria Healthcare NHS Foundation Trust to work on the trial.
Trial on antibiotic cements on patients with a hip fracture requiring hemiarthroplasty. WHITE8. Trial funded by Heraeus.
Zimmer – education grant to fund a fellow
Heraeus – collaborator on grants received for research projects on NucB, a nuclease for breaking down biofilm in infection.
National Joint Registry | 15th Annual Report
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Appendix 2NJR Steering Committee and Sub-committee composition andattendance April 2017 to March 2018A2.1 NJR Steering Committee: Composition and attendance
Members are appointed as posts become vacant.
Name Role/representativeMeetings attended (of four)
Laurel Powers-Freeling Chairman 4
Mr Martyn Porter Medical Director and Vice Chairman 3
Mr Peter Howard Orthopaedic surgeon member 4
Professor Amar Rangan Orthopaedic surgeon member 2
Gillian Coward Patient representative member 3
Sue Musson Patient representative member (from October 2011 – October 2017) 1
Mr David Macdonald Independent healthcare sector representative member 2
Professor Mark Wilkinson Public health and epidemiology member 3
Mr Nicholas Wishart Orthopaedic implant supplier member (to November 2017) 3
Mr Michael Green Orthopaedic implant supplier member (to November 2017) 3
Mr Rob Hurd NHS Trust management representative member 3
Professor Karen Barker Practitioner with special interest in Orthopaedics (from January 2018) 0
Professor Mike Reed Orthopaedic surgeon (from January 2018) 0
Co-opted members
Mr Ian Winson President, British Orthopaedic Association (Oct 2016–Sept 2017) 3
Mr Ananda Nanu President, British Orthopaedic Association (from Oct 2017) 1
Professor Tim Briggs National Director for Clinical Quality and Efficiency, NHS Improvement 0
Mr Hussain Kazi Orthopaedic surgeon (from June 2015 to May 2017) 1
Mr Matthew Porteous Chairman, NJR Regional Clinical Coordinators 3
Dr Khalid Razak The Medicines and Healthcare products Regulatory Agency (MHRA) 4
Mr Robin Rice Welsh Government representative 2
Mr Andy Smallwood Head of Strategic Sourcing at NHS Wales 4
National Joint Registry | 15th Annual Report
7www.njrcentre.org.uk
A2.2 NJR Executive Committee: Composition and attendance
The core membership meetings occur every month when possible.
Name Role/representativeMeetings attended (of seven)
Laurel Powers-Freeling NJRSC Chairman 7
Mr Martyn Porter
NJR Medical Director and Vice Chairman
NJR Medical Advisory Committee Chairman, NJR Editorial Board Chairman and NJR Data Quality Sub Committee Chairman
7
Elaine Young NJR Director of Operations, HQIP 7
Name Role/representativeMeetings attended (of four)
Mr Peter Howard
NJRSC Orthopaedic surgeon member
NJR Surgeon Performance Committee NJR Implant Scrutiny, and NJR Implant Performance Sub-committees, Chairman
4
Mr Matthew Porteous NJR Regional Clinical Coordinator Sub-committee Chairman 4
Professor Mark WilkinsonNJRSC Public health and epidemiology member NJR Research Sub-committee Chairman
3
Dr Carolina Arevalo NJR Associate Director of Operations and Contracts 4
Lot 1 contract representative(s)
Northgate Public Services (NJR Data management, solutions and associated services contractor)
4
Lot 2 contract representative(s)
University of Bristol (NJR Statistical analysis, support and associated services contractor)
4
Lot 3 contract representative(s)
NJR Senior Communications Officer, HQIP (NJR contractors) 3
The Extended membership joins the Core membership every other month as business requires.
National Joint Registry | 15th Annual Report
8www.njrcentre.org.uk
A2.3 NJR Medical Advisory Committee: Composition and attendance
Name Role/representativeMeetings attended (of three)
Mr Martyn Porter
Committee Chairman
NJRSC Medical Director and Vice Chairman
NJR Editorial Board Chairman and NJR Data Quality Sub-Committee Chairman
3
Professor Tim Briggs National Director for Clinical Quality and Efficiency, GIRFT 0
Sue MussonNJRSC Patient representative member (October 2011 – October 2017)
0
Mr Peter Howard
NJRSC Orthopaedic surgeon member
NJR Surgeon Performance, Implant Scrutiny, and Implant Performance Sub-committees, Chairman
2
Mr Ian Winson (October 2016 – September 2017)
Mr Ananda Nanu (from October 2017)
British Orthopaedic Association President 3
Julia Trusler British Orthopaedic Association representative 3
Mr Mike Thomas (June 2015 - June 2017)
Mr Peter Brownson (June 2017 – June 2019)
British Elbow and Shoulder Society President 3
Mr Peter Howard (March 2017 – March 2018)
Mr Andrew Manktelow (President Elect March 2017 – March 2018)
British Hip Society President 3
Mr Colin Esler British Association for Surgery of the Knee President (October 2016 - September 2018)
3
Mr Matthew Porteous NJR Regional Clinical Coordinator (RCC) Sub-committee, Chairman 3
Mr Chris Blundell (November 2016-November 2017)
Mr Steve Hepple (November 2017-November 2018)
British Orthopaedic Foot and Ankle Society President 3
Mr Andy Goldberg British Orthopaedic Foot and Ankle Society representative 2
Professor Mark WilkinsonNJRSC Public health and epidemiology member, and NJR Research Sub-committee, Chairman
1
Mr David Macdonald NJRSC Independent Healthcare Sector representative member 3
Keiko Toma Provider Analytics Manager (Acute Hospitals) CQC 2
Elaine Young NJR Director of Operations 2
Dr Carolina Arevalo NJR Associate Director – Contracts and Operations 3
James Ludley NJR Senior Communications Officer (to February 2018) 3
Please note: Professor Peter Kay, National Clinical Director, Musculoskeletal Services, NHS England, receives all committee papers and is open to attend MAC for any agenda items being discussed.
National Joint Registry | 15th Annual Report
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A2.4 Editorial Board: Composition and attendance
Name Role/representativeMeetings attended (of three)
Mr Martyn Porter
Committee Chairman
NJRSC Medical Director and Vice Chairman
NJR Medical Advisory Committee Chairman and NJR Data Quality Sub-Committee Chairman
3
Professor Ashley Blom
Dr Emma Clarke
Dr Linda Hunt
Adrian Sayers
Sofia Mouchti
Mr Michael Whitehouse
Professor Andrew Price (University of Oxford)
Representatives, University of Bristol (NJR Statistical analysis, support and associated services contractor)*
3
Mr Colin EslerPresident, British Association for Surgery of the Knee (October 2016 - September 2018)
2
Olivia Forsyth
Victoria McCormack
Dr Claire Newell
Mr Mike Swanson
Representatives, Northgate Public Services (NJR Data management, support and associated services contractor)*
3
Mr Andy Goldberg British Orthopaedic Foot and Ankle Society representative 1
Mr Michael Green NJRSC Orthopaedic implant supplier member (to November 2017) 1
Mr Peter Howard
NJRSC Orthopaedic surgeon member
NJR Surgeon Performance Committee, NJR Implant Scrutiny, and NJR Implant Performance Sub-committees, Chairman
British Hip Society President (2017-18)
0
Professor Jonathan Rees British Elbow and Shoulder Society representative 2
Professor Mark WilkinsonNJRSC Public health and epidemiology member, and NJR Research Sub-committee, Chairman
2
Mr Nicholas Wishart NJRSC Orthopaedic implant supplier member (to November 2017) 2
Professor Adam Watts
Dr Sebastian Dawson-Bowling
NJR Regional Clinical Coordinator representatives* 3
Elaine Young NJR Director of Operations, HQIP 2
Dr Carolina Arevalo NJR Associate Director – Contracts and Operations 0
James LudleyNJR Senior Communications Officer, HQIP (NJR contractor) (to February 2018)
3
*One or more of the named representatives attended each meeting.
National Joint Registry | 15th Annual Report
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A2.5 Implant Scrutiny and Performance Sub-committees: Composition and attendance
Name Role/representative
Implant Performance Sub- committee
Meetings attended (of one)
Implant Scrutiny Group
Meetings attended (of three)
Mr Peter Howard
Committee Chairman
NJRSC Orthopaedic surgeon member
NJR Surgeon Performance Sub-committee Chairman
0 3
Dr Linda Hunt
Dr Michelle Smith
Mr Michael Whitehouse
Michelle Kelly
Representatives, University of Bristol (NJR Statistical analysis, support and associated services contractor)*
0 3
Dr Khalid Razak
Salma Husain Representatives, MHRA* 0 3
Dr Claire Newell
Dr Martin Pickford
Edward Caton
Representatives, Northgate Public Services (NJR Data management, support and associated services contractor)*
0 3
Mr Martyn Porter
NJRSC Medical Director and Vice Chairman
NJR Medical Advisory Committee Chairman, NJR Editorial Board Chairman and Data Quality Sub-Commitee Chairman
0 2
Mr Andy Smallwood Head of Strategic Sourcing at NHS Wales 0 1
Mr Keith Tucker Representative, ODEP/Beyond Compliance 0 3
Elaine Young NJR Director of Operations, HQIP 0 2
Professor Jonathan ReesBritish Elbow and Shoulder Society representative
0 2
Dr Carolina ArevaloNJR Associate Director – Contracts and Operations
0 3
Rebecca Swinson (from September 2017)
NJR Operations Manager (Performance) 0 2
Mr Matthew PorteousNJR Regional Clinical Coordinator Sub-committee Chairman
0 1
*One or more of the named representatives attended each meeting.
National Joint Registry | 15th Annual Report
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A2.6 Surgeon Performance Sub-committee: Composition and attendance
Name Role/representativeMeetings attended (of four)
Mr Peter Howard
Committee Chairman NJRSC Orthopaedic surgeon
NJR Implant Scrutiny and Implant Performance Sub-committees Chairman
4
Olivia Forsyth
Dr Claire Newell
Mike Swanson
Edward Caton
Representatives, Northgate Public Services (NJR Data management, support and associated services contractor)*
4
Dr Linda Hunt
Professor Ashley Blom
Adrian Sayers
Mr Michael Whitehouse
Representatives, University of Bristol (NJR Statistical analysis, support and associated services contractor)*
4
Mr Matthew Porteous NJR Regional Clinical Coordinator Sub-committee Chairman 3
Mr Martyn Porter
NJRSC Medical Director and Vice Chairman
NJR Medical Advisory Committee Chairman, NJR Editorial Board Chairman and Data Quality Sub-Committee Chairman
4
Sue MussonNJRSC Patient representative member (October 2011 – October 2017)
0
Elaine Young NJR Director of Operations, HQIP 3
Dr Carolina Arevalo NJR Associate Director – Contracts and Operations 4
Rebecca Swinson (from September 2017)
NJR Operations Manager (Performance) 2
Mr Rob Hurd NHS Trust management representative member 1
Keiko Toma
Mike ZeidermannCo-opted members, CQC Representatives* 4
*One or more of the named representatives attended each meeting.
National Joint Registry | 15th Annual Report
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A2.7 Research Sub-committee: Composition and attendance
Name Role/representativeMeetings attended (of four)
Professor Mark WilkinsonCommittee Chairman
NJRSC Public Health and Epidemiology representative4
Gillian Coward
Sue Musson (from October 2011 – October 2017)
NJRSC Patient representative member* 4
Mr Peter Howard
NJRSC Orthopaedic surgeon member
NJR Surgeon Performance Committee, NJR Implant Scrutiny, and NJR Implant Performance Sub-committees, Chairman
0
Professor Alex MacGregor Co-opted member (past Chair) 2
Professor James Mason Co-opted member (Health Economist) 3
Dr Claire Newell
Dr Martin Pickford
Mike Swanson
Representatives, Northgate Public Services (NJR Data management, support and associated services contractor)*
4
Mr Martyn Porter
NJRSC Medical Director and Vice Chairman
NJR Medical Advisory Committee Chairman, NJR Editorial Board Chairman and NJR Data Quality Sub-Committee Chairman
1
Professor Andrew Price NJRSC Orthopaedic surgeon 2
Professor Amar Rangan NJRSC Orthopaedic surgeon (from September 2015) 0
Eve Riley NJR Associate Director of Research and Governance, HQIP 4
Professor Yoav Ben-Shlomo
Dr Celia Gregson
Representatives, University of Bristol (NJR Statistical analysis, support and associated services contractor)*
4
Elaine Young NJR Director of Operations, HQIP 0
David Macdonald NJRSC Independent Healthcare Sector representative member 0
Dr Jonathan Jeffers Mechanical engineering expert 2
Mr Andy Goldberg Foot and ankle surgery expert 1
*One or more of the named representatives attended each meeting.
National Joint Registry | 15th Annual Report
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A2.8 Regional Clinical Coordinator Sub-committee: Composition and attendance
Name Role/representativeMeetings attended (of three)*
Mr Matthew Porteous Committee Chairman / RCC East of England 3
Mr James Wimhurst East of England (to 2017) 0
Mr Joel Melton East of England 2
Mr Gary Mundy East Midlands (from 2017) 1
Mr Alistair Jepson East Midlands 1
Mr Vipul Patel London 3
Mr Sanjay Sinha London (from 2017) 2
Dr Sebastian Dawson-Bowling
London (from 2017) 2
Mr Jaime Candal-Couto North East 1
Mr Stephen Green North East 3
Mr David Bamford North West 2
Mr Michael O’Connor North West 1
Mr Derek Pegg North West 3
Professor Adam Watts North West 1
Dr Grant Shaw South Central (from 2017) 3
Mr William Tice South Central 2
Mr Hagen Jähnich South East Coast (to 2017) 2
Mr Sunil Jain South East Coast 2
Mr Ben Bolland South West (from 2017) 2
Mr Jon Mutimer South West (from 2017) 2
Mr David Dunlop West Midlands (to Dec 2017) 1
Mr Sudheer Kharlakki West Midlands (from Dec 2017) 0
Mr Howard Davies Yorkshire and Humber 0
Professor Hemant Pandit Yorkshire and Humber (from 2017) 2
Mr Muthu Ganapathi North Wales (to 2017) 1
Mr Koldo Azurza North Wales (from 2017) 0
Mr Peter Cnudde Mid and West Wales (from 2017) 3
Mr Alun John South and East Wales (to 2017) 2
National Joint Registry | 15th Annual Report
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Olivia Forsyth
Carol Harrison
Dr Claire Newell
Mike Swanson
Inez Dunn
Representatives, Northgate Public Services (NJR Data management, support and associated services contractor)**
3
Mr Martyn Porter NJR Medical Director and Vice Chairman, NJRSC 1
Elaine Young NJR Director of Operations, HQIP 2
James Ludley NJR Senior Communications Officer, HQIP (NJR contractor) 2
*Due to start and/ or end date of members’ RCC role, some members may not have been in post throughout the whole reporting period and a lower attendance rate may be reflective of this.
**One or more of the named representatives attended each meeting.
A2.9 Data Quality Sub-committee: Composition and attendance
Name Role/representativeMeetings attended (of four)
Mr Martyn Porter
Committee Chairman
NJRSC Medical Director and Vice Chairman
NJR Medical Advisory Committee Chairman and Editorial Board Chairman
3
Inez Dunn
Olivia Forsyth
Carol Harrison
Dr Claire Newell
Maggie Tate
Representatives, Northgate Public Services (NJR Data management, support and associated services contractor)*
4
Mr Colin Esler
NJR Regional Clinical Coordinator Sub-committee Vice Chairman
President British Association of Surgery of the Knee (October 2016 - September 2018)
1
Professor Paul Gregg NJRSC Past Vice Chairman 4
Mr Peter Howard
NJRSC Orthopaedic surgeon member
NJR Surgeon Performance Committee, NJR Implant Scrutiny, and NJR Implant Performance Sub-committees Chairman
4
Tim Wilton
Julia TruslerBritish Orthopaedic Association representatives 3
Mr Matthew Porteous NJR Regional Clinical Coordinator Sub-committee Chairman 4
National Joint Registry | 15th Annual Report
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Adrian Sayers
Professor Andy Judge (University of Oxford)
University of Bristol (NJR Statistical analysis, support and associated services contractor)
4
Mr Derek PeggOrthopaedic surgeon, Vice Chair NJR Regional Clinical Coordinator Sub-committee, RCC North West
1
Ian Winson (October 2016 – September 2017)
Ananda Nanu (from October 2017)
President, British Orthopaedic Association 0
Mr David Macdonald NJRSC Independent Healthcare Sector representative member 0
Elaine Young NJR Director of Operations, HQIP 4
Dr Carolina Arevalo NJR Associate Director – Contracts and Operations 4
James Ludley (to February 2018)
NJR Senior Communications Officer, HQIP (NJR contractor) 3
*One or more of the named representatives attended each meeting.
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