Introduction to the NJR
The National Joint Registry (NJR) of England and Wales was established in 2002. Its purpose is to define, improve and maintain the quality of care of individuals receiving hip, knee and ankle joint replacement surgery across the NHS and the independent healthcare sector. As part of its remit:
- The National Joint Registry (NJR) collects high quality and relevant data about joint replacement surgery & acts to inform patients, clinicians, providers and commissioners of healthcare, regulators and implant suppliers of the outcomes achieved in joint replacement surgery. The NJR supports evidence-based purchasing of joint replacement implants for healthcare providers to support quality and cost effectiveness.
- In 2008 (1 April), the management of the NJR was transferred from the Department of Health to the Healthcare Quality Improvement Partnership (HQIP), a consortium comprising the Academy of Medical Royal Colleges, the Royal College of Nursing and National Voices.
- The Orthopaedic Data Evaluation Panel (ODEP) was set up in 2002 to implement NICE guidance on primary hip implants & benchmark the list of implants.
ODEP benchmark Hip, Knee and now Shoulder prostheses, against agreed standards and at regular time points. It is a rolling process and manufacturers will submit their date data from the pre-entry level (before the first official benchmark) through 3, 5, 7, and 10 years. These time points will be extended as data from registries and other sources becomes available. Submissions are accepted bi-annually for each joint. Hips and shoulders are benchmarked in the spring and autumn with knees in the summer and winter.
The ODEP rating is now a commonly used benchmark used not only in the UK but globally.
A number of people may at some time in the future need another operation on the same joint. This may occur for a variety of reasons, most commonly because the joint implant has worn out. There are many different types of hip & knee and implants, so click here to get the views of Mr Warwick J P Radford, Consultant Orthopaedic Surgeon based at The Chelsea and Westminster Hospital, London as to “What’s hip and what’s hype” in total hip joint replacement.
Click here to be taken to the National Joint Registry website where more information is available.