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Patient Survey Highlights Variation in Benefit from Common NHS Operations

New online map shows survey results by local provider in England

 

The Health and Social Care Information Centre (HSCIC) has published an interactive map showing the level of health benefit patients feel they gain from four common NHS operations under different providers.

For the first time the map presents the annual results of the Patient Reported Outcome Measures (PROMs) programme. Nationally, the levels of benefit patients reported from these operations have remained consistent since the first results in 2009/10. However, the map and the report show significant variation across NHS providers on perceived patient health gain from hip, knee, varicose vein and groin hernia procedures.

Patients complete PROMs questionnaires about their health before and following surgery, so that the extent they feel they have gained can be assessed. One of several scoring systems used - the EQ-5D Index score applies across all procedures to a detailed level, capturing different health aspects such as mobility, pain and depression.

Using the EQ-5D Index score to compare results across all four procedures, the report and associated map shows that in 2011/12:

Hip replacements
Two providers were positive outliers (meaning their scores were significantly better than the England average), compared to five in 2010/11.
The Horder Centre, East Sussex, has been a positive outlier on this score in each of the three years that the PROMs programme has been running.
Three providers were negative outliers (meaning their scores were significantly worse than the England average), compared to nine in 2010/11.
Nationally, about 87 per cent of respondents recorded an improvement in general health after surgery in the three years that PROMs has reported.

Knee replacements
No providers were positive outliers, compared to one in 2010/11.
Three providers were negative outliers compared to six in 2010/11. No provider has been a repeated negative outlier in all three years of PROMs.
Nationally, around 78 per cent of respondents recorded an improvement in general health after surgery in all three years that PROMs has reported.

Groin hernia surgery
There was a positive outlier, the South Warwickshire NHS Foundation Trust. This was the first time any provider has been identified as a positive outlier on this measure since PROMs first reported in 2009/10.
There was one negative outlier.
Nationally, between 49 and 51 per cent of respondents recorded an improvement in general health after surgery during the three years PROMs has reported.

Varicose Vein surgery
No providers were outliers, positive or negative. This was also the case in 2010/11.
Nationally, around 52 to 53 per cent of respondents recorded an improvement in general health after surgery, over the three years of PROMs.

HSCIC Chair Kingsley Manning said: I am very pleased that the HSCIC is able to offer the public a new tool to make data more accessible on these key operations which thousands of patients undergo each year.

By making our published data available in a variety of formats for patients, care users, the public, clinicians, policymakers and others the HSCIC can play a powerful role in improving health and social care outcomes.

The report is here

The interactive map can be found here

 

Source: HSCIC

 

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The Operating Theatre Journal, OTJ, is published monthly and distributed to every hospital operating theatre department in the UK. The distribution includes both the National Health Service and the Private Sector.

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