Skip to content. | Skip to navigation

Personal tools
Log in
Sections
Home › Patients › The Surgical Team › Surgical Outcomes

Surgical Outcomes

Driving up standards of care for patients through publishing surgeons outcomes data

In 2013, surgeons led the way in transparency in the NHS by being the first profession to record and publish data on the outcomes of surgical procedures. Now in its second year, surgeon’s outcomes data covering over 5,000 consultant surgeons for more than 28 procedures across Britain has been published on the NHS choices website for the first time – a considerable achievement for the profession and its commitment to delivering high quality care to patients. There is an on-going drive for greater transparency within the NHS to improve standards and safety and reinforce trust in clinicians and the profession is proud to continue to lead the way in this agenda.

The objective of publishing the data is to drive forward improvements in care and enable patients to understand far more about the nature of a surgeon’s work and their recovery after an operation. For patients, the information shows you the number of times a given procedure has been performed by a surgeon over a year and how close their performance is to the average standard. Patients can now access this information on the My NHS (NHS Choices) website.

The individual specialty data sets cover varying time periods, with some audits looking at over three years of data. Surgeons across the country have willingly worked hard and committed time and effort over the past year to gather and analyse their data in what has not been a small feet to ensure that the data is accurate and reflective of the work that they are doing. The measurements, based on national clinical audits, are a way of measuring performance against a set of professional standards relating to survival rates, length of stay in hospital following a procedure and repeat operation rates, as well as the number of operations performed. Each specialty does a very different type of work, so the measures for each vary so each specialties data must be looked at on an individual basis.

The exercise has found that the overwhelming majority of surgeons are performing operations and procedures to a high standard set by their own professional surgical specialties. Less than a handful of surgeons, out of over 5,000 appear as ‘outliers’ where their results are significantly different from others. In the extremely rare instance where there is a concern, the specialty association is working closely with the individual and hospital trust in order to understand the reasons behind their data and where necessary ensure support is in place so that patients are receiving a high standard of care.

It is believed that, by revealing what others have achieved in their clinical area, surgeons are more likely to reflect on their practice and be inspired to improve while providing patients with accurate information on their surgeon’s outcomes. You can read more about the 11 surgical specialties, represented procedures, their expected publication dates on My NHS below:

Adult cardiac surgery
List of procedures Specialist Society
This covers all elective/ urgent surgery Society for Cardiothoracic Surgery (SCTS)
Vascular surgery
List of procedures Specialist Society
Elective infra renal AAA repairs Vascular Society of Great Britain and Ireland (VSGBI)
Carotid endarterectomy
Thyroid and endocrine surgery
List of procedures Specialist Society
This covers all procedures British Association of Endocrine and Thyroid Surgeons (BAETS)
Interventional cardiology
List of procedures Specialist Society
This covers Percutaneous coronary intervention British Cardiovascular Intevention Society (BCIS)
Orthopaedic surgery
List of procedures Specialist Society
This covers Hip/Knee/Ankle/Elbow/Shoulder British Orthopaedic Association (BOA)
Bariatric surgery
List of procedures Specialist Society
This covers all procedures British Obesity & Metabolic Surgery Society (BOMSS)
Urological surgery
List of procedures Specialist Society
Nephrectomy British Association of Urological Surgeons (BAUS)
Colorectal surgery
List of procedures Specialist Society
This covers all elective surgery The Association of Coloproctology of Great Britain and Ireland (ACPGBI)

Head and neck surgery
Surgical resections on Specialist Society
This covers all elective surgery British Association of Head and Neck Oncology (BAHNO)
Upper gastro-intestinal surgery
List of procedures Specialist Society
This covers Oesophagectomies and gastrectomies combined Association of Upper Gastrointestinal Surgeons (AUGIS)
Lung cancer
List of procedures Specialist Society
This covers Therapeutic resections
Neurosurgery
List of procedures Specialist Society
Urogynecology
List of procedures Specialist Society
This covers Stress Incontinence Surgery