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Report published into different practices in orthopaedic surgery in England

On Tuesday 17th March 2015, the British Orthopaedic Association (BOA) issued a press release in relation to their recently published report reviewing current practices and outcomes of NHS Hospitals providing orthopaedic surgery in England.

The aim of the report was to identify and quantify variation in clinical outcomes, processes, patient experience, patient pathways, network arrangements, financial impacts and waiting times. The report was named the “Getting it Right First Time” report.

The report itself was based upon a national pilot, developed by the BOA, with the aim of developing a clinically-led approach to reviewing the pathways of adult elective orthopaedics and spinal activity and to consider all aspects of the care including quality outcomes and litigation costs.

The BOA report has now identified a significant variation in practices and outcomes in terms of multiple elements of orthopaedic care, and most interestingly, a significant variation in litigation rates. Perhaps one of the report's important observations, that there is often no formal consensus as to what constitutes best practice in areas of activity where there is no NICE (National Institute of Clinical Excellence) or formal guidance, may be considered a key factor in the significant variation of litigation rates.

Here at PotterReesDolan we were very happy to note that the report is part of a longer term project intended to have a positive impact on service delivery.

The work done by the team at the BOA to gather all the necessary data, not only for the report, but for the future of the project, has been extensive and we hope that the overall outcome will be a consistent approach to the delivery of orthopaedic care within the NHS.

We sadly see patients who have been injured due to negligently performed orthopaedic surgery and those who have suffered due to the long NHS waiting lists and lack of availability of appropriate orthopaedic services and hope that a consistent approach, should it be possible, across the whole of the NHS will reduce such injuries.

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