The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Mr Richard Walsh MA MB FRCS
Professional Title Consultant Paediatric and Adult Neurosurgeon
GMC Number 2384740
Personal Email Richard.Walsh2@bch.nhs.uk
Secretary Mrs Liz Jones 01213716853 liz.jones@uhb.nhs.uk
SBNS Member? Yes

Hospitals

Training


BA Honours Cambridge University 1974 B Chir Cambridge University 1977 MB Cambridge University 1978 MA Cambridge University 1978 FRCS England 1981
1990
The London Hospital Medical College
Neurosurgical Training Registrar and Senior Registrar Atkinson Morley's hospital Wimbledon, National Hospital Queen Square London, Hospital For Sick Children Great Ormond Street London Epilepsy Surgery Fellowship University of Washington Seattle USA 1990

Professional Activity


Consultant Neurosurgeon Birmingham Children's hospital & queen Elizabeth hospital birmingham Clinical Service Lead Neurosurgery University hospital Birmingham 1998-2009 Chairman British paediatric Neurosurgical Group 2012-2014 Deputy Chairman British Paediatric Neurosurgical Group 2014-current Member Paediatric Neuroscience CRG 2012-2014 Member Audit Committee British Paediatric neurosurgical Group 2014-current Member Audit Committes British Society Skull base surgery 2014-current
Society british Neurological Surgeons International Society For Paediatric Neurosurgery Europeon Society for Paediatric Neurosurgery British Skull Base Society

Clinical Activity


Paediatric and adult epilepsy surgery; paediatric and adult neuro-oncology including awake craniotomy; skull base surgery

Research


Outcome Report

SBNS
Understanding activity pie charts


What does the Consultant activity pie chart show?

The Consultant activity pie charts represent the total number of elective (planned) finished consultant episodes (FCEs) and non-elective (emergency) finished consultant episodes. A finished consultant episode usually represents the care of a single patient from admission to discharge.

Please note that for Consultants who provide both adult services for patients older than 17 years and paediatric services for patients 16 years old and younger there are two outcome reports.

Elective Procedural Case-mix and Case Volume
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SBNS
Understanding mortality funnel plot charts

What does the Consultant funnel plot chart show?

The Hospital Consultant mortality funnel plot represent the total number of elective (planned) finished consultant episodes (FCEs) and non-elective (emergency) finished consultant episodes. A finished consultant episode usually represents the care of a single patient from admission to discharge.

The mortality presented here is for three years: April 2014 – March 2017. Please note that for Consultant who provide both adult services for patients older than 17 years and paediatric services for patients 16 years old and younger there are two outcome reports.

The horizontal yellow line represents the national average mortality. The solid black lines above and below the yellow line are the control limits. The upper control limit represents the highest expected mortality rate. The Consultant's outcome is highlighted in magenta.

30 Day Risk Adjusted Elective Procedural Mortality
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The outcomes of this consultant are within the expected range

Understanding the risk-adjusted mortality rate

Risk adjustment (or case-mix adjustment) takes into account patient risk factors to calculate a predicted mortality rate. This means that hospitals or consultants who see higher risk patients have their mortality rate adjusted to account for the factors that put these patients at greater risk.

Understanding the 'funnel plot' diagram

The funnel plot displays the risk-adjusted elective procedural mortality ratio for each consultant plotted against the expected number of mortalities for that consultant. The expected number of mortalities for each consultant will vary depending on the number of procedures they have performed and the risk profile of the patients they have treated. The horizontal yellow line represents the expected ratio. The solid black line above the chart is known as a ‘control limit’. This control limit represents the highest expected mortality rate. Risk-adjusted rates appearing beneath this line are within the normal range.

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