The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Professor P Eldridge MA MB MChir FRCS
Professional Title Neurosurgeon
GMC Number 2726340
Personal Email paul.eldridge@thewaltoncentre.nhs.uk
Secretary V Davies 01515295669 victoria.davies@thewaltoncente.nhs.uk
SBNS Member? Yes

Hospitals

Training


BA (1978) Cambridge University

MA (1981) Cambridge University

MB BChir (1981) Cambridge University

MChir (1993) Cambridge University

FRCS (Eng) 1985 

Certificate of Accrediation in Neurosurgery (1992) - RCS England

1993

Cambridge University (1975-78)

St Thomas Hospital (1978-81)

University Hospital Wales 1984

Southhampton - Wessex Neurological Centre 1985

Queen's Medical Centre Nottingham 1986-1990 (including research sabbatical year)

Mersey Regional Dept Surgical Neurology (Liverpool) 1990-2

Professional Activity


  • Professor of Neurosurgery University of Liverpool 2013-present
  • Member Clinical Commissioning Group Adult Neurosurgery
  • Honorary Consultant Neurosurgeon, Clatterbridge Centre of Oncology
  • Honorary Consultant Neurosurgeon, Royal Liverpool Childrens Hospital
  • Editor British Journal of Neurosurgery - 2008-present
  • Secretary Society of British Neurological Surgeons 2007-11
  • President UK Chapter International Neuromodulation Society 2005-6
  • Specialist Advisor to NICE, MHRA

Royal College of Surgeons

Society of British Neurological

Surgeons British Neurovascular Group

British Stereotactic and Functional Neurosurgery group

Group British Pain Society

World Stereotactic and Functional Neurosurgery 

European Soc Stereotactic and Functional Neurosurgery

Intra-operaitve Imaging Society

Intensive Care Society

International Neuromodulation Society

Moderate on the above topics

Clinical Activity


Pain DREZ lesioning Trigeminal neuralgia Movement disorders Epilepsy Neuro-oncolcgy, awake craniotomy, neurophysiological monitoring intraoperatively, Neurovascular Stereotactic SRS for AVM, TGN Tumours

Clinical Director Neurosurgery, Pain, Critical Care, Anaesthesia Walton Centre 2000-11

Research


Clinical Research in each of the specialist areas. PhD supervisor and examiner Grants - movement disorder, tumours, pain, epilepsy to support publications as listed Invited lectures

Trigeminal neuralgia – pathophysiology, diagnosis and current treatment TJ Nurmikko, PR Eldridge British Journal of Anaesthesia. 87(1):117-32, 2001

Co-editor and author 2nd and 3rd edition "Key Topics in Chronic Pain" K Grady, A Severn, PR Eldridge Bios Scientific Publishers 2002; 3rd Edition published 2006.

Tremor reduction and quality of life after deep brain stimulation for multiple sclerosis-associated tremor Zakaria R, Vajramani G, Westmoreland L, Fletcher N, Eldridge P, Alusi S, Osman-Farah J. Acta Neurochir 2013 Acta Neurochir (Wien). 2013 Dec;155(12):2359-64; discussion 2364.

Refractory chronic pain screening tool (RCPST); A feasibility study to assess the practicality and validity of identifying potential neurostimulation candidates Baron R, Backonja, M, Eldridge P, Levy R, Vissers K, Attal N, Buchser E, Cruccu G, DeAndres J, Hansson K, Jacobs M, Loeser J, Prager J, Stanton-Hicks M, Regnault A, Van den Abeele C, Taylor R Pain Medicine 2013, pub online DOI: 10.1111/pme.12272

The long-term outcome of microvascular decompression for trigeminal neuralgia. Sarsam Z, Garcia-Fiñana M, Nurmikko TJ, Varma TR, Eldridge P. Br J Neurosurg. 2010 Feb;24(1):18-25

Bilateral deep brain stimulation for cervical dystonia: long-term outcome in a series of 10 patients. Cacciola F, Farah JO, Eldridge PR, Byrne P, Varma TK. Neurosurgery. 2010 Oct;67(4):957-63

The duration of temporal lobe epilepsy and seizure outcome after epilepsy surgery. Lowe NM, Eldridge P, Varma T, Wieshmann UC. Seizure. 2010 Jun;19(5):261-3

Application of electromagnetic technology to neuronavigation: a revolution in image-guided neurosurgery. Hayhurst C. Byrne P. Eldridge PR. Mallucci CL. Journal of Neurosurgery. 111(6):1179-84, 2009 Dec. Varma TR, Eldridge P

Use of the NeuroMate stereotactic robot in a frameless mode for functional neurosurgery. Int J Med Robot. 2006 Jun;2(2):107-13

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
Image

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
Image

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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