The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Mr Rodney John Charles Laing MD FRCS(SN)
Professional Title Consultant Neurosurgeon
GMC Number 2825421
Personal Email christine.mcgowan@addenbrookes.nhs.uk
Secretary Chris Mcgowan 01223217211 christine.mcgowan@addenbrookes.nhs.uk
SBNS Member? Yes

Hospitals

Training


MA MB BChir MD FRCS(SN)

1995

Trinity College Cambridge 1977 - 1980 London Hospital Medical College 1980 - 1983

Neurosurgical Registrar Hallamshire Hospital Sheffield 1988 - 1990 Research Fellow Hallamshire Hospital Sheffield 19090 - 1992 Neurosurgical Senior Registrar Addenbrookes Hospital Cambridge 1993 - 1994 Spinal Fellow Walton Centre Liverpool 1995

Professional Activity


Council Member Society of British Neurological Surgeons Senate member Complex Spine Clinical Reference Group Member United Kingdom Spine Societies Board

Society of British Neurological Surgeons British Association of Spine Surgeons Syringomyelia Interest Group

Spinal cases. Several years experience.

Clinical Activity


Spinal Neurosurgery Spinal cord tumours Syringomyelia and Chiari Malformations Minimally invasive surgery

Clinical Director Neurosciences

Research


My main research interest has been in validating generic outcome measures for use in spinal procedures.

Maratos E, Trivedi R, Richards H, Seeley H, & Laing RJ. Psychological distress does not compromise outcome in spinal surgery. Br J Neurosurg 2012 Vakharia V Guilfoyle M Laing RJ Prospective study of outcome of foramen magnum decompressions in patients with syrinx and non-syrinx associated Chiari malformations. Br J Neurosurg 2012 26: 7-11 Guilfoyle M, Seeley H, Laing RJ. The Short Form 36 health survey in spine disease – validation against condition specific measures. Br J of Neurosurg 2009 23;401-405. Mannion R, Wilby M, Godward S, Lyratsopoulos G, Laing RJ. The Surgical Management of Metastatic Spinal Disease Prospective Assessment and Long Term Follow-Up. Br J Neurosurg 2007 21:593-598 Guilfoyle M, Ganesan D, Seeley HM, Laing RJ. Prospective Study of Outcomes in Lumbar Discectomy. Br J Neurosurg 2007; 21(4):1-7 Wilby MJ, Seeley HM, Laing RJ. Laminectomy for lumbar canal stenosis; a safe and effective treatment. Br J Neurosurg 2006; 20(6)391-395

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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