The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Mr Donald C Macarthur BSc MBChB DM FRCS(G) FRCS(Neurosurg)
Professional Title Consultant Paediatric and Adult Neurosurgeon
GMC Number 3276413
Personal Email donald.macarthur@nuh.nhs.uk
Secretary Andy Callaway-Fisk 0115 924 9924 ext 63063 Andrew.Callaway-Fisk@nuh.nhs.uk
SBNS Member? Yes

Hospitals

Training


BSc Hons ( Neurosciences) First Class - University of Edinburgh - 1989 . MBChB with Honours - University of Edinburgh - 1991 . FRCS ( Glasgow) - RCPSGlasgow - 1995 . DM - University Nottingham - 2002 . FRCS ( Neurosurg) - Intercollegiate- 2002

2003

University of Edinburgh 1985 - 1991

Nottingham 1997 - 2003

Professional Activity


Stanhope Fellowship in Neurosurgery & Academic Radiology , University of Nottingham, 2000 - 2001 . Honorary Consultant Lecturer , School of Clinical Sciences , University of Nottingham, 2011 to 2014 . Honorary Clinical Associate Professor , University of Nottingham , 2014 to 2017 . Neurosurgical Training Programme Director , East Midlands Deanery / HEEM , 2009 - 2016 . Chairman of British Paediatric Neurosurgical Group 2014 - 2016 . Vice-Chair of neurosurgical SAC 2017 -

British Neuro-Oncology Society . Childrens Cancer Leukaemia Group – CNS Division . European Society for Paediatric Neurosurgery . Society of British Neurological Surgeons . British Paediatric Neurosurgical Group .

None

Clinical Activity


Neuro-oncology . Paediatric . CSF disorders ( hydrocephalus) .

Co-Chair Neuro-oncology Multidisciplinary Team.  Brain and CNS Tumour ECAG lead for East Midlands.  

Research


BASICS trial - local PI . Rescue ICP - previously local PI. SIOP Ependymoma trial- analyses of results of previous trials and development of SIOP Ependymoma II protocols. BIOMEDE trial. Brain tumour imaging. Tumour heterogeneity. Intracavity and intrathecal drug delivery for tumours. Posterior fossa syndrome - Nordic / UK Posterior Fossa Syndrome study.  Mechanisms of medulloblastoma metastasis.  

SHASTRI-HURST N, TSEGAYE M, ROBSON DK, LOWE JS, MACARTHUR DC “Stereotactic brain biopsy: an audit of sampling reliability in a clinical case series” Br J Neurosurgery, 2006, 20(4), 222-226, SMITH SJ, BODDU S, MACARTHUR DC “Atypical meningiomas: WHO moved the goalposts” Br J Neurosurgery, 2007 21(6), 588-592, SMITH SJ, UGHRATDAR I, MACARTHUR DC “Never go to sleep on undrained pus: a retrospective review of surgery for intraparenchymal cerebral abscess” Br J Neurosurg, 2009, 23(4), 412-417, DAVIS EE, PITCHFORD NJ, JASPAN T, MCARTHUR D, WALKER D “Development of cognitive and motor function following cerebellar tumour injury sustained in early childhood” Cortex, 2010, 46(7), 919-932, MACARTHUR, D C; “Surgical Approaches” Chapter 5 , p 171-178 in NATHANSON ,M , MOPPETT, I and WILES, M( eds) “Oxford Handbook of Neuroanaesthesia” Oxford University Press ( 2011)

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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