The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Mr Neil Buxton MB, ChB FRCS(Ed) FRCS(Neurosurg)
Professional Title Consultant Neurosurgeon
GMC Number 3331561
Personal Email neil.buxton@thewaltoncentre.nhs.uk
Secretary Eileen 0151 529 5677 eileen.ledson@thewaltoncentre.nhs.uk
SBNS Member? Yes

Hospitals

Training


MBChB 1989 Leeds University

FRCS Edinburgh 1994

FRCS (Neuro.Surg) 1999

DMCC Society of Apothecaries 2002

2001

Leeds University 1984-1989

Registrar training Nottingham 1994-2001

Professional Activity


Clijnical Director Neurosurgery/Head and Neck, Alder Hey Children's Hospital 2011-2013

Society of British Neurological Surgeons

Eurospine - The Spine Society of Europe

British Association of Spine Surgeons

American Association of Neurological Surgeons

Royal Society of Medicine

!3 years of medico legal experience. I regularly provide opinions on medical negligence for the NHSLA.

Clinical Activity


CSF disorders, Spinal degenerative/trauma, Chiari malformation, syringomyelia, spina bifida, congenital spinal problems

Training Programme Director,

Member of spinal and vascular service and oncology MDT.

Research


I participate in locally organised research projects including BASICS.

I have over 100 publications

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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