The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

About Us Cookies Login

Surgeon

Mr Neil Lawrence Dorward BSc MB BS FRCS(SN) MS
Professional Title Consultant Neurosurgeon
GMC Number 3405581
Personal Email
Secretary 02034483421
SBNS Member? Yes

Hospitals

Training


BSc (Hons) 2i: Neurosciences, London University, June 1986.

MB BS: St. Mary’s Hospital, June 1989.

Primary FRCS: Royal College of Surgeons of England, January 1991.

FRCS(Eng): Royal College of Surgeons of England, May 1993.

FRCS(SN): Intercollegiate Speciality Board, October 1998.

MS: University of London, May 1999. Thesis: “Development and Evaluation of Image-Guided Neuroendosopy, with Investigation of Post-Imaging Brain Distortion and Accuracy of Frameless Stereotaxy”,

1999

St Mary's Hospital Medical School, London 1983-9

SENIOR NEUROSURGERY SpR ROTATION:

1.8.97 – 13.10.99

At: The National, Great Ormond Street & Charing Cross Hospitals, London.

In: Paediatric, Skull Base, Pituitary, Vascular, Functional & General Neurosurgery.

With: Messrs. Crockard, Powell, Thomas, Kitchen, Hayward, Harkness, Thompson, Palmer, Mendoza, Peterson & Rice-Edwards.

NEUROSURGERY RESEARCH FELLOW & HON. LECTURER:

1.1.96 – 31.7.97,

As: Neurosurgical co-ordinator for an EU-funded European project in Image Guidance.

At: The Institute of Neurology, London.

With Professor DGT Thomas.

NEUROSURGERY REGISTRAR ROTATION:

1.9.93 - 31.12.95,

At: Royal Free & Charing Cross Hospitals, London.

With Messrs. Maurice-Williams, Bradford, Shieff, Illingworth, Rice-Edwards & Richards

Professional Activity


CONSULTANT NEUROSURGEON AND HONORARY SENIOR LECTURER: 14.10.1999 – 30.6.2012 The Royal Free Hospital , London Honorary Senior Lecturer, Royal Free & UCH Medical School

• Society of British Neurological Surgeons.

• British Cervical Spine Society (Associate Member).

• Fellow of the Royal Society of Medicine (Section of Clinical Neurosciences Council Member, & Hon Secretary)

• Queen Square Alumnus Association.

• Congress of Neurological Surgeons.

• British Association of Spinal Surgeons

Clinical Activity


Endoscopic Pituitary Surgery Spinal Surgery

Research


Ongoing research collaborative project with the Royal Marsden Ultrasound group investigating the use of Strain and Shear Wave Elastography during brain surgery to delineate tumour boundaries most accurately. 2 successful PhD awards, third in progress.

Chan HW, Pressler R, Uff C, Gunny R, St Piers K, Cross H, Bamber J, Dorward N, Harkness W, Chakraborty A. A Novel Technique of Detecting MRI-Negative Lesion in Focal Symptomatic Epilepsy: Intraoperative ShearWave(tm) Elastography.  Epilepsia. 2014 Apr;55(4):e30-3. doi: 10.1111/epi.12562. Epub 2014 Mar 1.

Gurazada K, Ihuoma A, Galloway M, Dorward N, Wilhelm T, Khoo B, Bouloux PM. Nasally located ectopic ACTH-secreting pituitary adenoma (EAPA) causing Nelson’s syndrome: diagnostic challenges.  Pituitary. 2013 Sep 25.

Dorward N.L Endocrine outcomes in Endoscopic Pituitary Surgery: A Literature Review Acta Neurochirurgica: Volume 152, Issue 8 (2010), Page 1275

Dorward NL, Paleologos TS, Alberti, O, Thomas DGT. The advantages of frameless stereotactic biopsy over frame-based biopsy. British Journal of Neurosurgery (2002) 16:110-118.

Dorward NL, Alberti O, Palmer JD, Kitchen ND, Thomas DGT. Accuracy of true frameless stereotaxy; in vivo measurement and laboratory phantom studies. Journal of Neurosurgery (1999) 90:160-168.

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.

Back to Surgeons List