The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Professor Peter John Hutchinson BSc (hons) MBBS FRCS (Surg Neurol) PhD
Professional Title Professor of Neurosurgery
GMC Number 3465923
Personal Email gilly.martin@addenbrookes.nhs.uk, neurosurgsec@medschl.cam.ac.uk
Secretary Mrs Gilly Martin (NHS), Mrs Suzanne Draper (Academic) 01223 596029 gilly.martin@addenbrookes.nhs.uk, neurosurgsec@medschl.cam.ac.uk
SBNS Member? Yes

Hospitals

Training


1987 B.Sc. First Class Honours Pharmacology University of London 1990 M.B., B.S. London (Barts) Merit in Surgery 1994 F.R.C.S. England 2001 Ph.D. University of Cambridge 2002 F.R.C.S. (Surg. Neurol.)
2003
1984 - 1990 The Medical College of St. Bartholomew’s Hospital University of London
Registrar Level Training February 1994 - August 1994 Junior Registrar to Prof. R.F.M. Wood, Mr. L.J. Chalstrey and Mr. D.L. Stoker Professorial Surgical Unit, St. Bartholomew's Hospital, London September 1994 Senior House Officer to Prof. D.A.C. Compston, Dr. I.M.S. Wilkinson, Dr. C.M.C. Allen and Dr J.R. Hodges, Department of Neurology, Addenbrooke's Hospital, Cambridge October 1994 - December 1994 Senior House Officer to Mr. D.G. Hardy, Prof. J.D. Pickard, Mr. A. Waters, Mr. R. Macfarlane and Mr. P.J. Kirkpatrick, Department of Neurosurgery, Addenbrooke's Hospital, Cambridge Neurosurgical training 1995 - 2002 Specialist Registrar in Neurosurgery to Mr. D.G. Hardy, Prof. J.D. Pickard, Mr. A. Waters, Mr. R. Macfarlane, Mr. P.J. Kirkpatrick and Mr. R.J.C. Laing, Addenbrooke’s Hospital, Cambridge (from 1997 - 1999 Clinical Research Fellow, Academic Neurosurgery Unit, University of Cambridge)

Professional Activity


Professor of Neurosurgery, University of Cambridge (2014-) Honorary Consultant Neurosurgeon, Addenbrooke’s Hospital (2003-) NIHR Research Professorship (2014-) Fellow and Director of Clinical Studies, Robinson College, University of Cambridge (2008-) Neurosurgical Speciality Lead, Royal College of Surgeons of England (2013-) Other positions Current positions International Vice President of the European Association of Neurosurgeons Treasurer of the International Neurotrauma Society Associate Editor of Neurosurgery Member of the Editorial board of Acta Neurochir, the European Journal of Neurosurgery National Chair of the Society of British Neurological Surgeons Trauma Group (www.britishneurotrauma.org) Member of Council of the Society of British Neurological Surgeons Co-founder and organiser of the British Neurosurgical Trainee’s Courses Member of the Academic and Research Committee of the Royal College of Surgeons of England Member of the Secretary of State for Transport’s Honorary Medical Advisory Panel on Driving and Disorders of the Nervous System Member of the Department of Health Clinical Advisory Group on Acute Care for Trauma and Trauma workforce planning Group Member of the Trauma Audit Research Network Executive Neurosurgical advisor for Headway Member of the NICE head injury guidelines GDG Neurosurgical advisor for the NICE (ICP monitoring) Regional Neurotrauma Lead Eastern Region Major Trauma Network Co-Chair of the Eastern Head Injury Group (www.ehig.org.uk)
Member of the Society of British Neurological Surgeons Member of the European Association of Neurosurgeons Member of Trauma Audit Research Network Fellow of the Royal College of Surgeons of England British Medical Association Congress of Neurological Surgeons American Association of Neurological Surgeons and Congress of Neurological Surgeons - Section on Neurotrauma and Critical Care Royal Society of Medicine United Kingdom Acute Brain Injury Forum
Medico-legal Expert witness – personal injury, medical negligence (including coroner’s inquests) Specialist expertise in Neurotrauma (head injury)

Clinical Activity


Peter Hutchinson BSc (Hons), MBBS, PhD (Cantab), FRCS (Surg Neurol) is Professor of Neurosurgery, NIHR Research Professor and Head of the Division of Academic Neurosurgery within the Department of Clinical Neurosciences, University of Cambridge. He holds an Honorary Consultant Neurosurgeon post at Addenbrooke’s Hospital. He has a general neurosurgical practice with a sub-specialist interest in the management of neuro-trauma, specifically head and traumatic brain injury. He has a track record in leadership including his current role as Royal College of Surgeons Neurosurgical Specialty lead for clinical trials and member of the Research board of the College, and previous appointment as Chair of the European Association of Neurosurgical Societies. He is also a Vice-President of the European Association of Neurosurgical Societies, Chair of the British Neurotrauma Group and Neurosurgical Representative on the NICE head guidelines development group, Director of Clinical Studies at Robinson College and Chief Medical Officer for the Formula One British Grand Prix.
Neurotrauma lead for the Eastern Region Trauma Network and Major Trauma Network

Research


Professor Hutchinson has a research interest in acute brain injury, utilising multimodality monitoring technology (measurement of pressure, oxygenation and chemistry) to increase the understanding of the pathophysiology of brain injury. He also leads the international RESCUE studies evaluating the role of decompressive craniectomy in traumatic brain injury. He has co-authored over 200 publications (including Lancet and Brain) and been lead applicant in over £6m of grants (including MRC and NIHR). He is joint editor of the book “Head Injury – A Multidisciplinary Approach”. He research is funded by an NIHR Research Professorship, the NIHR Cambridge BRC, MRC and EU.
Kirkpatrick PJ, Turner CL, Smith C, Hutchinson PJ, Murray GD; for the STASH Collaborators. Simvastatin in aneurysmal subarachnoid haemorrhage (STASH): a multicentre randomised phase 3 trial. Lancet Neurol. 2014 May 15. pii: S1474-4422(14)70084-5. doi: 10.1016/S1474-4422(14)70084-5. [Epub ahead of print] PubMed PMID: 24837690. Timofeev I, Carpenter KL, Nortje J, Al-Rawi PG, O'Connell MT, Czosnyka M, Smielewski P, Pickard JD, Menon DK, Kirkpatrick PJ, Gupta AK, Hutchinson PJ. Cerebral extracellular chemistry and outcome following traumatic brain injury: a microdialysis study of 223 patients. Brain. 2011 Feb;134(Pt 2):484-94. Epub 2011 Jan 18. PubMed PMID: 21247930. Helmy A, Carpenter KL, Menon DK, Pickard JD, Hutchinson PJ. The cytokine response to human traumatic brain injury: temporal profiles and evidence for cerebral parenchymal production. J Cereb Blood Flow Metab. 2011 Feb;31(2):658-70. Epub 2010 Aug 18. PubMed PMID: 20717122. Gallagher CN, Carpenter KL, Grice P, Howe DJ, Mason A, Timofeev I, Menon DK, Kirkpatrick PJ, Pickard JD, Sutherland GR, Hutchinson PJ. The human brain utilizes lactate via the tricarboxylic acid cycle: a 13C-labelled microdialysis and high-resolution nuclear magnetic resonance study. Brain. 2009 Oct;132(Pt 10):2839-49. Epub 2009 Aug 20. PubMed PMID: 19700417. Santarius T, Kirkpatrick PJ, Ganesan D, Chia HL, Jalloh I, Smielewski P, Richards HK, Marcus H, Parker RA, Price SJ, Kirollos RW, Pickard JD, Hutchinson PJ. Use of drains versus no drains after burr-hole evacuation of chronic subdural haematoma: a randomised controlled trial. Lancet. 2009 Sep 26;374(9695):1067-73. PubMed PMID: 19782872.

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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