The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Miss Maria Cartmill MBChB FRCS(SN)
Professional Title Neurosurgeon
GMC Number 3480283
Personal Email email address withheld
Secretary Julie 0115 924 9924 ext 61105 julie.wilkinson@nuh.nhs.uk
SBNS Member? Yes

Hospitals

Training


MB ChB Sheffield 1990

FRCS London 1994

FRCS (SN) 1999

2001

Sheffield University Medical School 1985-1990

Locum Neurosurgical Registrar - Queen Elizabeth Hospital,Birmingham Children's Hospital and The Midlands Centre for Neurology and Neurosurgery, West Midlands Feb - Aug 1995

Neurosurgical Registrar and subsequent conversion to Neurosurgery Specialist Registrar - Queen's Medical Centre, Nottingham Aug 1995 - Jul 2001

Professional Activity


Consultant in Adult and Paediatric Neurosurgery, 16 July 2001, Nottingham University Hospitals NHS Trust, Nottingham

Society of British Neurological Surgeons

International Society for Paediatric Neurosurgery

European Society for Paediatric Neurosurgery

British Paediatric Neurosurgery Group

Society for Research into Hydrocephalus and Spina Bifida

Member of the International Fetal MRI Advisory Group

National Organ Donation Committee member

Medical Advisor to SHINE (formerly ASBAH, the Association for Spina Bifida and Hydrocephalus)

Nil

Clinical Activity


Interests: Paediatric, Trauma, CSF disorders, Dysraphism, Antenatal counselling for CNS anomalies. Fetal lead for neurosurgery Paediatric Governance Lead

Fetal lead for neurosurgery Clinical Excellence Award Committee Drugs and Therapeutics Committee Local Organ Donation Committee

Research


The majority of my research is currently clinically based focusing on - Cranioplasty development for trauma - ceramic modelling and laser scintering Fetal neuro-abnormalities and the change in dysraphism with periconceptual folate Genetic link to familial Vein of Galen Malformations

A selection of topics covered over the years.

M Hatamleh, M Cartmill, J Watson. Management of Extensive Frontal Cranioplasty Defects The Journal of Craniofacial Surgery 2013;24(6):2018-22

A Rana, P Koumellis, T Jaspan, M Cartmill, N McConachie. Coil Embolisation of Ruptured Middle Cerebral Artery Aneurysms in the First 2 months of Life J Neurosurg (3 Suppl Pediatrics) 2007; 107: 232-235

J Barrow, M Adamowicz-Brice, M Cartmill, D MacArthur, J Lowe, K Robson, M Brundler, D Walker, B Coyle, R Grundy.Homozygous Loss of ADAM3A in Paediatric High Grade Glioma (pHGG) and Diffuse Intrinsic Pontine Glioma (DIPG) Neuro-Oncology. 2011;13(2):212-222.

M Sharp, T Jaspan, M Cartmill. In Utero Evolution of Fetal Arachnoid Cysts. Br J Neurosurg 2010; 24(4):345 K Woon, A Moussa, S Solanki, A McEwan, M Cartmill. Fetal Ventriculomegaly and its Long Term Consequences: A Meta-analysis of the Current Literature Br J Neurosurg 2008; 22(4):468

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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