The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Mr Andrew Brodbelt BSc(HONS), MBChB, FRCSEd(Neuro.Surg), PhD
Professional Title Consultant Neurosurgeon
GMC Number 3541849
Personal Email paula.scott@thewaltoncentre.nhs.uk
Secretary Paula Scott 0151 529 5679 paula.scott@thewaltoncentre.nhs.uk
SBNS Member? Yes

Hospitals

Training


BSc(HONS) Liverpool - 1988

MBChB Liverpool - 1991

FRCS RCSEdinburgh - 1996

FRCSEd(Neuro.surg) RCSEdinburgh- 2003

PhD UNSW, Sydney - 2003

2005

Liverpool University 1985-1991

 

Specialist registrar Walton Centre Liverpool 1996-2005

Research registrar (PhD student) University of New South Wales, and the Prince of Wales Hospital, Sydney, Australia

 

Professional Activity


Honourary clinical lecturer University of Liverpool 2005 - present

Member of the National Cancer Information network brain tumour group

Brian tumour Clinical Reference group representative for Merseyside and Cheshire

Member of the NCRI brain tumour technology and imaging subgroup

Chairman Merseyside and Cheshire Cancer Network Group 2009 - 2013

 

 

Member of Society of British Neurological Surgeons

Member of British Neurooncology Society

Member of the European Association of Neuro-oncology

Member of The Society of Neuro-oncology

 

Medicolegal work in neurooncology and syringomyelia and chiari

 

Clinical Activity


Neurooncology

Syringomyelia and Chiari malformations

Hydrocephalus

Degenerative spinal conditions

Divisional Clinical director of neurosurgery, Anaesthesia, Critical Care, and Pain.

Hospital lead for neuro-oncology

Research


My PhD thesis was entitled investigations into post traumatic syringomyelia.  I continue to be interested in the underlying fluid dynamics of this condition. 

I have a number of research interests in neurooncology.  Current work centres on national outcome data, as part of the National Cancer Intelligence Network, and a more in depth examination of long term survivors of GBM. 

 

Brodbelt A, Greenberg D, Winters T, Williams M, Vernon S, Collins VP; (UK) National Cancer Information Network Brain Tumour Group. Glioblastoma in England: 2007-2011. Eur J Cancer. 2015 Mar;51(4):533-42.

Hands JR, Dorling KM, Abel P, Ashton KM, Brodbelt A, Davis C, Dawson T, Jenkinson MD, Lea RW, Walker C, Baker MJ. Attenuated total reflection fourier transform infrared (ATR-FTIR) spectral discrimination of brain tumour severity from serum samples. J Biophotonics. 2014 Apr;7(3-4):189-99.

Eliott, N.S.J., Bertram, C.D., Martin, B.A. and Brodbelt, A.R. (2013)  Syringomyelia: A review of the biomechanics.  J. Fluids & Structures 40, 1–24.

Brodbelt A, Stoodley M. CSF pathways: a review. Br J Neurosurg. 2007 Oct;21(5):510-20.

Brodbelt AR, Stoodley MA, Watling AM, Tu J, Jones NR. Fluid flow in an animal model of post-traumatic syringomyelia. Eur Spine J. 2003 Jun;12(3):300-6.

 

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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