The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Mr P Grundy BM(Hons) MD FRCS
Professional Title Neurosurgeon
GMC Number 3592443
Personal Email paul.grundy@uhs.nhs.uk
Secretary Ceri Vibert Ceri.vibert@uhs.nhs.uk
SBNS Member? Yes

Hospitals

Training


BM(Honours), University of Southampton,

1992 FRCS England, 1996

MD, University of Bristol, 2003

FRCS(Neurosurgery), England, 2004

2005

Southampton University Medical School, 1987-92

Oxford Hospitals SHO rotation, 1993-5

Frenchay Hospital Bristol Neurosurgery SpR training,1996-2004

Royal Melbourne Hospital, Australia, Fellowship, 2004-5

Professional Activity


Consultant Neurosurgeon, University Hospital Southampton, 2005-present

Fellow of Royal College of Surgeons of England

Society of British Neurological Surgeons

British Neuro-Oncology Society

Trained in medico legal reporting but not actively working in this area routinely.

Clinical Activity


Neuro-oncology. Lead Neuro-oncology surgeon for Wessex. Special interest in awake surgery and day-case surgery. My clinical practice is now entirely Neuro-oncology.

Divisional Clinical Director of Neurosciences, Cardiovascular &Thoracics, Trauma & Orthopaedics and Radiology. Chair of NHS England CNS Tumours Clinical Reference Group. Chair of Wessex Neuro-oncology MDT meeting.

Research


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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