The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Mr Daniel Walsh FRCS(Neurosurg.)
Professional Title Neurosurgeon
GMC Number 4232522
Personal Email
Secretary Dionne Brown 0203 299 3283 dionne.brown@nhs.net
SBNS Member? Yes

Hospitals

Training


MB BAO BCh (NUI) LRCPI&SI (1993) FRCS(Neurosurg.) (2006)

2007

Royal College of Surgeons in Ireland Medical school: 1987-1993

Fellowship in Neurovascular Surgery (Supervisor-Professor M K Morgan), Royal North Shore Hospital, Sydney, Australia: 2006-2007

West of Scotland Training Program (Institute of Neurological Sciences, Glasgow): 2001-2006

Professional Activity


Visiting Clinical Senior Lecturer, Institute of Psychiatry, King's College London: 2012-present

Honorary Consultant Neurosurgeon, Guy's and St Thomas's Hospital, London: 2010-present

Member of national neurosurgical training program selection panel: 2008-present

South Thames neurosurgical training committe: 2008-present Pan-London training program director, ST1-3: 2008-2014

NeurosurgeryTraining Program Director, South Thames (King's Health Partners): 2014- 2017

Co-director of King's College Hospital/ RCSEng. neurovascular surgery fellowship, 2010-present

Speciality Advisory Committee, Neurosurgery, Joint Committee on Higher Surgical Training

Society of British Neurological Surgeons

British Neurovascular Group (Elected to Chair 2017-2019)

European Association of Neurosurgical Societies ( Elected Individual Membership Committee Representative: 2013-present)

Medical Protection Society: 212193

Clinical negligence in Neurovascular surgery

Bond Solon Civil Procedures training

Clinical Activity


Neurovascular

Arteriovenous malformations of Brain

Spinal Vascular Malformations

Cavernoma

Cerebral aneurysms

Von-Hippel Lindau Disease

Neurofibromatosis Type 1

Tumours of the spinal cord

Departmental lead for postgraduate training: 2008-2016

Trust patient outcomes lead, neurosciences: 2017-

 

Research


1. Co-Investigator in COSBID group project to develop a novel, integrated multimodality neurophysiology monitor. (Wellcome Trust Health Innovation Challenge Fund grant awarded 2011.) 2. Local Principal Investigator for GOSH study (Genetic of Subarachnoid Haemorrhage- A case control study of genetic polymorphisms in aneurismal subarachnoid haemorrhage) at King’s College Hospital. Opened April 2011 (Stroke Association research grant.) 3. Local Principal investigator for the Simvastatin in Aneurysmal Subarachnoid Haemorrhage Trial (STASH) at King’s College Hospital.( The Lancet Neurology, Volume 13, Issue 7, Pages 666 - 675, July 2014) 4. Local Principal Investigator Minimally Invasive Surgery Plus Rt-PA for Intracranial Haemorrhage Evacuation Phase III (MISTIE III) (ClinicalTrials.gov Identifier: NCT01827046)

M Amarouche, JL Hart, A Siddiqui, T Hampton, DC Walsh Time Resolved Contrast-Enhanced MR Angiography of Spinal Vascular Malformations. American Journal of Neuroradiology 2015;(in press) R Sivakumaran, A King, I Bodi, CL Chandler, DC Walsh Spontaneous epidural spinal haematoma in children caused by vascular malformations. European Spine Journal 2014; DC Walsh, B Zebian, CM Tolias, RW Gullan: Intraoperative indocyanine green video-angiography as an aid to the microsurgical treatment of spinal vascular malformations.. British Journal of Neurosurgery 08/2013; RE Hornigold, JF Golding, G Leschziner, R Obholzer, MJ Gleeson, NW Thomas, DC Walsh, S Saeed, RE Ferner: The NFTI-QOL: A Disease-Specific Quality of Life Questionnaire for Neurofibromatosis 2.. Journal of neurological surgery. Part B, Skull base. 04/2012; 73(2):104-11. S Hettige, DC Walsh. Indocyanine green video-angiography as an aid to surgical treatment of spinal dural arteriovenous fistulae.. Acta Neurochirurgica 08/2009; 152(3):533-6. GF Nash, DC Walsh, AK Kakkar. The role of the coagulation system in tumour angiogenesis. Lancet Oncology 2001; 2 (10), 608-613.

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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