The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Mr Owase Jeelani BMedSci, MBA, MPhil (Med. Law), FRCS (NeuroSurg.)
Professional Title Paediatric Neurosurgeon
GMC Number 4411406
Personal Email owase.jeelani@gosh.nhs.uk
Secretary Elizabeth Dawes 02074059200 ext 5198 elizabeth.dawes@gosh.nhs.uk
SBNS Member? Yes

Hospitals

Training


MBA (INSEAD), MPhil (Medical Law), FRCS (NeuroSurg)
2009
Bachelor of Medical Sciences ( University of Nottingham) MBBS (University of Nottingham)
North Thames Deanery Neurosurgical Rotation UK 2003-8 Fellowship in Craniofacial Surgery, GOSH, UK 2007-8 Fellowship in Paediatric Neurosurgery, Sickkids Toronto, Canada 2008-9 Fellowship in Paediatric Neurosurgery, GOSH UK, 2009.

Professional Activity


Consultant Paediatric Neurosurgeon, GOSH Speciality Lead for Neurosurgery, GOSH Hon. Senior Lecturer, Institute of Child Health, UCL.
International Society of Paediatric Neurosurgery International Society of Craniofacial Surgery Society of British Neurological Surgeons
I have a Masters Degree in Medical Law conferred upon be by the University of Glasgow. My thesis looked at the Legal Dimension of practising medicine over the internet using the NHS Network as the Case Study.

Clinical Activity


I have a full time paediatric practice and undertake between 200-300 cases annually. My areas of interest are, Craniofacial and Reconstructive Surgery Neuro-Oncology Hydrocephalus and ICP pathology
Speciality Lead for Neurosurgery Lead Neurosurgeon for the GOSH Craniofacial Service

Research


Designing Craniofacial Distractors I am the Co-Director of Face Value, a team of some 12 clinicians, engineers and computer scientists based at the Institute of Child Health. Our research aim is to study the impact of distraction on the paediatric calvarium and using this information to design safer and more effective distraction devices and protocols.
Moses, M. A., Green, B., Cugno, S., Hayward, R. D., Jeelani, N. U. O., Britto, J. A., et al. (2014). The management of midline frontonasal dermoids. A review of 55 cases at a tertiary referral centre and a protocol for treatment. Plastic and Reconstructive Surgery Cobb, A. R. M., Jeelani, N. O., & Ayliffe, P. R. (2012). Orbital fractures in children. The British journal of oral & maxillofacial surgery. 2012.03.006 Dunaway, D. J., Britto, J. A., Abela, C., Evans, R. D., & Jeelani, N. U. O. (2012). Complications of frontofacial advancement. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 28(9), 1571–1576. Jeelani, N. U. O., Khan, M. A., Fitzgerald O'Connor, E. J., Dunaway, D., & Hayward, R. (2009a). Frontofacial monobloc distraction using the StealthStation intraoperative navigation system: the ability to see where you are cutting. The Journal of craniofacial surgery, 20(3), 892–894. Jeelani, N. U. O., Kulkarni, A. V., Desilva, P., Thompson, D. N. P., & Hayward, R. D. Reference List (2009b). Postoperative cerebrospinal fluid wound leakage as a predictor of shunt infection: a prospective analysis of 205 cases. Clinical article. Journal of neurosurgery Pediatrics, 4(2), 166–169.

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
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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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