The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Miss C E Gilkes MA FRCS
Professional Title Neurosurgeon
GMC Number 4699176
Personal Email Pamela.Everett@thewaltoncentre.nhs.uk
Secretary Pamela Everett 0151 5295671 Pamela.Everett@thewaltoncentre.nhs.uk
SBNS Member? Yes

Hospitals

Training


BA Hons Medical Sciences, University of Cambridge 1997

MBChB Edinburgh 2000 MA Cantab 2001

MRCS Royal College of Surgeons, England 2003

FRCS (SN) Royal College of Surgeons 2009

CCT (Neurosurgery) January 2011

2011

Edinburgh University 1997 - 2000

South West Neurosurgical Training Programme:

2004 - 2010

Frenchay Hospital,Bristol

Derriford Hospital,Plymouth

Pituitary Fellowship:

National Hospital for Neurology and Neurosurgery, London 2010 - 2011

Skull base Fellowship: Manchester, 2011

Professional Activity


Consultant Neurosurgeon, Walton Centre NHS Foundation Trust: 2011 - present

Honorary Lecturer, University of Liverpool 2013 - present

Chairman of the British Neurosurgical Trainees Association April 2008 -2010

Society of British Neurosurgeons

British Skull base Society

European Association of Neurosurgeons

Clinical Activity


Skull base including pituitary and lateral skull base; trauma; neuro-oncology; spinal; CSF disorders (hydrocephalus)

Chair of Pituitary Multidisciplinary team Clinical lead for skull base

Research


Gilkes CE, Evans DG. Review of Radiation Therapy Services for neurofibromatosis (NF2) patients in England. Br J Neurosurg. 2014 Jan;28(1):16-9

Gilkes CE, Love S, Hardie RJ, Edwards RJ, Scolding NJ, Rice CM. ‘Brain Biopsy in Benign Neurological Disease’ J Neurol. 2012 May;259(5):995-1000. doi: 10.1007/s00415-012-6455-0. Epub 2012 Feb 24

Gilkes CE, Powell M ‘The Rate of Recurrence of Non Functioning Pituitary Adenomas in a Large Series over 25 years’ British Journal of Neurosurgery April 2011;25(2):188

Gilkes CE ‘An Account of the Life and Achievements of Miss Diana Beck, Neurosurgeon 1902-1956’ Neurosurgery 2008;62:738-742

Gilkes CE, Steers AJW, Minns RA.: Pressure compensation in shunt dependant hydrocephalus with CSF shunt malfunction. Childs Nervous System (Jan 2001) 17(1/2): 52-57

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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