The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Mr Ajay Sinha MBBS,MS,MCh, FRCS
Professional Title Neurosurgeon
GMC Number 5202079
Personal Email ajay.sinha@alderhey.nhs.uk and ajay.sinha@thewaltoncentre.nhs.uk
Secretary pam everrett 01515295671
SBNS Member? Yes

Hospitals

Training


MBBS, MS, MCh, FRCS(Ed. Surg. Neurol)

2007

NRS medical College, Calcutta, India(1987)

skullbase and pituitary fellowship, University of Toronto,Canada

Paediatric neurosurgry and craniofacial surgery fellowships, Alderhey childrens' NHS foundation trust, Liverpool

Professional Activity


Hon. Clincal Tutor University of Liverpool

College Surgical tutor Alderhey childrens' NHS Foundation trust, Liverpool,Uk

Full member SBNS Member & BPNG

Full member International society of paediatric neurosurgery(ISPN)

Full member European Society of Paediatric neurosurgery(ESPN)

Member International federation of neuroendoscopy(IFNE)

Life member Neurological Societry of India(NSI)

Trained in medicolegal reporting(Bond&Solon) I regularly do medicolegal reporting

Clinical Activity


paediatric neurosurgery with special interest in complex craniofacial disorders, CSF disorders,  Pituitary tumour surgery & adult degenerative spinal disorders CSF disorders

Involved in running multi disciplinary craniofacial service at Alderhey Run pituitary MDT clinic at the Walton centre

Research


involved in ongoing clincal research on pitutray tumours and craniofacial disorders.

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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