The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Mr K Aquilina FRCS(NeuroSurg.) MD
Professional Title Consultant paediatric neurosurgeon
GMC Number 5204071
Personal Email kristian.aquilina@gosh.nhs.uk
Secretary Ms Marion Exley 02074059200 x 5425 marion.exley@gosh.nhs.uk
SBNS Member? Yes

Hospitals

Training


MD - University of Malta, 1995

FRCS(Eng.) - 1999

FRCSI - 1999

FRCS(NeuroSurg.) - 2005

MD - University of Bristol, 2012.

2010

University of Malta Medical School - 1990 - 1995.

Frenchay Hospital, Bristol Fellowship in paediatric neurosurgery 

Le Bonheur Children's Medical Centre and St Jude Children's Research Hospital, Memphis, Tennessee

Professional Activity


Consultant adult and paediatric neurosurgeon, Frenchay Hospital, North Bristol NHS Trust - 2010 to 2012

Consultant paediatric neurosurgeon, Great Ormond Street Hospital for Children NHS Foundation Trust - 2012.

Society of British Neurological Surgeons International Society of Paediatric Neurosurgery Medical Defence Union.

I offer medicolegal opinions related to paediatric neurosurgical practice.

Clinical Activity


Paediatric neuro-oncology (about 70 paediatric brain tumour procedures annually)

Surgical management of paediatric spasticity Paediatric hydrocephalus and CSF dynamics Paediatric neuro-endoscopy

Neurosurgical lead for neuro-oncology and spasticity at Great Ormond Street Hospital

Research


I am involved in research activity related to neuro-oncology, neuro-imaging, and the surgical management of spasticity, particularly selective dorsal rhizotomy.

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
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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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