The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Mr Manjunath Prasad K S MBBS., MS., M Chir., FRCS (Neurosurg)., Dip ClinEd
Professional Title Neurosurgeon
GMC Number 6057188
Personal Email manjunath.prasad@stees.nhs.uk
Secretary Nicola Gray 01642 835717 nicola.gray@stees.nhs.uk
SBNS Member? Yes

Hospitals

Training


MBBS., MS., M Chir., FRCS (Neurosurg)., Dip ClinEd
2008

Professional Activity


Consultant neurosurgeon, James Cook University Hospital, Middlesbrough Consultant neurosurgeon, Golden Jubilee Regional Spinal Cord Injuries Unit, Middlesbrough
Society of British Neurological Surgeons British Neurovascular Group British Skull Base Society British Neurotrauma Group

Clinical Activity


Skull base surgery (Service lead) Trigeminal neuralgia Neurotrauma Neurovascular surgery Cervical spine Medical Education
Neurosurgery lead for the skull base MDT Chair, Risk and Governance, Neurosciences

Research


Honorary Fellow, University of Durham Research into brain computer interface intelligent devices. Principal site investigator for two multicentre trials
1. Mukerji N, Manjunath Prasad KS, Vivar R, Mendelow AD. Carotid Endarterectomy-Safe and Effective in a Neurosurgeon's Hands: A 25-Year Single-Surgeon Experience. World Neurosurg. 2013 Mar 5. doi:pii: S1878-8750(13)00398-7. 10.1016/j.wneu.2013.02.088. [Epub ahead of print] 2. Manjunath Prasad KS, Mahmood S, Gregson BA, Mitchell P. Telephone logs of neurosurgery specialty trainees: a time study. Br J Neurosurg. 2012 Apr;26(2):195-8. Epub 2011 Dec 9. 3. Manjunath Prasad KS, Gregson BA, Hargreaves G, Byrnes T, Winburn P, Mendelow AD.Inversion therapy in patients with pure single level lumbar discogenic disease: a pilot randomized trial. Disabil Rehabil. 2012;34(17):1473-80. Epub 2012 Jan 23. 4. Balasubramanian K, Kalsi P, Greenough CG, Kuskoor Seetharam MP. Reliability of clinical assessment in diagnosing cauda equina syndrome. Br J Neurosurg. 2010 Aug;24(4):383-6. doi: 10.3109/02688697.2010.505987.

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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