NJR celebrates 10th Anniversary of delivering successful joint replacement surgery

8 October 2013
The National Joint Registry (NJR) for England and Wales started collecting data in 2003 and Northern Ireland joined 2013, to detect poorly performing implants used in joint replacement procedures. It is the most extensive and complete healthcare register in the UK and the largest of its kind in the world.
The NJR supports innovation, provides clinical controls and gives patients undergoing joint replacements confidence regarding future outcomes. By working together with all stakeholder groups, the NJR helps to improve the quality of outcomes for individuals requiring a joint replacement in the future.
The 10th anniversary reception event was held at the Royal College of Surgeons on 25th September, hosted by Dame Jenni Murray, hip replacement patient and host of BBC Woman’s Hour.
Management of NJR
The NJR is managed by the Healthcare Quality Improvement Partnership (HQIP) on behalf of the Department of Health.
HQIP, in partnership with Northgate Public Services has provided the service since 1st April 2006. Since then, the service has grown substantially and, in addition to the data entry application, a full business intelligence platform has been implemented, along with services that, e.g., enable surgeons to assess and compare their clinical practice with that of their colleagues.
10-year achievements
The NJR is currently the largest registry in the world for hip, knee, ankle, elbow and shoulder joint replacement procedures. Since its formation in 2003, the NJR has achieved:
  • Recording more than 1.4 million joint replacement operations
  • Extension to include ankles in 2010 and elbow and shoulder replacements in 2012
  • Extension to Northern Ireland in February 2013
  • Development of robust processes to monitor implant performance, which resulted in the reporting of early failure rates for metal-on-metal implants to the MHRA with in-depth research commissioned following the decline in use of this type of implanted device
  • Development of world-first feedback systems and reports allowing surgeons, manufacturers and hospitals access to their data via dedicated websites
  • Publication of hospital-level and consultant surgeon-level information
  • The establishment of a Patient Network to ensure that the patient voice is at the heart of the registry’s decision-making and future development
  • Contributing to the international debate on implant safety and engaging in new initiatives such as Beyond Compliance to drive up surveillance of new implants
  • Funding NJR Research Fellows and supporting access to NJR data in order to maximise understanding and knowledge that, in turn, will result in better care.