Best Practice Library – Orthopaedics
Key overarching resources
The resources below are relevant across most or all of the areas and metrics listed on this page.
Sentinel top decile metrics
| Metric/recommendation | Performance measure (top decile or national standard) |
|---|---|
| Productivity equivalent to 4 total hip or knee joint replacements in all-day list (8 hours) | 4 |
| Percentage of cemented or hybrid hip replacements for patients aged 70+ | 99.5% |
| Average length of stay for elective primary hip replacements | 3.00 |
| Emergency readmission following primary hip replacement within 30 days | 3.2% |
| Average length of stay for elective knee replacements | 3.0 |
| Emergency readmission following knee replacement within 30 days | 3.7% |
| Percentage of FNOF patients meeting best practice criteria | 90% |
| Surgical site infection rate following surgery for FNOF | <3% |
| Surgical site infection rate for elective primary arthroplasty | <1% |
| Orthopaedic surgery – day case rates (all procedures excluding total joint replacements) | 93% |
| Orthopaedic surgery – Conversion from daycase to inpatient stay | 1.5% |
| On the day cancellation rate for elective orthopaedics for non-clinical reasons (benchmark) | 0.8% |
Hips
Knees
Fractured neck of femur (FNOF)
Surgical Site Infections (SSIs)
Day case surgery
On the day cancellations
High Volume Low Complexity (HVLC)
NHSX ‘Mapping a digital HVLC orthopaedic pathway’ presentation
Case study: Northern Alliance Care NHS Group Super Saturday – A Test of Change (Project PDSA)
Case study: Bury Care Organisation – Super Saturday Day Case Initiative
Case study: BCO Super saturday storyboard
Case study: Barking, Havering and Redbridge University Hospitals – BONES week