Best Practice Library – Spinal services

Key overarching resources

The resources below are relevant across most or all of the areas and metrics listed on this page.

Metric / recommendationPerformance measure (top decile or national standard)
Specialist surgery rate for spinal surgery
Recording compliance rate for BSR (v SUS Spells where the HRG Code is between HC50 – HC64)80.0%
Recording rate for EQ5D on BSR at 3 months 
No procedure for elective back or radicular pain admissions 5.5%
No procedure for emergency back or radicular pain admissions with length of stay greater than 4 days10.5%
No procedure for emergency back or radicular pain admissions with length of stay greater than 4 days – patients in orthopaedic or spinal specialties 8.2%
Patients with three or more facet joint injections within 12 months0.0%
Patients with three or more epidural injections or nerve root blocks within 12 months 0.0%
Daycase rate for spinal discectomy for young adults30.0%
Outpatient attendances in 12 months prior to posterior lumbar decompression2.0
Outpatient attendances in 12 months prior to cervical discectomy, disc replacement or decompression/fusion2.0

Metric / recommendationPerformance measure (top decile or national standard)
No procedure for elective back or radicular pain admissions 5.5%
No procedure for emergency back or radicular pain admissions with length of stay greater than 4 days10.5%
No procedure for emergency back or radicular pain admissions with length of stay greater than 4 days – patients in orthopaedic or spinal specialties 8.2%
Patients with three or more facet joint injections within 12 months0.0%
Patients with three or more epidural injections or nerve root blocks within 12 months 0.0%
Outpatient attendances in 12 months prior to posterior lumbar decompression2.0
Outpatient attendances in 12 months prior to cervical discectomy, disc replacement or decompression/fusion2.0

Lumbar medial branch block / Facet joint injections pathway