The publication of surgeon-level outcomes complements our previous work in publishing clinical audit findings by NHS trust and informing patients about the standard of care that they can expect to receive. But it represents only a first step. Postoperative mortality is a fundamental aspect of care and a reflection of the safety of the procedure which is influenced by a combination of factors including the actual operation. However, it only reflects one part of the spectrum of outcomes. In the future, we expect to report on a wider set of outcomes for patients.
To enable a more comprehensive range of surgeon outcomes to be published, the NOGCA IT data collection platform has been refined to allow the systematic collection of surgeon GMC codes, and to address concerns raised by surgeons that the data reported does not appropriately reflect their practice.
In order to improve data quality further, we encourage all surgeons:
- To make sure all their patients are entered into NOGCA
- To submit surgical records for all O-G patients
- To ensure the completeness of data items when submitted, including treatment intent, and patient characteristics
- To record all details of the patient’s co-existing medical conditions and their perioperative treatment
- To check that the data uploaded reflects their practice