Meeting the Challenge of Cumberlege and Paterson: The National Joint Registry Prospective

Description

In this presentation, Tim Wilton discusses the implementation of recommendations from the Cumberlege Report and the Paterson inquiry concerning data collection related to medical devices and procedures. He emphasizes the importance of a comprehensive data collection system for implanted devices, individual patient identification, and the need for efficient data analysis for patient recall and identification of problematic implants. Tim critiques the perception that this initiative is solely an NHS effort, advocating for a broader approach involving all health services in the country.



He outlines key recommendations which include collecting data on procedures, integrating patient-reported outcomes with existing data, analyzing surgical performance, and applying scrutiny across both NHS and independent sectors. Tim highlights the current capabilities of the National Joint Registry (NJR) in managing arthroplasty patient data and the successful withdrawal of faulty devices, demonstrating effective patient notification systems. Despite the existing framework, he notes challenges in collecting and utilizing patient-reported outcome measures (PROMs), citing low response rates for certain procedures and the need for stronger incentivization and integration into NHS quality assessments.



In conclusion, Tim calls for improved access to data, comprehensive outcome measures, and a more systemic approach to data collection, emphasizing the necessity of incorporating outcomes data into routine consent processes for research aimed at enhancing patient safety.

DOI: 10.1302/3114-240872

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