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Surgeons' data out 'from the summer' | Surgeons' data out 'from the summer' |
(30 days later) | |
By Nick Triggle Health correspondent | By Nick Triggle Health correspondent |
Performance data on individual surgeons should start being published from next summer, the head of the NHS says. | Performance data on individual surgeons should start being published from next summer, the head of the NHS says. |
Data on heart surgeons is already available, but Sir David Nicholson said it was now time to push ahead with other specialities in England. | |
He said he wanted to see a host of other specialities, including vascular and orthopaedic surgeons follow suit from next summer. | He said he wanted to see a host of other specialities, including vascular and orthopaedic surgeons follow suit from next summer. |
It will then become mandatory from April 2014. | It will then become mandatory from April 2014. |
Sir David said providing such data was more aimed at allowing surgeons to compare performance, which in turn puts pressure on them to improve. | Sir David said providing such data was more aimed at allowing surgeons to compare performance, which in turn puts pressure on them to improve. |
He said the evidence showed that patients did not always use such detailed information. | He said the evidence showed that patients did not always use such detailed information. |
The publication of surgery-specific data was first called for in 2001 by Prof Sir Ian Kennedy, who chaired the inquiry into the excessive number of deaths of babies undergoing heart surgery in Bristol. | The publication of surgery-specific data was first called for in 2001 by Prof Sir Ian Kennedy, who chaired the inquiry into the excessive number of deaths of babies undergoing heart surgery in Bristol. |
Since then, only heart surgeons have published data down to an individual level. | Since then, only heart surgeons have published data down to an individual level. |
'Time to take a lead' | 'Time to take a lead' |
Some doctors have been resistant to widening publication of data as there is a fear that it may give a misleading impression. | Some doctors have been resistant to widening publication of data as there is a fear that it may give a misleading impression. |
Those doctors that take on the most difficult and complex cases may look to be performing worse, when in fact they could be the leading specialists in their field. | Those doctors that take on the most difficult and complex cases may look to be performing worse, when in fact they could be the leading specialists in their field. |
Sir David acknowledged this could be a problem, but said it had to start happening at some point and the accuracy of data would improve in time. | Sir David acknowledged this could be a problem, but said it had to start happening at some point and the accuracy of data would improve in time. |
"People have been talking about consultant level data but never done it. It is time to take a lead." | "People have been talking about consultant level data but never done it. It is time to take a lead." |
Anna Dixon, of the King's Fund think tank, said the move was a "good thing". | Anna Dixon, of the King's Fund think tank, said the move was a "good thing". |
But she said it was important to be clear the information was more likely to be used by surgeons than individual patients. | But she said it was important to be clear the information was more likely to be used by surgeons than individual patients. |
Seven-day service | Seven-day service |
And Dr Mark Porter, chairman of the British Medical Association, said: "There is still more to be done to ensure that data about consultants' performance is meaningful. | And Dr Mark Porter, chairman of the British Medical Association, said: "There is still more to be done to ensure that data about consultants' performance is meaningful. |
"Basic mortality figures alone could mislead patients because they fail to take into account other factors that might have contributed to the death of a patient." | "Basic mortality figures alone could mislead patients because they fail to take into account other factors that might have contributed to the death of a patient." |
The announcement about individual data on surgeons formed part of the planning guidance for 2013-14 published by the NHS Commissioning Board, which Sir David leads. | The announcement about individual data on surgeons formed part of the planning guidance for 2013-14 published by the NHS Commissioning Board, which Sir David leads. |
The board is in charge of overseeing the new GP-led clinical commissioning groups that will take charge of the NHS budget from April. | The board is in charge of overseeing the new GP-led clinical commissioning groups that will take charge of the NHS budget from April. |
The guidance also included the details about moving the NHS to seven-day working. | The guidance also included the details about moving the NHS to seven-day working. |
The Commissioning Board is to set up a group to examine the potential for the NHS in England to provide some services - such as day surgery - at the weekend. | The Commissioning Board is to set up a group to examine the potential for the NHS in England to provide some services - such as day surgery - at the weekend. |
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