The Non Arthroplasty Hip Register (NAHR)

BRITISH HIP SOCIETY

Annual Scientific Meeting 2014

Exeter Cathedral, Exeter

The Non Arthroplasty Hip Register (NAHR)

The creation of a Non Arthroplasty Hip Register was unanimously supported by the Membership of the British Hip Society at the AGM in 2011 and was launched in 2012. It has been funded by you and it is on your interest to collect data to support your practice.

2014 update: The Private Healthcare Information Network (PHIN) have now been mandated by the Competition Commission to publish surgeon level outcome data for all private and NHS patients. Make sure you can prove your own outcomes by allowing the BHS to collect data for you.

Although the Registry can be used for any hip pathology, NICE Guidance (Nos. 403 and 408 relating to open and closed FAI surgery)require surgeons to enter data for all patients who undergo surgery for FAI onto the NAHR.

The Register is available for use by all surgeons. If you operate in or around the hip and the patient’s details are not going onto the NJR they can go on to the NAHR.

Getting started

Register to enter data via links on the BOA, BHS and NAHR websites.

Which patients should I enter?

The NAHR has been set up to collect longitudinal outcome data for any patient with hip conditions other than those listed for arthroplasty or suffering a fracture (e.g. FAI, trochanteric bursitis, iliopsoas impingement, SUFE, Perthes etc.) over the lifetime of the patient. BSCOS will soon be entering Paediatric data which will enter the same pathway.

For all conditions you can choose to enter as many outcome scores and procedures as you wish to over any time interval. For FAI patients the data will be collected automatically for you as long as an e-mail address is provided. The NAHR will plot the results over time and display them graphically to you. The data on your patients is confidential to you. The data can be used in your re-validation.

Getting started

Initial registration of the patient

You do not need to enter data yourself but you do need to decide who is to enter the data on your behalf. With all forms the data can be entered directly on-line or collected on hard copy (downloaded from the NAHR website) and entered by your secretary or a clerk later. Phone Amplitude (01905 770505) and look at the NAHR website ( to get started.

Operative details

The Minimum Dataset Form appears very similar in appearance to the NJR Form (Figure 1). The most convenient method for data entry will most probably be the one you use for entry of NJR data – either from this Form or electronically on-line via the NAHR web portal.

An Operation Note for the Patient notes can be generated from the Form and Free Text Box via a Print Button.

Figure 1: The Minimum Dataset for the NAHR

Outcome data after surgery

For FAI patients, the NAHR is being constructed to collect longitudinal outcome data automatically via e-mail. This is why it is so important to make sure the system you put into place collects accurate e-mail addresses when they are available. The NHS number is also important and there are files on the website informing you how you, your secretary or your patient can find their NHS number.

If you want more comprehensive data you can put a system into place to enter as many scores into the Registry as you wish.

Figure 2: Surgeons can view patient scores and his/her own results

What happens if a patient moves or the care is taken over by another surgeon?

Only one Pathway can be opened for each hip on a patient. If you try to Register a patient where a Pathway has already been started you will be prompted to contact the previous surgeon through the Registry and allowed to add to the data pathway for that patient.

Getting to grips with the layout of the Registry

There are instructions on the NAHR website, and within the Registry. Telephone support from Amplitude is also available. Please look at the website and phone Amplitude (01905 770505) to get started.

You treat patient with hip disorders! Please organise the protocol for data collection for patients under your care.

This is an exciting time for orthopaedics in the UK - please help the British Hip Society lead the world with acquisition of these data! If you would like to serve on the NAHR Subcommittee please get nominated to serve on the BHS Executive! The President-Elect and Member at Large are automatically appointed.

It is your (confidential) Registry and we welcome your feedback and input into this project.

John TimperleyMarcus Bankes

FRCS (Ed) D. Phil (Oxon)BSc MB BS FRCSOrth

President BHSChair NAHR Steering Group

Chairman NAHR Subcommittee