Publication, Part of Patient Reported Outcome Measures (PROMs)
Finalised Patient Reported Outcome Measures (PROMs) in England, for Hip and Knee Replacement Procedures (April 2020 to March 2021)
Official statistics
Patient Engagement
Hip Replacements
The chart below shows the number of NHS funded hip replacement procedures carried out in hospitals, pre-operative questionnaires returned1 and post-operative questionnaires returned2. Please note that activity levels were impacted by the COVID-19 pandemic.
- There were 30,937 hip replacement procedures and 20,750 pre-operative questionnaires. This gives a headline participation rate of 67.1%, which is a decrease from last year (88.3% in 2019-20).
- Of the 20,750 pre-operative questionnaires, 12,377 successfully linked to a PROMs-eligible episode within HES giving a linkage rate of 59.6%. This is a decrease from 73.0% in 2019-20.
- Patients returned 67.1% of the post-operative questionnaires they were sent, lower than the 2019-20 response rate of 69.4%
- Of the total number of HES episodes, 12,377 successfully linked to both a pre- and post-operative questionnaire, giving an overall rate of 59.6%, an increase compared to the previous year 2019-20 (47.0%).
Knee Replacements
The chart below shows the number of NHS funded knee replacement procedures carried out in hospitals, pre-operative questionnaires returned1 and post-operative questionnaires returned2. Please note that activity levels were impacted by the COVID-19 pandemic.
- There were 31,133 knee replacement procedures and 20,543 pre-operative questionnaires. This gives a headline participation rate of 66.0%, which is a decrease from last year (88.4% in 2019-20).
- Of the 20,543 pre-operative questionnaires, 12,118 successfully linked to a PROMs-eligible episode within HES giving a linkage rate of 59.0%. This is a decrease from 70.9% in 2019-20.
- Patients returned 58.6% of the post-operative questionnaires they were sent, lower than the 2019-20 response rate of 67.8%
- Of the total number of episodes found in HES, 12,118 successfully linked to both a pre- and post-operative questionnaire, giving an overall rate of 59.0%, an increase compared to the previous year 2019-20 (45.8%).
Notes
1. Accredited Supplier Switchover
In 2017 following feedback received from both potential suppliers and from NHS trusts changes were made that allowed any organisation, either a supplier or a healthcare provider organisation could apply and submit PROMs data to NHS Digital.
Prior to this point there were only a handful of accredited suppliers of PROMS data one of which was Capita who ceased activities relating to providing accredited supplier activities to trusts from 01/01/2020. This has required a large number of providers to switch suppliers mid-year. We are aware that in a number of cases this transition process has resulted in the new supplier resubmitting pre-operative for a number of procedures that are due to occur post the accredited supplier switchover date for organisations. Leading to a possible inflation of participation rate figures. Investigation has shown this to have minimal effect on national level figures however DQ caveats have been added at provider level analyses to flag where this might be a factor in other statistical outputs disseminated at that level.
2. Impacts of COVID-19
Post-operative follow up questionnaires are issued 6 months following the procedure. This means that such follow up activities and subsequent returns for a number of procedures occurring in 2020-21 period such as completion, return and processing will have occurred during a period where restrictions on movement and changes to behaviours could potentially have impacted upon response rate activity for this reporting period whereas this has not been the case in prior years (except for the last weeks of 2019-20).
Last edited: 3 August 2023 3:30 pm