Artificial Intelligence (AI)
Outcome Service Evaluation data collection
The South West London and Surrey Complex Joint Network
Hip and Knee Surgery
The SWLEOC hospitals work closely with the Royal Surrey County Hospital in Guildford to provide a network of care to patients with complex hip and knee joint replacement problems. Colleagues supporting each other to improve outcomes for patients is the gold standard model of care across the world of Orthopaedics in 2021. The United Kingdom is divided up into a number of regions all of whom are working to deliver the model of care that SWLEOC has developed in our area.
The key features of our success are a weekly Multi-disciplinary Team meeting, strong outcomes research, excellent team working across the network and a close working relationship with our local teaching hospital – St George’s.
A multi-disciplinary team meeting (MDT) is a meeting where all surgeons come together with radiologists (X-Ray specialists), anaesthetists, infectious disease doctors, specialist nurses and any other specialists as required to discuss patients who present with complex/difficult problems. For the last three years at SWLEOC we have hosted the South West London MDT and are very pleased to have developed a close working relationship with Guildford and St Peter’s Chertsey. The team meet every Wednesday morning, some attending in person, some remotely. All patients having a revision hip or knee replacement in our network will be discussed. Their case is presented usually by the surgeon looking after the individual patient after which the x-rays and scans are presented by a radiologist. There then follows a team based discussion around personalising the optimum surgical and non-surgical care offered to each and every patient. Surgeons find this process hugely beneficial in terms of formalising their thoughts over what operation might be performed and how. We also address whether any further scans/tests might be needed. Patients benefit hugely because although they are not present, having their problems discussed by multiple experts leads to a far greater degree of sophistication in decision making and planning.
What stands us apart at SWLEOC is the contribution from our Research and Outcomes Department. Every patient who undergoes a revision hip or knee operation in our network will have their outcomes recorded and their X-Rays reviewed. This quality assurance process enables us to educate, reflect on our practice and ensure that the highest standards of care are being provided. The SWLEOC revision arthroplasty multidisciplinary meeting is where dedicated experts convene to discuss patients who may need re-do joint replacement surgery.
“The meeting covers all aspects of the patient pathway. This ensures that patients are appropriately investigated prior to surgery, the decision to proceed is in the patient’s best interest, a comprehensive surgical plan is made and tips to ensure the surgery is a success.
This provides me a wealth of experience, advice and guidance to make sure I can deliver the best care for my patients.”
Mr John Stammers
Consultant Hip and Knee Surgeon
St George’s Hospital
We are grateful to our Director Mary Richardson for providing funding for administrative support, which Yasmine George performs to an incredibly high standard. Effective communication is the essential foundation for our service of which we are extremely proud. We continue to strive to improve all aspects of care to all of our patients in an effective and sustainable way.
Consultant Orthopaedic Surgeon
Network Lead for Complex Joint Replacement, South West London