When you start to think about having an operation there are lots of things to consider and it may be frightening.  Many patients have told us that they would like to know more about the quality of the surgeon and the hospital but they don’t know where to look.  This page should help you.

What do you need to know at the beginning?

Firstly, you can choose where you have your operation. Locally most people go to:

Other nearby hospitals are:

Note: the Royal Sussex County Hospital in Brighton is not listed above as it does not carry out elective hip and knee surgery.  (Surgery is ‘elective’ if you have planned to have surgery; it has not been forced on you by an emergency).

How do I know which hospital or surgeon to choose?

Independent information is available on the searchable websites of the National Joint Registry (NJR) and the Clinical Quality Commission (CQC).

The NJR records information about joint replacement surgery to  monitor the results and protect patient safety.

If you are interested in more detail you may want to look at NJR’s leaflet “Improving your experience of joint replacement” which explains more.  The “Public and Patient Guide to the NJR Annual Report” is updated each year and you can see below for an explanation of some of the terms used on the NJR’s website such as Patient Reported Outcome Measures (PROMS).

The CQC is the independent regulator of health and social care.  It checks that all hospital services meet certain standards of quality and safety and publishes its findings.

Can I talk to someone about this?

You can discuss your choices with our patient care advisers on 0300 300 0003.  See above for our opening hours.

What else should I think about?

There will be other questions that you will want answered when you see your clinician or surgeon.  You can see examples of these in our booklet: “I want my hips and knees to hurt less”.

How you can you help make your surgery a success

It is very important that before your operation you:

  • Exercise as much as you can and build up your muscles.
  • Lose weight if you are overweight.
  • Stop smoking.

After your surgery follow your physiotherapist’s instructions. 

You can find out why exercise is so important after surgery and what is available locally to help you in “I want my hips and knees to hurt less”.

How long will I have to wait for surgery?

Waiting times vary from week to week and between hospitals so ask your patient care adviser who will have the most up-to-date times. 


National Joint Registry: ‘Patient Improvement’ and ‘Patient Reported Outcomes’

On the National Joint Registry website you will see charts showing ‘patient improvement’ and ‘patient reported outcomes’.  These statistics are gathered from thousands of questionnaires which patients who have had surgery have completed both before and after their surgery to show how much improvement they have had from their surgery.  The questions cover such topics as:

  • How much you can move about.
  • How easy it is to look after yourself, to wash and dress, for example.
  • How easy it is to do the normal things like work, study, family or leisure activities.
  • How much pain you were in before the operation and afterwards.
  • How anxious and depressed you were before and after the operation.
  • Overall, how you feel about your health.