Intended for healthcare professionals

Letters Publishing individual surgeons’ death rates

National audits need more sensitive and specific outcome measures for quality improvement

BMJ 2014; 349 doi: (Published 09 October 2014) Cite this as: BMJ 2014;349:g6025
  1. Richard Nelson, past president and chair, Neurosurgical National Audit Programme1,
  2. Richard Kerr, president1,
  3. Paul May, vice president1,
  4. Neil Kitchen, secretary1,
  5. Alistair Jenkins, treasurer1
  1. 1Society of British Neurological Surgeons, London WC2A 3PE, UK
  1. admin{at}

We agree with Westaby’s views on publishing individual surgeons’ death rates.1 In April, the Society of British Neurological Surgeons launched the Neurosurgical National Audit Programme (NNAP)—a comprehensive audit of elective and non-elective neurosurgical services. The NNAP has been mandated by NHS England to publish surgeon and unit level death rates in the 2014 Consultant Outcome Publication. Through the NNAP, neurosurgeons have undertaken a …

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