Trauma & Orthopaedic Registries Unifying Structure (TORUS)

What is the ‘Quality Outcomes’ project?

A current focus for the BOA is on supporting the development of new registries and audits in trauma and orthopaedics, in collaboration with specialist societies under a workstream called ‘Quality Outcomes’. National audits and registries can serve various purposes, for example, they can:

  • help surgeons to track the outcomes of their patients;
  • allow surgeons/trusts to compare themselves to others or the average and to identify areas for improvement;
  • provide surgeons with information for revalidation;
  • provide evidence on trends in outcomes, performance of different implants/procedures/etc.;
  • enable individuals and trusts who may be potential outliers to be alerted to this in order to take action.

The BOA believes that the development of the new registries and audits will serve to demonstrate that T&O surgery produces high quality outcomes for patients in the vast majority of cases. They will also enable further areas for improvement to be identified. We believe it is appropriate for the profession to be holding itself to account for outcomes in this way, and hence we are supporting the development of these new registries and audits.

What are the ‘emerging’ registries?

There are currently eight ‘emerging’ registries or audits each led by or set up in conjunction with specialist societies or clinician leads in the relevant area. These are the British Spine Registry, the National Ligament Registry (NLR), the UK Knee Osteotomy Registry (UKKOR), the Non-Arthroplasty Hip Register (NAHR), the Bone and Joint Infection Registry and audits led by BSSH, BOFAS and BLRS. (These are in addition to the well-established NJR, NHFD and TARN.) Some of them have already begun to collect data, while others are earlier in their development.

What will the project do?

The first phase of the project is focused on supporting the new registries to get set up in a way that is sustainable, compliant with relevant legislation and gains buy-in from the wider T&O surgical community. The BOA will be working very closely with the specialist societies throughout.

How is the project funded?

The project has funding from NHS England to support Julia Trusler as Programme Director for 2 years. There is no additional funding for the registries themselves, which are funded independently, generally by either the specialist society, industry contributions, or both.

Registry weblinks

For more information on the registries that we are working with, visit:
British Spine Registry (BSR)
BOFAS Registry
BSSH Audit (BSSH members only)
Non-arthroplasty hip registry (NAHR)
United Kingdom Knee Osteotomy Registry (UKKOR)
UK National Ligament Registry (NLR)