Evidence for clinicians
The Surgical Workload Outcomes Audit Database (SWORD) is an internet-based web tool which runs on HES data and identifies all NHS operations performed in England. Its premise is to use national datasets to identify commonly performed procedures and moves away from self-reported databases that have seen problems of low-uptake and selective reporting.
The data on the website is updated quarterly and is only accessible to Consultant members of the specialist surgical societies partaking in the programme. Definitions and code sets to identify procedures has been agreed and validated with each society.
The data is sorted by Consultant attribution (i.e. all work performed in your name) and allows users to see activity using a mixture of a standard dashboard data (e.g. re-operation rates, readmission rates, length of stay, day case rates) and data related specifically to that procedure (e.g. for cholecystectomy – proportion of cholecystectomies carried out within 10 days of an episode of pancreatitis or cholecystitis). You will also be able to compare yourself to your peers locally and also to the national averages.
Identifiable Consultant level data can only be seen by the individual responsible and cannot be seen by any other user. In the Consultant view you will also be able to screen print summary sheets of your activity for that year for your appraisal folder.