National Hip Fracture Database

November 2016

General Practitioners

Country of origin: UK

It is estimated that there are 70,000 hip fractures a year in the UK[1] and this is only set to increase as the population gets older. The latest National Hip Fracture Database (NHFD) report, from the British Orthopaedic Association (BOA), the British Geriatrics Society (BGS) and the RCP, finds that care for patients with hip fracture is improving. More patients are receiving surgery within 48 hours of admission than in 2012 and almost all patients (94%) are receiving a falls assessment before being discharged from hospital.

The National Hip Fracture Database national report 2013, commissioned by the Healthcare Quality Improvement Partnership (HQIP), details that the quality of care patients receive and the timeliness in which they undergo surgery for hip fracture are getting better. It also indicates that, at any one time, over 4,000 NHS beds in England, Wales and Northern Ireland are occupied by a patient recovering from hip fracture. The report, published today, shows that:

• 86% of patients receive surgery within 48 hours
• 3.5% of patients are reported to have developed pressure ulcers
• 49% of patients are being assessed by an orthogeriatrician
• 94% receive a falls assessment prior to discharge.
• The number of patients being admitted to an orthopaedic ward within 4 hours is down slightly from 52% in 2012 to 50% in 2013.

The 2013 NHFD report sees the largest number of data records submitted, from the largest number of hospitals and the largest number of patients since the NHFD first began in 2007. This national report profiles the care of over 95% of all cases; 61,508 cases from 180 hospitals.

In spite of the progressive improvements that the NHFD has documented in this and previous reports, there remains considerable variation in the care being offered in different hospitals. The report describes this in detail, and examines the potential implications of this variation by comparing mortality figures in different hospitals. A number of hospitals with poorer figures are identified and will be offered support in addressing persistent problems.

There is also considerable variation in the length of time that patients spend in hospital recovering from hip fracture. The report highlights that hospitals in England are achieving reduced length of stay with an average of 22 days for hip fracture patients, compared with hospitals in Wales (35 days) and Northern Ireland (33 days).

The NHFD is a collaboration between the BOA and the BGS and is managed by the RCP and commissioned by HQIP. It aims to improve the quality and effectiveness of hip fracture care by enabling clinical teams to monitor their performance against agreed clinical standards from the BOA and BGS. The NHFD also monitors compliance with the NICE Guidance 124 - ‘The Management of Hip Fracture in Adults’.

Resources

Healthy Ageing: A Challenge for Europe June 2017 Co-funded by the European Commission, the three-year (2004 - 2007) Healthy Ageing project aims to promote healthy aging...
Self-Assessment Tool for Improving the Quality of Services to Children and Young People June 2017 A self-assessment tool has been designed to assist in assessing their knowledge and capability to commission children?s and...
Assistive technologies website launched June 2017 www.atdementia.org.uk launched by the charity Trent Dementia Services Development Centre to raise awareness of how...
Supporting Survivors Of Childhood Sexual Abuse June 2017 A Scottish Government booklet offers advice on understanding the needs of people who have experienced childhood sexual...
NIH website for child health and human development June 2017 The component of the National Institutes of Health that conducts and supports research on human development, medical...
The Prevention And Treatment Of Head Lice June 2017 A leaflet providing information about head lice including detection, and treatment options has been published.

The...
Hepatitis A Vaccine May 2017 CDC posted an updated hepatitis A VIS that takes into account the licensing of hepatitis A vaccines for children 12 months...
Patient opinion database May 2017 Patient Opinion is a service that tells the public what people are saying about local health services and allows people to...
Hyperhidrosis Society website May 2017 The International Hyperhidrosis Society (IHHS) recently launched a website targeting teenagers who suffer from excessive...
Website helps children prep for hospital experience May 2017 Lucile Packard Children?s Hospital recently launched a new interactive website for children ages 5 to 12 to learn what to...
Search by Keyword