09 October 2023

NHFD annual report 2023

Quality improvement focuses

  1. Review approaches to monthly hip fracture governance meetings.
  2. Ensure that patients reach an appropriate bed promptly.
  3. Ensure that patients receive prompt and appropriate surgery.
  4. Ensure that patients are ready to get up by the day after their operation.
  5. Ensure that patients are supported to receive bone protection.

Before the National Hip Fracture Database (NHFD) was established, a hip fracture was viewed with fatalism by patients, their families and by the hospital staff looking after them. The care and outcome of this injury has improved immeasurably since, and measurements made by the NHFD over 15 years of reporting have been used to build the Royal Osteoporosis Society's ‘toolkit’ to ensure that such improvement continues.

Antony Johansen, NHFD orthogeriatrician clinical lead

Hip fracture and hospital teams should:

  • look at the guidance and resources on the Royal Osteoporosis Society website designed to improve patients’ recovery through better organisation of their care.
  • review care in the Emergency Department (ED), so that patients are promptly seen, offered pain relief, and admitted to an appropriate specialist ward within four hours.
  • use the NHFD website to see why surgery is delayed and work together so that this happens by the day after patients present with a hip fracture.
  • Use the NHFD website to see what can be done to avoid patients becoming confused so that they are well enough to get out of bed by the day after their operation.
  • ensure that all patients are offered injectable bone strengthening treatment before leaving hospital, or followed up to support their continuing on oral forms of treatment.