The Falls and Fragility Fracture Audit Programme (FFFAP) is a national clinical audit run by the Royal College of Physicians designed to audit the care that patients with fragility fractures and inpatient falls receive in hospital and to facilitate quality improvement initiatives.


  • National Hip Fracture Database (NHFD). Continuous data collection. Latest national report published.
  • Fracture Liaison Service Database (FLS-DB). Feasibility study. Data collection 1 June - 30 September 2013. Report due May 2014.
  • Falls care pathway audit workstream. Pilot audit of inpatient falls. Feasibility study. Report due July 2014.

Commissioned by the Healthcare Quality Improvement Partnership (HQIP) and delivered by the RCP, FFFAP has four overarching aims:

  1. To improve outcomes and efficiency of care after hip fracture 
  2. To improve services in acute and primary care to respond to first fracture and prevent second fracture
  3. To improve early intervention to restore independence
  4. To work in partnership to prevent frailty, preserve bone health and prevent accidents in older people.

The care that patients receive is measured through a number of elements that run in parallel within the programme.  

Elements of the programme

The audit is comprised of three workstreams:

National Hip Fracture Database (NHFD)

The NHFD collects data on all patients admitted to hospital with hip fractures and improves their care through auditing which is fed back to hospitals through targeted reports.  

Read our press release - Professionals are divided over best care for hip fracture patients, latest audit results show

Download the report - National Hip Fracture Database Anaesthesia Sprint Audit of Practice (ASAP) (PDF 2MB) 

For more information visit the NHFD website.

Fracture Liaison Service Database (FLS-DB) 

The FLS-DB aims to evaluate patterns of assessment and treatment for osteoporosis and falls across primary and secondary care.

Pilot audit of inpatient falls

Data collection for the inpatient falls pilot audit has now finished.

The audit consisted of a short organisational audit and a clinical audit. 80 hospitals submitted data.

The pilot aimed to test the feasibility of measuring compliance against national standards of best practice in reducing risk of falls within acute care.

We plan to submit a feasibility report in July which contains an evaluation of the pilot audit and makes recommendations for future work.

Please email: for more information.


Press releases

Professionals are divided over best care for hip fracture patients, latest audit results show

Care is improving for hip fracture patients, latest national report shows - September 2013

Contact the FFFAP team

020 3075 1619

Related links

Last updated on: 02 April 2014

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