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National Audit of Inpatient Falls (NAIF)

The National Audit of Inpatient Falls (NAIF) is a clinically led, web-based audit of inpatient falls prevention care and post fall management in acute, mental health, community and specialist trusts in England and Wales. NAIF aims to improve inpatient falls prevention and post fall care through audit and quality improvement.

What is the National Audit of Inpatient Falls?

The National Audit of Inpatient Falls (NAIF) audits the delivery and quality of care for patients over 60 who fall and sustain a fracture of the hip or thigh bone in acute, mental health, community and specialist NHS trusts/health boards in England and Wales. NAIF reviews the care the patient has received before their fall as well as the post fall care. The audit also looks for evidence of examination for other injuries for patients who are found to have a fracture, which is recommended by the National Institute for Health and Care Excellence’s (NICE) clinical guideline CG161 - and quality standard QS86.

How to participate in NAIF

Who's involved

Organisations

The audit is funded through the Healthcare Quality Improvement Partnership (HQIP) and is carried out by the Care Quality Improvement Department of the Royal College of Physicians. Participation in this audit and results will be communicated to HQIP and will also be shared with other statutory bodies, including the Department of Health. The audit is steered by a multi-disciplinary advisory group and the FFFAP patient panel. Our key partners are in the advisory group are:

NAIF data collection webtool and performance tables are provided by Crown Informatics www.crowninformatics.com

Data analysis by Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford www.ndorms.ox.ac.uk

What we have produced

A repository of all resources produced by the National Audit of Inpatient Falls (NAIF) for healthcare professionals, patients and carers.

The third report of the continuous National Audit of Inpatient Falls (NAIF) covers 2021 England and Wales facilities audit data and clinical audit data from 1 January to 31 December 2020. 

The National Audit of Inpatient Falls (NAIF) is a continuous national audit which aims to improve fall risk reduction practice for inpatients. As of January 2020, the project comprises a full audit of both falls prevention activity prior to the hip/femoral fracture and post-falls care.

In his transparency and open data letter to cabinet ministers on 7 July 2011, then prime minister, David Cameron, made a commitment to make clinical audit data available from the national audits within the National Clinical Audit and Patient Outcomes Programme (NCAPOP).

Case studies from City Hospitals Sunderland, East Kent Hospital and Portsmouth Hospitals focusing on the prevention of falls in hospital wards.

The second report of the continuous National Audit of Inpatient Falls (NAIF) covers 2020 England and Wales facilities audit data and is supported by National Hip Fracture Database (NHFD) clinical audit data from 1 January to 31 December 2019.

The first report of the new continuous National Audit of Inpatient Falls (NAIF) provides a detailed look into the care and management of patients who sustain a hip fracture as the result

The NAIF archive contains pages from projects that are no longer active.