The Falls and Fragility Fracture Audit Programme (FFFAP) is a national clinical audit run by the Royal College of Physicians (RCP) designed to audit the care that patients with fragility fractures and inpatient falls receive in hospital and to facilitate quality improvement initiatives.
What we are doing
Commissioned by the Healthcare Quality Improvement Partnership (HQIP) since 1 June 2013 and delivered by the RCP, FFFAP has four overarching aims:
- To improve outcomes and efficiency of care after hip fracture.
- To improve services in acute and primary care to respond to first fracture and prevent second fracture.
- To improve early intervention to restore independence.
- 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 the following 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.
- 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.
- National Audit of Inpatient Falls (NAIF) - This audit evaluates both falls prevention activity prior to the hip fracture and post-falls care, within acute, community and mental health care.