What we are doing
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.
Elements of the programme
The FFFAP 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.
Alongside the advisory groups and board the programme receives guidance from:
The Patient and Carer Panel - a group of 10 patient and carer volunteers who support the Falls and Fragility Fractures Audit Programme (FFFAP).
The programme has been commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP) and currently covers England, Wales and Northern Ireland only.
The audit programme is led by the Royal College of Physicians (RCP), working closely with a broad range of organisations including:
- British Geriatric Society
- British Orthopaedic Association
- Royal Osteoporosis Society
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences
- Crown Informatics
FFFAP is supported by a board, advisory groups and a patient and carer panel.