Falls and Fragility Fracture Audit Programme (FFFAP)

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.

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:

  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 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. 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.
  • National Audit of Inpatient Falls - This audit measures compliance against national standards of best practice in reducing risk of falls within acute care.

What we have produced

Currently only the National Hip Fracture Database (NHFD) workstream has data suitable for analysis. We welcome applications from healthcare professionals and academic institutions wishing to carry out specific analysis with NHFD data.

Falls Prevention in Hospital: a Guide for Patients, their Families and Carers has been designed to help prevent serious injury and unnecessary cost to the NHS caused by older people tripping or falling when they are in hospital.

After the success of our first Improving Falls Care event in November 2014, FFFAP held a second event in Birmingham during June 2015.

The Fracture Liaison Service Database (FLS-DB) facilities audit: FLS breakpoint: opportunities for improving patient care following a fragility fracture audit report provides the first detailed mapping of current service provision for secondary fracture prevention within the NHS in England and Wales.