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 (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:

  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:

What we have produced

This brief report has been designed to summarise information about falls and fragility fracture care across Wales and help people to understand the care provided in their local area. Featuring interactive maps, the report allows for Welsh healthcare units to view their participation and results in the audits so far. 

The Falls and Fragility Fracture Audit Programme (FFFAP) has data available for healthcare professionals and academic institutions to access for research and analysis purposes. 

The National Hip Fracture Database (NHFD) annual report 2018 shows dramatic results of an innovative programme of screening for delirium which has been the focus of attention and investment through NHS England’s best practice tariff.

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.
Data processing statements for the Falls and Fragility Fracture Audit Programme (FFFAP).