Falls workstream (National Audit of Inpatient Falls)

The Falls Workstream has been contracted since 2015 to deliver the first National Audit of Inpatient Falls (NAIF), a clinically led, web-based audit of inpatient falls prevention care in acute hospitals in England and Wales. NAIF aims to improve inpatient falls prevention through audit and quality improvement.

What we are doing

National Audit of Inpatient Falls

Round 1 of the National Audit of Inpatient Falls took place in 2015. The first report showed data on nearly 5,000 patients aged 65 years or older across 170 hospitals, and reviewed how well hospital trusts and local health boards prevent inpatient falls in England and Wales, which are set against the NICE guideline (CG161) on falls assessment and prevention.

Quality improvement resources

In order to help sites use their audit results for quality improvement we ran two quality improvement events and the presentations are available to download. We have also collated other resources to help with quality improvement, including:

  • an Excel document template to help sites re-audit
  • PowerPoint slides for audit results dissemination
  • information about the FallSafe falls prevention resources and CareFall e-learning tools
  • case studies focusing on the prevention of falls on hospital wards.

Following Round 1 of the National Audit of Inpatient Falls the advisory group and partners worked together to developed two tools to help to standardise fall prevention in hospitals:

Who's involved

Organisations

The audit is funded through the Healthcare Quality Improvement Partnership (HQIP) and is carried out by the Clinical Effectiveness and Evaluation Unit (CEEU) of the Royal College of Physicians.

The audit criteria are be based on NICE guidance on falls assessment and prevention (2013) and delirium (2010) and National Patient Safety Agency(NPSA) guidance on the prevention and management of inpatient falls. 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.

What we have produced

The National Audit of Inpatient Falls (NAIF) is designed to capture data from acute, community and mental health hospitals relating to falls, and is based on NICE guidance and advice from NHS Improvement (NHSI). 

National Audit of Inpatient Falls (NAIF) is a clinically led, web-based audit of inpatient falls prevention care in acute hospitals in England and Wales. NAIF aims to improve inpatient falls prevention through audit and quality improvement.

Transparency data from the National Audit of Inpatient Falls (NAIF) Audit Report 2015.

Inpatient falls remain a great challenge for the NHS. More than 240,000 are reported in acute hospitals and mental health trusts in England and Wales each year.

The information sheet contains the details of the audit methodology. The audit proforma contains the dataset. To see how the audit dataset is linked to NICE Guidance please view the mapping document.

Regional specific reports were created to disseminate results of the 2015 National Audit of Inpatient Falls to commissioners. Each report contains a summary of the audit’s key findings and recommendations and results for the hospitals and trusts in that region.