National Audit of Inpatient Falls (NAIF)

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

What we are doing

The National Audit of Inpatient Falls collects data continuously and focuses on patients who sustain a hip fracture whilst in hospital. All acute, mental health, community and specialist trusts/health boards in England and Wales caring for patients aged 60 and above are eligible to participate. 

Phase 1 of the audit was launched in January 2019 and is currently collecting data from a condensed dataset of five questions. Phase 2 will be launched in January 2020 and will collect data from a full dataset, extended to collect detailed information on fall risk reduction activities prior to the fall, the circumstances surrounding the fall and post-fall care.

Performance of each trust/health board is measured and reviewed against NICE guideline (CG161) and reported on annually.  

How to participate

The falls lead in your trust/health board will need to complete the registration form below and return it to falls@rcplondon.ac.uk

NAIF registration form 2019 355.28 KB

Please note that falls leads do not have to personally input all the data, but are responsible for ensuring that the actions are completed. There can be some flexibility in terms of who inputs the data into the web tool in different organisations. Falls leads are encouraged to develop ways of completing this audit that work in their local context.

NAIF is included in the HQIP 2018–19 listing for national audits that must be reported in the trust’s quality account and also forms part of the National Clinical Audit Patient Outcomes Programme (NCAPOP).

Access the NAIF's data processing statement

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 invites all acute, community and mental health trusts, and university health boards, to participate in its new audit.
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).

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.