The National Audit of Inpatient Falls (NAIF) is a clinically led, web-based audit of inpatient falls prevention care and post fall management in acute, mental health, community and specialist trusts in England and Wales. NAIF aims to improve inpatient falls prevention and post fall care through audit and quality improvement.
What is the National Audit of Inpatient Falls?
The National Audit of Inpatient Falls (NAIF) audits the delivery and quality of care for patients over 60 who fall and sustain a fracture of the hip or thigh bone in acute, mental health, community and specialist NHS trusts/health boards in England and Wales. NAIF reviews the care the patient has received before their fall as well as the post fall care. The audit also looks for evidence of examination for other injuries for patients who are found to have a fracture, which is recommended by the National Institute for Health and Care Excellence’s (NICE) clinical guideline CG161 - and quality standard QS86.
The NAIF annual report 2020 summarises the findings from the most recent round of this audit. NAIF began continuous clinical audit data collection on 1 January 2019. NAIF produces reports based on the findings of the audit for all interested audiencies including patients and carers, clinicians and commissioners. Go to our 'what we have produced' section at the bottom to find out more about these reports.
Using the web tool
All data input takes place via the online web tool.
To enable you to complete the clinical audit we will create a login for you to access the web tool.
To aid data collection, a copy of the clinical audit dataset is available to download below.
Role of trust lead 296.48 KB
2020 NAIF Caldicott Guardian approval 451.15 KB
NAIF 2020 User Guide 122.23 KB
NAIF 2020 Webtool guide 1.47 MB
Clinical audit dataset proforma 487.55 KB
How to participate
The falls lead in your trust/health board will need to complete the registration form below and return it to firstname.lastname@example.org
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.
We encourage all eligible organisations to register and participate in this audit. NAIF is included in the HQIP 2019–20 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).
The audit is funded through the Healthcare Quality Improvement Partnership (HQIP) and is carried out by the Care Quality Improvement Department of the Royal College of Physicians. 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. The audit is steered by a multi-disciplinary advisory group and the FFFAP patient panel. Our key partners are in the advisory group are:
- British Geriatric Society
- British Orthopaedic Association
- Royal Osteoporosis Society
- Public Health England
- National Falls Prevention Coordination Group (NFPCG)
NAIF data collection webtool and performance tables are provided by Crown Informatics www.crowninformatics.com
Data analysis by Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford www.ndorms.ox.ac.uk