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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 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.

How to participate in NAIF

Who's involved

Organisations

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:

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

What we have produced

The third report of the continuous National Audit of Inpatient Falls (NAIF) covers 2021 England and Wales facilities audit data and clinical audit data from 1 January to 31 December 2020. 

The National Audit of Inpatient Falls (NAIF) is a continuous national audit which aims to improve fall risk reduction practice for inpatients. As of January 2020, the project comprises a full audit of both falls prevention activity prior to the hip/femoral fracture and post-falls care.

Did you know that over 2,000 people over the age of 60 fell and fractured their hip while staying in hospital in England and Wales in 2020?

In his transparency and open data letter to cabinet ministers on 7 July 2011, then prime minister, David Cameron, made a commitment to make clinical audit data available from the national audits within the National Clinical Audit and Patient Outcomes Programme (NCAPOP).

The FFFAP Patient Panel along with the NAIF Multidiscplinary advisory group have worked together to produce these patient information resources.

The second report of the continuous National Audit of Inpatient Falls (NAIF) covers 2020 England and Wales facilities audit data and is supported by National Hip Fracture Database (NHFD) clinical audit data from 1 January to 31 December 2019.

The first report of the new continuous National Audit of Inpatient Falls (NAIF) provides a detailed look into the care and management of patients who sustain a hip fracture as the result

The lying and standing blood pressure measurement guide has been designed to assist clinical teams in standardising their approach to falls prevention in hospitals.

The National Audit of Inpatient Falls has collaborated with partners to produce a vision assessment tool to help prevent hospital patients falling or tripping.

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.

These resources have been collated to help sites use the National Audit of Inpatient Falls results and dataset for quality improvement.
Case studies from City Hospitals Sunderland, East Kent Hospital and Portsmouth Hospitals focusing on the prevention of falls in hospital wards.
To help sites use their audit results for quality improvement we ran two quality improvement events.
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 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). 

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