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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.


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 falls@rcp.ac.uk

NAIF registration form 

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).

Access the NAIF's data processing statement

Who's involved


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

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.

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).

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