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National Hip Fracture Database (NHFD)

What we are doing

The National Hip Fracture Database (NHFD) is a clinically led web-based audit of hip fracture care and secondary prevention in England, Wales and Northern Ireland. It collects data on all patients admitted to hospital with hip and femoral fractures aiming to improve their care through auditing which is fed back to hospitals through targeted reports and online reporting. 

Launched in 2007, the NHFD improves quality of care for hip and femoral fractures, particularly collaborative care. Now patients are far more likely to have both medical and surgical needs addressed early and effectively. As a result, patients proceed promptly to surgery; and the early identification and treatment of medical problems allows earlier rehabilitation, which promotes independence and an earlier return home.

The publication of the NHFD annual report is now moving into its thirteenth year of documenting casemix, care and outcomes of over 65,000 cases from all eligible acute hospitals. With over half a million records, it is the most extensive hip fracture audit in the world.

For more information or questions, please visit NHFD or email nhfd@rcp.ac.uk.

What we have produced

The National Hip Fracture Database (NHFD) 2023 annual report is designed to help local hip fracture teams make the most of the NHFD website’s resources. Recommending five quality improvement projects focused on a set of key performance indicators.

A repository of all resources produced by the National Hip Fracture Database (NHFD) for patients and carers.

The National Hip Fracture Database (NHFD) annual report 2022 is designed to help local hip fracture teams make the most of the NHFD website’s resources, with governance tools providing links to key information, graphs and tabulated data.

All key performance indicators (KPIs) measure performance against guidance and clinical standards for hip fracture care from NICE.

Launched in 2007, the National Hip Fracture Database (NHFD) is a clinically led web-based audit of hip fracture care and secondary prevention in England, Wales and Northern Ireland.

The NHFD archive contains pages from projects that are no longer active.

This report focuses on the six NHFD key performance indicators used to monitor and drive up standards across the country.