National Hip Fracture Database (NHFD)

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 fractures and improves their care through auditing which is fed back to hospitals through targeted reports.

What we are doing

Launched in 2007, the NHFD improves quality of care for hip fracture, 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 eleventh year and has its widest coverage yet, documenting casemix, care and outcomes of over 64,000 cases from all 177 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

What we have produced

The National Hip Fracture Database (NHFD) annual report 2019 demonstrates that mortality has continued to improve with 564 fewer patients dying in 2018 than 2017.

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

National Hip Fracture Database (NHFD) Facilities Survey 2019 Results.

This guide is for patients who have fractured their hip, and their families and carers. It answers 12 key questions about how you will be cared for before and after your operation.

The National Hip Fracture Database (NHFD) annual report 2018 shows dramatic results of an innovative programme of screening for delirium which has been the focus of attention and investment through NHS England’s best practice tariff.

Now in its tenth year, the National Hip Fracture Database (NHFD) annual report has half a million records, which represents a significant milestone for the data collectors who make the audit possible. 

The National Hip Fracture Database annual report 2016 details the care provided to the 65,000 patients aged 60 and over who sustained a hip fracture during 2015, as well as their outcomes and patient casemix.

The NHFD commissioners’ report 2015 is aimed at Clinical Commissioning Groups (CCGs) in England and in particular, commissioners who commission services for hip fracture, trauma and care for older people.

The 2014 NHFD annual report covers over 64,000 cases across all sites that treat hip fractures in England, Wales and Northern Ireland.
This report by the National Hip Fracture Database and the Chartered Society of Physiotherapy has implications for physiotherapists working in many NHS settings.

The aim of this Anaesthetic Sprint Audit of Practice (ASAP) was to profile individual hospitals’ compliance with standards for peri-operative care described in the Association of Anaesthetists of Great Britain and Ireland (AAGBI) guideline The Management of Proximal Femoral Fracture.