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NHFD annual report 2022

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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.

This year we have focused on how hospitals can use make the most of their data to improve care through quality improvement (QI). We encourage you to look at our new Quarterly Governance Tool to identify areas of improvement.

The annual report encompasses data from 2020 and 2021, to demonstrate how care compares with that prior to the COVID-19 pandemic. It builds on the detailed analysis of our six key performance indicators (KPIs) in last year’s report, and seeks to look forward with innovations including new KPIs designed to examine the very first and final stages of each patient’s care pathway.

Key recommendations 

  • Quarterly governance meetings should be taken as an opportunity for team members and trainees from all disciplines to make use of the NHFD website as a driver for QI; the new Quarterly Governance Tool is designed to help them do this.
  • Hip fracture teams should use KPI 0 as a marker of initial care and a driver to improve the provision of local anaesthetic nerve blocks and fast-tracking of patients to an appropriate ward. Performance should be considered alongside the figures for their unit in the Anaesthesia run chart and Assessment benchmarking table.
  • To help patients avoid further fragility fractures, hip fracture team governance meetings should review KPI 7 alongside their Bone Medication Table and arrangements for 120-day follow-up.
  • Hip fracture teams should minimise inequalities in health care; specifically by reviewing whether support and information is provided in formats and languages appropriate to their patients.