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State of the Nation - Wales Report

This brief report has been designed to summarise information about falls and fragility fracture care across Wales and help people to understand the care provided in their local area. Featuring interactive maps, the report allows for Welsh healthcare units to view their participation and results in the audits so far. 

The Falls and Fragility Fracture Audit Programme is a suite of three national clinical audits: the National Audit of Inpatient Falls (NAIF), the National Hip Fracture Database (NHFD), and the Fracture Liaison Service Database (FLS-DB).

These are commissioned by the Healthcare Quality Improvement Partnership (HQIP), funded by Welsh Government and NHS England, and run by the RCP in collaboration with a range of stakeholders that include a panel of patients/carers.

These audits provide a quality improvement platform for local Health Boards in Wales – aiming to help local clinical teams and health service managers understand why people fall in hospital, the care that should be provided for fragility fractures, and what can and should be done to prevent future fractures.

Key findings and recommendations 

Welsh recommendations have been drawn from key findings of the three audits. Specific advice is given for the following areas of falls and fragility fracture care:

  • Preventing inpatient falls
  • Care of people with hip fracture
  • Preventing future fractures.