Physiotherapy Hip Fracture Sprint Audit (PHFSA)

The Physiotherapy Hip Fracture Sprint Audit (PHFSA) presents a detailed understanding of the physiotherapy management of patients with a hip fracture who are over 60 years of age, allowing for recommendations to be made which will result in improvements to service delivery and patient experience.

What we are doing

The audit helps doctors understand:

  • the hip fracture pathway
  • early rehabilitation- specifically mobilisation of patients within 72 hrs of surgery
  • how individual rehabilitation is planned, communicated and delivered
  • whether rehabilitation is delivered 7 days a week
  • how ongoing rehabilitation is planned
  • how the patient’s final outcome is monitored and recorded
  • understand what kind of information the patient received about the rehabilitation
  • the rehabilitation delivered
  • understanding patient discharge planning.

Funding bodies

The PHFSA was commissioned by the Chartered Society of Physiotherapy (CSP), and is managed by the Royal College of Physicians (RCP).

Audit timeline

The data was collected from patients who were admitted to an acute care ward post hip fracture between 1 May 2017  and 30 June 2017. The PHFSA concluded the rehabilitation and home/community setting on 31 October 2017.

All data was analysed by the analytical team under the supervision of the FFFAP project manager, who then followed an analysis plan developed by the PHFSA steering group. The final report was delivered on 30 January 2018, and included provider level data on local performance against national benchmarks.

Who's involved

Organisations

  • British Geriatrics Society
  • British Orthopaedic Association
  • Healthcare Quality Improvement Partnership
  • National Osteoporosis Society
  • The Royal College of Surgeons

What we have produced

This report by the National Hip Fracture Database and the Chartered Society of Physiotherapy has implications for physiotherapists working in many NHS settings.