The National Hip Fracture Database (NHFD)
The NHFD was established in 2007 as a joint venture of the British Orthopaedic Association and the British Geriatrics Society, and is designed to facilitate improvements in the quality and cost effectiveness of hip fracture care. It is a now a national clinical audit project commissioned by the Healthcare Quality Improvement Partnership (HQIP) and managed by the Royal College of Physicians (RCP) as part of the Falls and Fragility Fracture Audit Programme (FFFAP).
The NHFD is intended to focus attention on hip fracture care both locally and nationally, with benchmarking across the country, using continuous comparative data to create a drive for sustained improvements in clinical standards and cost effectiveness. Delivering good care for patients with hip fracture is challenging and involves many health professionals including nurses, surgeons, anaesthetists, geriatricians and rehabilitation staff. The quality of that care varies across the country. The combination of care standards in the form of the BOAST, NICE Guidance and Quality Standards, and Audit (NHFD) will encourage fracture units to develop the interdisciplinary services for rehabilitation and secondary prevention necessary to improve matters for this group of patients.