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Hip Fracture Summit 2019: Ensuring Adherence to the NICE National Quality Standard and Learning from the NHFD Findings

Friday 7 June 2019
De Vere West One Conference Centre, London

Hip Fracture Summit 2019: Ensuring Adherence to the NICE National Quality Standard and Learning from the NHFD Findings
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“Hip fracture is the most common serious injury in older people. It is also the most common reason for older people to need emergency anaesthesia and surgery, and the commonest cause of death following an accident.” National Hip Fracture Database Report 2018

“The total cost of fragility fractures to the UK has been estimated at £4.4 billion which includes £1.1 billion for social care; hip fractures account for around £2 billion of this sum…short and long-term outlooks for patients are generally poor following a hip fracture, with an increased one-year mortality of between 18% and 33% and negative effects on daily living activities such as shopping and walking” Public Health England June 2018

“The sicker the patient the more urgent the surgery… The sicker you are, the frailer you are, the higher up the surgical list you should be” Mr Martyn Parker, Consultant Surgeon, Peterborough and Stamford Hospitals NHS Foundation Trust January 2019

“The elements of care that define best practice in England are designed to encourage teams to deliver key elements of a hip fracture programme – a multidisciplinary, patient-centred approach that considers the wider health of frail people with this potentially life-changing injury. If 40% of patients are not receiving this care – usually because they miss out on just one or two elements, this could compromise their rehabilitation and recovery. If this figure could be halved then a typical unit seeing 360 cases a year would attract an additional £100,000 in BPT each year – an obvious target in financially challenging times”  Antony Johansen, geriatrician clinical lead for the NHFD

This important and timely conference will focus on improving care for hip fracture patients – learning from the 2018 NHFD findings and improving progress against the NICE quality standard for hip fracture. Through national updates and practical cases studies the conference will highlight best practice in hip fracture care, improving the care pathway and outcomes. The conference will focus on improving assessment, minimised delays to theatre, changing the culture to prioritise hip fracture patients for surgery, overcoming contra indications, improving the anaesthetic and surgical pathway, and ensuring prompt mobilisation after surgery - learning from the Hip Sprint audit into physiotherapy rehabilitation after hip fracture.  The conference will also look at how we can reduce confusion and delirium following hip fracture surgery as highlighted by the recent NHFD Report:

“The importance of early recognition or avoidance of delirium could go a long way to improving patient outcome, survival and quality of life after hip fracture. I urge trusts to use this report to examine areas where they can improve their performance. This can be achieved by focusing on key elements of the patient pathway such as nutritional support, early pain assessment and management, prompt surgery in line with NICE guidance and working to help patients get up and walking as soon as possible following their surgery for a broken hip.” Mr Dominic Inman, Consultant trauma and orthopaedic surgeon and NHFD clinical lead, 2018

“Delirium is the commonest complication of all forms of surgery and anaesthesia in older people, but the condition is still poorly recognised by some staff looking after these patients.” National Hip Fracture Database Report 2018

This conference will enable you to:

  • Network with fellow delegates working to improve services for Hip Fracture
  • Learn from the highest performing trusts in the UK as recognised by the National Hip Fracture Database  
  • Understand and reflect on how you can improve practice, outcomes and reduce mortality locally as a result of NHFD findings
  • Update your knowledge on national developments
  • Reflect on how can we get this patient to surgery? Understanding and reducing medical complications, avoidable inefficiencies and unacceptable reasons for delaying theatre
  • Identify key strategies for improving the anaesthetic and surgical care pathway for hip fracture
  • Understand on how you can improve care for Hip Fracture patients beyond the hospital setting
  • Develop practical strategies for assessing, reducing, recognising and treating delirium and confusion
  • Learning from the Hip Sprint audit into physiotherapy rehabilitation after hip fracture: ensuring prompt mobilisation after surgery
  • Self assess and reflect on your own practice
  • Gain cpd accreditation points contributing to professional development and revalidation evidence

 

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