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New National Hip Fracture Database (NHFD) Report 2021

The National Hip Fracture Database has released it's annual report for 2021.

Despite the challenging year that trauma services experienced in 2020, the NHFD key performance indicators remained stable throughout the year, with only temporary dips.

The data from the report, alongside the live data shared on the NFDH website can be used to identify improvement areas, and to reflect on the services of front line teams. In addition, the report presents data on the effect of COVID-19 around the country specifically on trauma units, and outcomes of COVID-19 positive cases with hip fracture. 

“Covid-19 has had notable effects on the hip fracture care service: hip fracture rates increased significantly... Elderly patients with hip fractures are a particularly vulnerable group during the pandemic… Despite national lockdown and traffic restrictions, the number of older patients with hip fractures significantly increased”

Covid-19 pandemic and hip fractures: impact and lessons learned, Bone and Joint Open, September 2020


Key recommendations:

  • Use NHFD data to understand the impact of COVID-19 on frail older people 
  • To review the NHFD KPI's in local hip fracture teams and target the ones that are below average 
  • Clinical leads to ensure the data they provide is complete and high quality  
  • Clinical leads to review their mortaility run charts- review to be triggered if either mortality line approaches the 95% control line

Find out more on the RCP London website: https://www.rcplondon.ac.uk/projects/outputs/national-hip-fracture-database-nhfd-annual-report-2021