About the National Hip Fracture Database

The NHFD is 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). It was established in 2007 as a joint venture of the British Geriatrics Society (BGS) and the British Orthopaedic Association (BOA), and is designed to facilitate improvements in the quality and cost effectiveness of hip fracture care.

It allows care to be audited against the six evidence-based standards set out in the BOA/BGS Blue Book on the care of patients with fragility fracture; and enables local health economies to benchmark their performance in hip fracture care against national data.

We hope participation will stimulate your organisation to improve both the acute hip fracture pathway of care and subsequent falls prevention and bone health management: with direct benefits to patient care and outcomes, and eventual reductions in fracture incidence too.

Information Governance:
Working together, the RCP and Crown are fully commissioned to run and host the NHFD audit, with the same commitment to NHS information governance and legal security assurances and approvals as before. All users can be assured that NHFD data will be managed securely and in accordance with all legal regulations, NHS guidelines and protocols. Specifically, both RCP & Crown Informatics are duly authorised and contractually bound to uphold strict information governance in respect of:

• Data Protection Act 1998 (RCP Registration: Z708553, Crown Informatics Registration: Z3566445)
• Section 251 of the NHS Act 2006 (CAG reference: CAG 8-03(PR11)/2013: formerly ECC 3-04(s)/2011)
• NHS IG-Toolkit Statements of Compliance (Reference 8J157)
• Data Sharing and Transfer Agreements duly authorised by the data controller (HQIP)
• All staff handling patient data are IG trained and bound by confidentiality agreements.

Project Management:
Rosie Dickinson, FFFAP programme manager

Support Arrangements and Contact Details:

For all enquiries about the audit, please contact the NHFD helpdesk
nhfd@rcp.ac.uk or 020 3075 2395

For further information regarding NHFD and the Falls and Fragility Fracture Audit Programme: