Below you will find some examples of 'Best Practice' - and further down are examples of Fast Track Proformas and ICP's (Integrated Care Pathways)
If you would like to submit anything to be added to this page please contact Maggie Partridge at maggie.partridge@ucl.ac.uk
1. Improving Hip Fracture Care
a) Pre-operative Assessment and Care:
Examples of Fractured Neck of Femur Integrated Care Pathways and Clerking proformas
Chelsea and Westminster NHS Foundations Trust
Contact:
emer.bouanem@chelwest.nhs.uk.
Victoria Hospital Blackpool
Contact:
marjorie.holden@bfwhospitals.nhs.uk
Maidstone & Tunbridge Wells - contact Rishi Chana (Specialist Registrar) - rchana@nhs.net Rishi and his team have incorporated all components of the NHFD into the Hip # pathway
Musgrove Park, Taunton - contact - tarun.solanki@tst.nhs.uk (Consultant Physician)
Northern General Hospital, Sheffield - contact Dr Suvira Madan - Consultant Orthogeriatrician - Suvira.Madan@sth.nhs.uk
Northern General Hospital, Sheffield - contact Dr Suvira Madan - Consultant Orthogeriatrician - Suvira.Madan@sth.nhs.uk
Portsmouth - contact Susan.poulton@porthosp.nhs.uk (Consultant Physician)
Salford Royal (Hope) Foundation Trust - contact Dr Neil Pendleton - Consultant Orthogeriatrician - neil.pendleton@manchester.ac.uk
University Hospital Lewisham - contact Dr. Elizabeth Aitken - Consultant Geriatrician - Elizabeth.Aitken@uhl.nhs.uk
University Hospital of North Staffordshire - contact - karen.hertz@uhns.nhs.uk - Advanced Nurse Practitioner + on NHFD Executive Group
Whipps Cross Hospital, London - contact: Carol Kirk, Senior Sister Orthopaedics/Trauma
Email: carol.kirk@whippsx.nhs.uk
Withybush Hospital, Haverfordwest, Pembrokeshire - contact Sally Gulliver - Trauma Liaison Nurse - sally.gulliver@pdt-tr.wales.nhs.uk
Worcestershire Acute Hospital Trust
Contacts at Worcester Royal are: Julie Kite TO Matron, Amber Bright TO Coordinator, Tracey Dennehy TO Practitioner, Mr Sadiq, Clinical Lead TO
Contacts at Alexandra Hospital are: Anne-Marie Lewis TO Matron & Mr Bell, Clinical Lead TO
- Examples of 'Fast track' algorithms
Worcestershire Acute Hospital Trust
Contacts at Worcester Royal are: Julie Kite TO Matron, Amber Bright TO Coordinator, Tracey Dennehy TO Practitioner, Mr Sadiq, Clinical Lead TO
Contacts at Alexandra Hospital are: Anne-Marie Lewis TO Matron & Mr Bell, Clinical Lead TO
Progress at Northern General Hospital, Sheffield - contact Dr Suvira Madan - Consultant Orthogeriatrician - Suvira.Madan@sth.nhs.uk
- Pre-operative assessments
Royal Berkshire Hospital, Reading Physiotherapy and Occupational Therapy Checklists for Fractured neck of Femur Patients.
Dr A. Chatterjee, Consultant Physician for Elderly Medicine, has kindly shared the checklists used by the Physio and OT dept to assess #NOF patients at the Royal Berkshire Hospital.
This was designed by Moyra Pugh (OT) and Elizabeth Scott ( Physio) based on the questionnaire in the National Falls and Bone Health Audit in 2007.The check lists takes into account the accurate documentation of assessments made by the therapists as required by the National Audit.
- Pre-operative medical interventions
Mayday University Hospital, Croydon - contact Dr Paul Diggory. Paul.Diggory@mayday.nhs.uk
Derriford Hospital, Plymouth Mr. Richard Cove presented this overview of how they tackled echo delays in Derriford Hospital, Plymouth at the BOA Annual Congress - Sept 2008.
- richard_cove@yahoo.com
B. Surgical Care
C. Post-operative Care
Royal Berkshire Hospital, Reading Postal Follow-up of NHFD patients.
Dr Janet Lippett, Consultant Physician in Elderly Medicine at the Royal Berkshire Hospital, is using a postal questionnaire for following up her NHFD patients.
D. Models of Orthogeriatric Care
Progress at Northern General Hospital, Sheffield - contact Dr Suvira Madan - Consultant Orthogeriatrician - Suvira.Madan@sth.nhs.uk
Royal Hamps County Hospital, Winchester
A report and audit on the introduction of the peri-operative medical liaison service for orthopaedics in Royal Hampshire County Hospital, Winchester.
St.Mary's Hospital, Paddington
Lewisham Hospital
As part of the development of services for older people with fractured neck of femur, Lewisham undertook a process mapping exercise in April 2007 to establish where problems lie within the service. From this work the steering group identified three action plans. Details in this document
2. Secondary Prevention
How to prevent further fractures - A Fracture Liaison Services Resouce Pack
Contributors: Paul Mitchell and Feme Adekunle
A. Osteoporosis Assessment
B. Falls Assessment
Portsmouth - contact - Susan.poulton@porthosp.nhs.uk (Consultant Physician)
C. The Role of Primary care
D. Guidance on Best Practice
3. High Quality Information: using Audit, Standards and Feedback to Improve Care and Secondary Prevention.
A. General
Royal United Hospital, Bath - contact erin.houlihan@ruh-bath.swest.nhs.uk
The redevelopment of the trauma service and participation of the National Hip Fracture Database.
Whipps Cross Hospital, London - contact: Carol Kirk, Senior Sister Orthopaedics/Trauma
Email: carol.kirk@whippsx.nhs.uk
Maidstone audit
Queen Alexandra Hospital, Portsmouth
Summary of Portsmouth 'experience' by Bev Vaughan
B. NHFD
Manchester Royal Infirmary - contact Margaret Russell
National Hip Fracture Database: 1 year on - Personal experiences of using NHFD
Gloucester Royal Hospital
University Hospital, Lewisham Progress in the last 6 months Contact Dr. Elizabeth Aitken - Consultant Geriatrician - Elizabeth.Aitken@uhl.nhs.uk
Hope Hospital, Manchester
The NHFD in practice at Hope Hospital, Manchester
MiscellaneousAddress for the improvement leader's guides
http://www.institute.nhs.uk/building_capability/building_improvement_capability/improvement_leaders%27_guides%3a_introduction.html
The Focus on Hip Fracture:
http://www.institute.nhs.uk/option,com_joomcart/Itemid,26/main_page,document_product_info/products_id,188.html