These reports aim to summarise individual hospital performance in three main areas:
1. Assessment - how quickly can the patient be assessed
2. Surgery - how quickly is the patient treated and which treatments have been delivered
3. Outcomes - indicates how effective the treatment is, length of stay and patient safety factors
The reports are colour-coded to indicate the performance of each unit. The colour coding is based on the how each unit compares to other units and seeks to show which how well units are meeting expected levels of service delivery. The range of performance is measured between the highest performing units and the lowest and each unit is classified within four broad categories:
• Highest quarter - Top 75-100%
• High quarter - 50-75%
• Low quarter - 25-50%
• Lowest quarter - 0-25%
The quartiles are based on the statistical distribution of the data for each performance metric and the classification range is different for each measure.
To see all details for a particular hospital unit, click the hospital name to open their individual summary.
To see how units compare, click the table headings to sort on that metric, either high to low or vice versa.
You can also select a region to see how hospitals in that area compare. National totals are given and overall 'All NHFD' totals.
You can search for a unit by typing a few characters from its name or unit-code.
To reset any changes you may have made, just reload the table from the menu again or press the reset button.
Metrics in the assessment benchmark summary are calculated as per the table below
Name | Time period by | Denominator | Numerator | Exclusions | Colour coding |
Number of cases submitted | Admission date | All cases | N/A | Nil | None |
Admitted to orthopaedic ward within 4 hours (%) | Admission date | All cases less exclusions | Interval between time of admission to A&E and time of admission to OW <=4.0 hours | Not admitted via A&E, No admission date/time, Date of admission to A&E after date of admission to OW. | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Mental test score recorded on admission (%) | Admission date | All cases | AMTS is a valid integer in the range 0–10 | Nil | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Perioperative medical assessment (%) | Admission date | All cases | Cases where the interval between time of admission to A&E or time seen by trauma team and time assessed by geriatrician <=72.0 hours AND geriatrician grade = Consultant or SAS or ST3+ | Nil | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Physiotherapy assessment by the day after surgery (%) | Admission date | All cases less exclusions | Cases where assessed by physiotherapist on day of or day after surgery ‘Yes’ | No operation performed | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Mobilised out of bed by the day after surgery (%) | Admission date | All cases less exclusions | Cases where mobilised post surgery does not equal ‘No’ and does not equal ‘Unknown’ and is not null | No operation performed | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Nutritional risk assessment (%) | Admission date | All cases | Cases where nutritional assessment does not equal ‘No’ and does not equal ‘Unknown’and is not null | Nil | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Delirium assessment (%) | Admission date | All cases less exclusions | Operated cases where delirium assessment is a valid integer in the range 0–12 | No operation performed | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Not delirious when tested post-op (%) | Admission date | All cases less exclusions | Operated cases where delirium assessment is a valid integer in the range 0–3 | No operation performed | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Received falls assessment (%) | Admission date | All cases | Cases where falls assessment does not equal ‘No’ and does not equal ‘Unknown’ and is not null | Nil | Red=Under 90% performance against this indicator |
Received bone health assessment (%) | Admission date | All cases | Cases where bone health assessment does not equal ‘No assessment or action taken’ and does not equal ‘Unknown’ and is not null | Nil | Red=Under 90% performance against this indicator |
Met all the criteria for best practice tariff (%)* (v2) | Discharge date | All cases less exclusions | NHS number is not missing AND Orthopaedic GMC number and geriatrician GMC number are not missing AND Admitted Using Jointly Agreed Assessment Protocol is equal to ‘Yes’ AND Time to surgery is in the range greater than 0 hours and less than or equal to 36 hours AND Time to geriatrician assessment is between 0 and 72 hours AND Geriatrician Grade is equal to ‘Consultant’ , ‘SAS’ or ‘ST3’ AND MDT Assessment is equal to ‘Yes’ AND Bone therapy medication response indicates patient received any form of assessment/action AND Falls assessment response indicates patient received any form of assessment/action AND Valid preoperative AMT score AND Valid postoperative AMT score. | No operation performed | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Met all the criteria for best practice tariff (%)* (v3) |  |  | NHS number is not missing AND Time to surgery is in the range greater than 0 hours and less than or equal to 36 hours AND Time to geriatrician assessment is between 0 and 72 hours AND Geriatrician Grade is equal to ‘Consultant’ , ‘SAS’ or ‘ST3’ AND Bone therapy medication response indicates patient received any form of assessment/action AND Falls assessment response indicates patient received any form of assessment/action AND Valid preoperative AMT score AND Valid delirium assessment score AND Nutritional assessment does not equal no or null AND Physiotherapy assessment does not equal no and is not null | No operation performed | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
*BPT v2 applies prior to April 21017. BPT v3 applies from April 2017 onwards
Name | Time period (2016) by | Denominator | Numerator | Exclusions | Colour coding |
Number of cases submitted | Admission date | All cases | N/A | Nil | None |
Surgery on day of, or day after, admission (%) | Admission date | All cases less exclusions | Cases where date of admission to A&E = date of surgery OR date of admission to A&E = date of surgery + 1 day (NB not the same as 36 hours) | No operation performed | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Surgery supervised by consultant surgeon and anaesthetist (%) | Admission date | All cases less exclusions | Cases where senior surgeon grade = ‘Consultant’ AND senior anaesthetist grade = ‘Consultant’ | No operation performed | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
General anaesthetic (%) | Admission date | All cases less exclusions | Cases where anaesthetic type = GA only OR GA + nerve block OR GA + epidural anaesthesia | No operation performed | None |
General anaesthetic and nerve block (% of all GA) | Admission date | Cases where anaesthetic type = GA only OR GA + nerve block OR GA + epidural anaesthesia | Cases where anaesthetic type = GA + nerve block | Nil | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Spinal anaesthetic (%) | Admission date | All cases less exclusions | Cases where anaesthetic type = SA only OR SA + nerve block OR SA + epidural (CSE) | No operation performed | None |
Spinal anaesthetic and nerve block (% of all GA) | Admission date | Cases where anaesthetic type = SA only OR SA + nerve block OR SA + epidural (CSE) | Cases where anaesthetic type = SA + nerve block | Nil | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Proportion of arthroplasties which are cemented (%) | Admission date | Cases where operation performed = Arthroplasty - Unipolar hemi (uncemented - uncoated) OR Arthroplasty - Unipolar hemi (uncemented - HA coated)
OR Arthroplasty - Unipolar hemi (cemented)
OR Arthroplasty - Bipolar hemi (uncemented - uncoated)
OR Arthroplasty - Bipolar hemi (uncemented - HA coated)
OR Arthroplasty - Bipolar hemi (cemented)
OR Arthroplasty - THR (uncemented - uncoated)
OR Arthroplasty - THR (uncemented - HA coated)
OR Arthroplasty - THR (cemented)
OR Arthroplasty - THR Hybrid | Cases where operation performed = Arthroplasty – Unipolar hemi (cemented) OR Arthroplasty – Bipolar hemi (cemented) OR Arthroplasty – THR (cemented) OR Arthroplasty – THR Hybrid | Nil | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Eligible displaced intracapsular fractures treated with THR (%) | Admission date | Cases where fracture Type=displaced intracapsular AND mobility = Freely mobile without aids OR Mobile outdoors with one aid AND ASA grade = 1 OR 2 OR 3 AND pre-op AMTS >7 AND operation type<>no op performed AND operation type is not null | Cases where operation performed = Arthroplasty – THR (uncemented – uncoated) OR Arthroplasty – THR (uncemented – HA coated) OR Arthroplasty – THR (cemented) OR Arthroplasty – THR Hybrid | Nil | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Intertrochanteric fractures (excl reverse oblique) treated with SHS (%) | Admission date | Cases where fracture type = Intertrochanteric – grade A1/A2 OR Intertrochanteric – unable to diagnose subtype | Cases where operation performed = Internal fixation – Sliding hip screws | Nil | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Subtrochanteric fractures treated with an IM nail (%) | Admission date | Cases where fracture type = Subtrochanteric – | Cases where operation performed = Internal fixation – IM nail (long) OR Internal fixation – IM nail (short) | No | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Name | Time period by | Denominator | Numerator | Exclusions | Colour coding |
Number of cases submitted | Admission date | All cases | N/A | Nil | None |
Case ascertainment (%) | Admission date | Estimate of expected cases | All cases | Nil | None |
Acute length of stay (days) | Admission date | N/A | Mean acute length of stay (Interval between time of admission to A&E and time of discharge from ward) | no discharge OW date; discharge from OW date< admission date. | Red=Highest quartile
Pink=Upper middle quartile
Pale green=lower middle quartile
Green=Lowest quartile |
Overall hospital length of stay (days) | Admission date | N/A | Mean Trust length of stay (Interval between time of admission to A&E and time of discharge from Trust) | no discharge Trust date; discharge from Trust date< admission date. | Red=Highest quartile
Pink=Upper middle quartile
Pale green=lower middle quartile
Green=Lowest quartile |
Documented final discharge destination (%) | Admission date | All cases | All cases where (discharge from Trust = died OR Own home/sheltered housing OR Residential care OR
Nursing care) OR (120 day residence= died OR Own home/sheltered housing OR Residential care) | Nil | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Discharged to original residence within 120 days (%) | Admission date | All cases | All cases where interval between date of discharge from trust and date of admission to A&E is <=120 days AND discharge destination from trust = Residence before this hospital admission OR 120 day residence = Residence before this hospital admission | Nil | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Hip fractures which were sustained as an inpatient (%) | Admission date | All cases | All cases where admitted from = Inpatient – on this hospital site OR Inpatient – other hospital site of this trust OR Inpatient – another trust | Nil | Red=Highest quartile
Pink=Upper middle quartile
Pale green=lower middle quartile
Green=Lowest quartile |
Documented not to have developed a pressure ulcer (%) | Admission date | All cases | All cases where pressure ulcer = ‘No’ | Nil | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Documented not to have had a Reoperation within 120 days (%) | Admission date | All cases | All cases where re-operation <> ‘Unknown’ | Nil | None |
120 day follow up (%) | Admission date | All cases less exclusions | Cases where 120 day mobility does not equal ‘Unknown’ AND 120 day bone protection medication does not equal ‘Unknown’ | Cases where interval between admission to A&E and Trust discharge<=120 days AND discharge desintation from Trust=”Died” | Red=Lowest quartile
Pink=Lower middle quartile
Pale green=Upper middle quartile
Green=Highest quartile |
Crude 30 day mortality rate (%) | Admission date | N/A | Number of cases where death (from Office of National Statistics) occurred within 30 days of admission to A&E | All cases | None |
Adjusted 30 day mortality rate (%) | Admission date | N/A | Number of cases where death (from Office of National Statistics) occurred within 30 days of admission to A&E – adjusted for casemix factors | All cases | None |