Benchmark performance summary reports

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 - Lowest 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

NameTime period by DenominatorNumeratorExclusionsColour coding
Number of cases submittedAdmission dateAll casesN/ANilNone
Admitted to orthopaedic ward within 4 hours (%)Admission dateAll cases less exclusionsInterval between time of admission to A&E and time of admission to OW <=4.0 hoursNot 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 dateAll casesAMTS is a valid integer in the range 0–10NilRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Perioperative medical assessment (%)Admission dateAll casesCases 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+NilRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Physiotherapy assessment by the day after surgery (%)Admission dateAll cases less exclusionsCases where assessed by physiotherapist on day of or day after surgery ‘Yes’No operation performedRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Mobilised out of bed by the day after surgery (%)Admission dateAll cases less exclusionsCases where mobilised post surgery does not equal ‘No’ and does not equal ‘Unknown’ and is not nullNo operation performedRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Nutritional risk assessment (%)Admission dateAll casesCases where nutritional assessment does not equal ‘No’ and does not equal ‘Unknown’and is not nullNilRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Delirium assessment (%)Admission dateAll casesCases where delirium assessment is a valid integer in the range 0–12NilRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Received falls assessment (%)Admission dateAll casesCases where falls assessment does not equal ‘No’ and does not equal ‘Unknown’ and is not nullNilRed=Under 90% performance against this indicator
Received bone health assessment (%)Admission dateAll casesCases where bone health assessment does not equal ‘No assessment or action taken’ and does not equal ‘Unknown’ and is not nullNilRed=Under 90% performance against this indicator
Met all the criteria for best practice tariff (%)* (v2)Discharge dateAll cases less exclusionsNHS 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 performedRed=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 nullNo operation performedRed=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

Metrics in the surgery benchmark summary are calculated as per the table below

NameTime period (2016) by DenominatorNumeratorExclusionsColour coding
Number of cases submittedAdmission dateAll casesN/ANilNone
Surgery on day of, or day after, admission (%)Admission dateAll cases less exclusionsCases 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 performedRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Surgery supervised by consultant surgeon and anaesthetist (%)Admission dateAll cases less exclusionsCases where senior surgeon grade = ‘Consultant’ AND senior anaesthetist grade = ‘Consultant’No operation performedRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

General anaesthetic (%)Admission dateAll cases less exclusionsCases where anaesthetic type = GA only OR GA + nerve block OR GA + epidural anaesthesiaNo operation performedNone
General anaesthetic and nerve block (% of all GA)Admission dateCases where anaesthetic type = GA only OR GA + nerve block OR GA + epidural anaesthesiaCases where anaesthetic type = GA + nerve block NilRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Spinal anaesthetic (%)Admission dateAll cases less exclusionsCases where anaesthetic type = SA only OR SA + nerve block OR SA + epidural (CSE)No operation performedNone
Spinal anaesthetic and nerve block (% of all GA)Admission dateCases where anaesthetic type = SA only OR SA + nerve block OR SA + epidural (CSE)Cases where anaesthetic type = SA + nerve block NilRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Proportion of arthroplasties which are cemented (%)Admission dateCases 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 HybridNilRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Eligible displaced intracapsular fractures treated with THR (%)Admission dateCases 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 HybridNilRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Intertrochanteric fractures (excl reverse oblique) treated with SHS (%)Admission dateCases where fracture type = Intertrochanteric – grade A1/A2 OR Intertrochanteric – unable to diagnose subtypeCases where operation performed = Internal fixation – Sliding hip screwsNilRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Subtrochanteric fractures treated with an IM nail (%)Admission dateCases where fracture type = Subtrochanteric –Cases where operation performed = Internal fixation – IM nail (long) OR Internal fixation – IM nail (short)NoRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Metrics in the outcomes benchmark summary are calculated as per the table below

NameTime period by DenominatorNumeratorExclusionsColour coding
Number of cases submittedAdmission dateAll casesN/ANilNone
Case ascertainment (%)Admission dateEstimate of expected cases All casesNilNone
Acute length of stay (days)Admission dateN/AMean 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 dateN/AMean 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 dateAll casesAll 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)

NilRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Discharged to original residence within 120 days (%)Admission dateAll casesAll 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 admissionNilRed=Lowest quartile

Pink=Lower middle quartile

Pale green=Upper middle quartile

Green=Highest quartile

Hip fractures which were sustained as an inpatient (%)Admission dateAll casesAll cases where admitted from = Inpatient – on this hospital site OR Inpatient – other hospital site of this trust OR Inpatient – another trustNilRed=Highest quartile

Pink=Upper middle quartile

Pale green=lower middle quartile

Green=Lowest quartile

Documented not to have developed a pressure ulcer (%)Admission dateAll casesAll cases where pressure ulcer = ‘Yes’ OR ‘No’NilRed=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 dateAll casesAll cases where re-operation <> ‘Unknown’NilNone
120 day follow up (%)Admission dateAll cases less exclusionsCases 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 dateN/ANumber of cases where death (from Office of National Statistics) occurred within 30 days of admission to A&EAll casesNone
Adjusted 30 day mortality rate (%)Admission dateN/ANumber of cases where death (from Office of National Statistics) occurred within 30 days of admission to A&E – adjusted for casemix factorsAll casesNone