Royal College of Physicians of London: AUDIT The National Hip Fracture Database (NHFD) is a clinically led, web-based quality improvement initiative commissioned by the Healthcare Quality Improvement Partnership (HQIP)

Data-sharing agreement from NHS Digital registers of approved data releases, 2014–2019. Evidence status: source reported.

Organisation: Royal College of Physicians of London
Source reference: DARS-NIC-312474-H5Q0T-v0.4
Jurisdiction: England
Licence: Open Government Licence v3.0, subject to NHS England terms and exclusions

Register reference: DARS-NIC-312474-H5Q0T-v0.4
Agreement period: not published to no end date published
For commercial purposes (as marked in the register): Not stated
Release files listed by NHS England: 3

Data approved

MRIS - List Cleaning Report

Objective, as published

AUDIT The National Hip Fracture Database (NHFD) is a clinically led, web-based quality improvement initiative commissioned by the Healthcare Quality Improvement Partnership (HQIP) and managed by the Royal College of Physicians (RCP). All 182 eligible hospitals in England, Wales and Northern Ireland are now regularly submitting data to NHFD, the largest hip fracture database in the world, with: • a third of a million cases recorded since its launch in 2007 • over 95% of all new hip fracture cases being documented • 5,700 records being added every month. In addition to the information collected by the audit, Hospital Episode Statistics (HES) data is linked to the audit data to provide a richer data set. HES data is used in this audit to look at patient pathways for people who have experienced a hip fracture. The audit will look at HES episode data for patients and link them together into a ‘super-spell’, this is the whole period of hospitalisation for the patient regardless of which consultant they are under and crossing hospitals where a transfer has taken place. To ensure The Royal College of Physicians (RCP) can account for all reasons for a sequence of episodes ending, they need to be able to identify when a patient has died, particularly when this occurs unexpectedly during a planned sequence of episodes. The data will be used to refine case ascertainment algorithms for the audit. The data will be used to validate and refine casemix risk adjustment models for the audit. R…

Expected benefits, as published

As part of the Falls and Fragility Fracture Audit Programme (FFFAP) within the Clinical Effectiveness and Evaluation Unit at the RCP, the NHFD has now developed into a comprehensive quality improvement initiative and combines several elements: • description of facilities and practice in different units around the country • audit of practice against the NICE quality standard for hip fracture (QS16) • performance evaluation to support Monitor’s Best Practice Tariff (BPT) • support for clinical governance in individual hospitals • metrics to support patient safety monitoring • identification of outlier hospitals in respect of patient outcome • a framework to support local and national audit work • an infrastructure for scientific and research work • a resource of specialist information, expe…

Source: https://webarchive.nationalarchives.gov.uk/ukgwa/2019/http://content.digital.nhs.uk/media/22305/Data-Release-Register-April-to-August-2016/xls/Data_Release_Register__April_-_August_2016.xlsx. Captured 2026-10-30.

Limitations: Agreement as recorded in an NHS Digital register of approved data releases (2014–2019), retrieved from the UK Government Web Archive. That register lists releases made in its period and the agreement's purpose statement as it then stood; it gives no agreement dates, and the agreement may have changed since. Imported only where a paper quotes a reference no current register holds.