National Hip Fracture Database: Patient Care and Outcomes Audit for England, 2014

The 2014 annual report from the National Hip Fracture Database (NHFD) documents case-mix, care, and outcomes for hip fracture patients in England. It contains over 250,000 cases, making it the largest hip fracture audit in the world. The database was founded by the British Orthopaedic Association and British Geriatrics Society and is managed by the Royal College of Physicians.

Use Cases

• Analyzing variations in surgical and rehabilitation care based on documented clinical practices.
• Modeling patient outcomes such as mortality and return to home based on case-mix data.
• Evaluating the impact of policy interventions like the Best Practice Tariff on care quality.
• Benchmarking hospital performance against national standards for hip fracture treatment.

Strengths

• Over 250,000 patient cases recorded, providing a large-scale audit.
• Demonstrated broad improvements in patient care at local and national levels.
• Supported the successful implementation of the Department of Health's Best Practice Tariff in England.

Limitations

• Row count is unknown, which may limit suitability assessment.
• Column-level documentation is absent; field semantics must be inferred after download.
• Data files refer only to England, despite the audit covering Wales and Northern Ireland.

Provenance

Source

Healthcare Quality Improvement Partnership (HQIP), managed by the Royal College of Physicians.

Collection Method

National clinical audit collecting data from hospitals.

Time Range

2014

Freshness

Last updated 2026-06-17 12:51:12.621180; freshness should be verified.

Geography

England (data files); audit covers England, Wales, Northern Ireland, and Isle of Man.