The NHFD is a national clinical audit project commissioned by the Healthcare Quality Improvement Partnership (HQIP) and managed by the Royal College of Physicians (RCP) as part of the Falls and Fragility Fracture Audit Programme (FFFAP). It was established in 2007 as a joint venture of the British Geriatrics Society (BGS) and the British Orthopaedic Association (BOA), and is designed to facilitate improvements in the quality and cost effectiveness of hip fracture care.

It allows care to be audited against the six evidence-based standards set out in the BOA/BGS Blue Book on the care of patients with fragility fracture; and enables local health economies to benchmark their performance in hip fracture care against national data. We hope participation will stimulate your organisation to improve both the acute hip fracture pathway of care and subsequent falls prevention and bone health management: with direct benefits to patient care and outcomes, and eventual reductions in fracture incidence too.

Information Governance: The RCP is authorised to run the NHFD audit, meeting all NHS information governance and legal security assurances and approvals required. All users can be assured that NHFD data is managed securely and in accordance with all legal regulations, NHS guidelines and protocols. Working with the RCP, as their authorised data processor, Crown Informatics is commissioned and contractually bound to uphold strict information governance in respect of:

• Data Protection Act 2018 (RCP Registration: Z708553, Crown Informatics registration: Z3566445)
• EU General Data Protection Regulation (EU) 2016/679 (GDPR)
• Section 251 of the NHS Act 2006 (CAG reference: CAG 8-03(PR11)/2013: formerly ECC 3-04(s)/2011)
• NHS IG-Toolkit Statements of Compliance (Crown Informatics NHS ODS reference: 8J157)
• Data Sharing and Transfer Agreements duly authorised by the data controller (HQIP)
• All staff handling patient data are IG trained and bound by confidentiality agreements.

Project Management:
Jessica Butler, project manager, NHFD
Rosie Dickinson, programme manager, FFFAP

Usage of these audit tools for purposes other than those defined by HQIP as part of the NCAPOP are subject to the following disclaimer:
These tools and documents were specifically developed for use within the FFFAP / NHFD National Clinical Audit. These tools have been made publicly available and should you choose to download them for uses outside of this audit, you are free to do so, but are hereby agreeing to enter into a royalty free, non-exclusive, licence agreement with Healthcare Quality Improvement Partnership under the following terms and conditions:

All information, software, products and related graphics contained in the audit tool or data collection form are provided for non-commercial purposes "as is" without warranty, including but not limited to the implied warranties of satisfactory quality, fitness for a particular purpose, title and non-infringement of third party intellectual property rights. In no event shall HQIP be liable for any direct, indirect, incidental, special or consequential damages for loss of profits, revenue, data or use incurred by you or any third party, whether in action in contract, tort, or otherwise, arising from your access to, or use of, the audit tool or form. HQIP make no representations about the suitability, reliability, or timeliness, and accuracy of the information, software, products and related graphics contained in the audit tool or forms. HQIP reserves the right to make improvements, changes or updates to forms or tools at any time without notice.

Attribution:
The Open Government licence requires that we attribute the information provider and source of information.
This audit uses data provided by NHS Digital (formerly known as The Health & Social Care Information Centre).
Organisation Data Service and other information, NHS Digital, licensed under the Open Government Licence v2.0.
Copyright (c) 2016, re-used with the permission of NHS Digital. All rights reserved.