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National Hip Fracture Database Annual Report 2016National Hip Fracture Database Annual Report 2016 Transparency

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Hospital code A&E to Orthopaedic ward in 4 hours. Yes. N A&E to Orthopaedic ward in 4 hours. Yes. % A&E to Orthopaedic ward in 4 hours. No. N A&E to Orthopaedic ward in 4 hours. No. % A&E to Orthopaedic ward in 4 hours. Total AMTS recorded. Yes. N AMTS recorded. Yes. % AMTS recorded. Unknown. N AMTS recorded. Unknown. % AMTS recorded. Total Perioperative medical assessment. No. N Perioperative medical assessment. No. % Perioperative medical assessment. Yes. N Perioperative medical assessment. Yes. % Perioperative medical assessment. Total Mobilised out of bed. No. N Mobilised out of bed. No. % Mobilised out of bed. Yes. N Mobilised out of bed. Yes. % Mobilised out of bed. Total. Falls assessment (QS 16 -11). Yes. N Falls assessment (QS 16 -11). Yes. % Falls assessment (QS 16 -11). No. N Falls assessment (QS 16 -11). No. % Falls assessment (QS 16 -11). Total. Bone health assessment (QS16 – 12). Yes. N Bone health assessment (QS16 – 12). Yes. % Bone health assessment (QS16 – 12). No. N Bone health assessment (QS16 – 12). No. % Bone health assessment (QS16 – 12). Total Best practice tariff achievement. Yes. N Best practice tariff achievement. Yes. % Best practice tariff achievement. No. N Best practice tariff achievement. No. % Best practice tariff achievement. Total Surgery on day of, or day after, admission. Yes. N Surgery on day of, or day after, admission. Yes. % Surgery on day of, or day after, admission. No. N Surgery on day of, or day after, admission. No % Surgery on day of, or day after, admission. Total GA all. N GA all. % GA + nerve block. N GA + nerve block. % SA all. N SA all. % SA + nerve block. N SA + nerve block. % Cemented. N Cemented. % Not cemented. N Not cemented. % Arthroplasties total THR. No. N THR. No. % THR. Yes. N THR. Yes. % THR eligible. Total Intertrochanteric SHS. Yes. N Intertrochanteric SHS. Yes.% Intertrochanteric SHS. No N Intertrochanteric SHS. No % Intertrochanteric. Total Subtrochanteric – all intramedullary nail. N Subtrochanteric – all intramedullary nail.% Subtrochanteric – not intramedullary nail. N Subtrochanteric – not intramedullary nail. % Subtrochanteric – total Cases submitted to NHFD (2014) Case ascertainment denominator (2014 HES/PEDW cases) Case ascertainment % LOS analysis N Acute LOS Post-acute LOS Total LOS Return to own home within 30 days. No. N Return to own home within 30 days. No. % Return to own home within 30 days. Yes. N Return to own home within 30 days. Yes. % Return to own home within 30 days. Total cases Reoperated within 30 days. Yes. N Reoperated within 30 days. Yes. % Reoperated within 30 days. No. N Reoperated within 30 days. No. % Reoperated within 30 days. Total cases. Documented not to have developed a pressure ulcer (CG179). N Documented not to have developed a pressure ulcer (CG179). Yes. % Documented to have developed a pressure ulcer (CG179). N Documented to have developed a pressure ulcer (CG179). % Documented not to have developed a pressure ulcer (CG179). Total cases. Hip fracture sustained as an inpatient. Yes. N Hip fracture sustained as an inpatient. Yes. % Hip fracture sustained as an inpatient. No. N Hip fracture sustained as an inpatient. No. % Hip fracture sustained as an inpatient. All cases Documented final discharge destination. Yes. N Documented final discharge destination. Yes. % Documented final discharge destination. No. N Documented final discharge destination. No. % Crude 30 day mortality rate. N Crude 30 day mortality rate. % Adjusted 30 day mortality rate. % NoOfGeriatricConsHours NoOfGeriatricMGHours Non-medical orthogeriatric support time hrs Ward Days WhoCollectsDataNHFD WhoCollectsFollowup Lead clin data quality check MeetingsDaily Meetings Weekly Meetings Monthly Meetings Discussion Rehab Days Rehab Beds Rehab Service Care Review Care Type CareOther Policies Patient Written info Inc Hip Frac Care Doc
ADD 63 24 190 72.5 262 274 99.6 * 0.4 275 8 2.9 267 97.1 275 * 0.7 290 99.3 292 265 99.6 * 0.4 266 266 100 0 0 266 200 78.1 56 21.9 256 221 80.4 54 19.6 275 143 52 103 72 15 5.5 * 13.3 143 99.3 * 0.7 144 33 78.6 9 21.4 42 95 95 * * 100 17 94.4 * 5.6 18 376 461 81.6 240 15.1 0.2 15.4 63 31.5 137 68.5 200 0 0 0 0 240 217 81.6 15 5.6 266 * 1.8 270 98.2 275 201 73.1 74 26.9 12 4.4 2.5 68 0 0 Mo;Tu;We;Th;Fr Nurses or doctors No Follow up performed R Orthopaedic consultant;Orthogeriatric consultant;Anaesthetic consultant;Nursing Orthogeriatric consultant;Nursing;Physiotherapy;OT;Social worker Orthopaedic consultant;Orthogeriatric consultant;Anaesthetic consultant;Nursing;T&O managers Mortality and morbidity;Delays to surgery;Length of stay;Patient safety;Critical incidents;Complaints;Clinical quality;Inpatient falls;Reoperations W;Sa;Su Bed in another Trust for coordinated MDT rehabilitation;Bed in another Trust for convalescence or care planning;NHS funded care home bed for convalescence or care planning Yes Ward rounds routinely review all types of orthopaedic trauma in older people Shared care Not set PRES;PAIN;NBLK;NUTA;FAST;CATH;PRI;DELA Yes No
AEI 194 64.7 100 33.3 300 308 100 0 0 308 10 3.2 298 96.8 308 29 8.7 302 90.7 333 285 100 0 0 285 285 100 0 0 285 255 79.9 64 20.1 319 255 82.8 53 17.2 308 204 66.2 54 26.5 96 31.2 18 18.8 139 92.1 12 7.9 151 53 81.5 12 18.5 65 83 90.2 9 9.8 92 20 76.9 6 23.1 26 320 344 93 299 13.8 0.1 13.9 139 57 105 43 244 * 0.7 275 90.2 305 285 100 0 0 285 7 2.3 301 97.7 308 289 93.8 19 6.2 23 7.5 7.9 28 0 5 Mo;Tu;We;Th;Fr Nurses or doctors Nurses or doctors R Orthopaedic consultant;Anaesthetic consultant;Nursing;Physiotherapy Orthogeriatric consultant;Nursing;Physiotherapy;OT;Social worker Orthopaedic consultant;Orthogeriatric consultant;Anaesthetic consultant;Nursing;Physiotherapy;OT;Social worker;A&E;T&O managers Mortality and morbidity;Delays to surgery;Length of stay;Patient safety;Critical incidents;Clinical quality;Pressure ulcers;Ward housekeeping W;Sa;Su NHS funded care home bed for coordinated MDT rehabilitation No Ward rounds routinely review all types of orthopaedic trauma in patients of all ages Routine orthogeriatric review Not set PRES;PAIN;NUTA;FAST;CATH;PRI;DELA Yes No
AIR 88 34.6 156 61.4 254 254 95.5 12 4.5 266 37 13.9 229 86.1 266 28 9.5 264 89.2 296 248 99.6 * 0.4 249 246 98.8 * 1.2 249 154 55 126 45 280 188 70.7 78 29.3 266 126 47.4 48 38.1 134 50.4 45 33.6 113 97.4 * 2.6 116 40 71.4 16 28.6 56 56 77.8 16 22.2 72 20 87 * 13 23 272 300 90.7 258 17.8 0.5 18.3 92 44.9 113 55.1 205 0 0 0 0 262 245 98.4 * 1.6 249 10 3.8 256 96.2 266 198 74.4 68 25.6 27 10.2 10 15 0 0 Mo;We;Fr Administration staff No Follow up performed R Orthopaedic consultant;Nursing Orthogeriatric consultant;Nursing;Physiotherapy;OT Orthopaedic consultant;Orthogeriatric consultant;Nursing;Physiotherapy Mortality and morbidity;Delays to surgery;Patient safety;Critical incidents;Clinical quality;Reoperations W Bed in another Trust for coordinated MDT rehabilitation;Bed in another Trust for convalescence or care planning;NHS funded care home bed for coordinated MDT rehabilitation;NHS funded care home bed for convalescence or care planning Yes Ward rounds routinely review all types of orthopaedic trauma in older people Routine orthogeriatric review Not set PRES;PAIN;NBLK;NUTA;FAST;CATH;DELA No No
BAR 163 57 121 42.3 286 295 99.7 * 0.3 296 19 6.4 277 93.6 296 24 7.8 283 91.9 308 271 100 0 0 271 271 100 0 0 271 214 72.8 80 27.2 294 224 75.7 72 24.3 296 135 45.6 67 49.6 148 50 76 51.4 80 79.2 21 20.8 101 15 62.5 9 37.5 24 96 82.8 18 15.5 116 12 92.3 * 7.7 13 251 264 95.1 294 14.2 0 14.2 128 59.5 87 40.5 215 * 1.7 182 63 289 261 96.3 7 2.6 271 10 3.4 286 96.6 296 215 72.6 81 27.4 28 9.5 5.7 22 0 109 Mo;We;Th;Fr Nurses or doctors Trained audit staff N Orthopaedic consultant;Anaesthetic consultant;Nursing Orthogeriatric consultant;Nursing;Physiotherapy;OT Orthopaedic consultant;Nursing;Physiotherapy;T&O managers Mortality and morbidity;Delays to surgery;Length of stay;Delayed discharges;Patient safety;Critical incidents;Complaints;Clinical quality;Pressure ulcers;Inpatient falls;Reoperations W;Sa;Su Bed in another Trust for coordinated MDT rehabilitation;Bed in another Trust for convalescence or care planning;NHS funded care home bed for coordinated MDT rehabilitation;NHS funded care home bed for convalescence or care planning Yes Ward rounds routinely review all types of orthopaedic trauma in older people Routine orthogeriatric review Not set PRES;NUTA;CATH Yes Yes