Hip fracture: formal hip fracture programme from admission
Indicator
The proportion of people with hip fracture, who receive a formal hip fracture programme from admission.
Indicator type
Network / system level indicator.
The indicator would be appropriate to understand and report on the performance of networks or systems of providers.
This document does not represent formal NICE guidance. For a full list of NICE indicators, see our menu of indicators.
To find out how to use indicators and how we develop them, see our NICE indicator process guide.
Rationale
Because the occurrence of fall and fracture often signals underlying ill health, a comprehensive multidisciplinary approach is required from presentation to subsequent follow-up, including the transition from hospital to community. A formal hip fracture programme includes regular assessment and continued rehabilitation from a range of healthcare professionals with different skills that help a person to recover their health and wellbeing as fully as possible and take steps to prevent future falls.
Source guidance
Hip fracture: management. NICE guideline CG124 (2011, last updated 2023), recommendation 1.8.1
Specification
Numerator: The number in the denominator who receive a formal hip fracture programme from admission and evidence of multidisciplinary team (MDT) rehabilitation agreed with a responsible orthogeriatrician and orthopaedic surgeon, with General Medical Council (GMC) numbers recorded.
Denominator: The number of people on the National Hip Fracture Database.
Calculation: Numerator divided by the denominator, multiplied by 100.
Exclusions: People 59 years and under, people who died without surgery or died within 48 hours of surgery.
Data source: National Hip Fracture Database.
Minimum population: The indicator would be appropriate to understand and report on the performance of networks or systems of providers.
ISBN: 978-1-4731-5875-7