National Hip Fracture Database Commissioners Report 2014

• Published by: Healthcare Quality Improvement Partnership
• Last updated: 17 June 2026
• Topic: Health
• Licence: Open Government Licence

Summary

Hip fracture is a serious and costly injury affecting mainly older people, and is more common in women. It usually results from the combination of weak bone structure (osteoporosis) and a fall. Around 76,000 hip fractures occur each year in the UK as a whole. Although there is good evidence on best practice in surgical, medical and rehabilitation care following hip fracture, such care and its outcomes – in terms of return home and also of mortality – continues to vary.

The National Hip Fracture Database (NHFD), which was launched in 2007, aims to deliver improvements in the care of hip fracture patients. It documents case-mix, care and outcomes of hip fracture patients in England, Wales and Northern Ireland and is now, with more than 250,000 cases on record – by far the largest hip fracture audit in the world.

It has demonstrated broad improvements at local and national level in patient care, and in England has supported the Department of Health’s highly successful Best Practice Tariff for hip fracture care. The work of the NHFD is now being replicated in Ireland, with the recent launch of Irish Hip Fracture Database, and similar developments are in hand in Australia and New Zealand, Canada and Hong Kong. The National Hip Fracture Database was founded as a collaboration between the British Orthopaedic Association and the British Geriatrics Society. It was developed between 2004 and 2007, and since 2009 it has received central funding as a national clinical audit via the Healthcare Quality Improvement Partnership (HQIP). Since April 2012 the NHFD has continued as part of the Falls and Fragility Fracture Audit Programme, managed on behalf of HQIP by the Royal College of Physicians (London). This report serves as a companion to the NHFD 2014 annual report and the CCG outcome indicators sets, available from the HSCIC indicators portal, and describes a number of outcome indicators aggregated to CCG and area team level.

The audit covers England, Wales, Northern Ireland and the Isle of Man and, however data files only refer to data for England.

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Data links

Link to the data	Format	File added	Data preview
NHFD 2014 commissioners report transparency definitions file	XLSX	18 December 2014	Not available
NHFD 2014 commissioners report transparency data	CSV	18 December 2014	Preview
Falls and Fragility Fracture Audit Programme webpage	HTML	18 December 2014	Not available
National Hip Fracture Database Reports 2014	HTML	18 December 2014	Not available

Supporting documents

Link to the document	Format	Date added
National Hip Fracture Database webpage	HTML	17 June 2026
Healthcare Quality Improvement Partnership	HTML	17 June 2026

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