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National Hip Fracture Database Annual Report 2016NHFD 2016 annual report transparency data

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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