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National Hip Fracture Database Annual Report 2015National Hip Fracture Database Annual Report 2015 Transparency

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Hospital code	Own home/sheltered housing. N	Own home/sheltered housing. %	Rehabilitation unit. N	Rehabilitation unit. %	Acute hospital. N	Acute hospital. %	Residential care. N	Residential care. %	Nursing care. N	Nursing care. %	Dead. N	Dead. %	Other. N	Other. %	Unknown. N	Unknown. %	Admitted from/discharged to Total cases	A&E to Orthopaedic ward in 4 hours (QS16 -1). Yes. N	A&E to Orthopaedic ward in 4 hours (QS16 -1). Yes. %	A&E to Orthopaedic ward in 4 hours (QS16 -1). No. N	A&E to Orthopaedic ward in 4 hours (QS16 -1). No. %	A&E to Orthopaedic ward in 4 hours (QS16 -1). Total	AMTS recorded. Yes. N	AMTS recorded. Yes. %	AMTS recorded. No. N	AMTS recorded. No. %	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. N	GA. %	Not GA. N	Not GA. %	GA Anaesthetics Total	GA + nerve block. N	GA + nerve block. %	GA without NB. N	GA without NB. %	GA NB. Total	SA all. N	SA all. %	Not SA. N	Not SA. %	SA anaesthesia. Total	SA + nerve block. N	SA + nerve block. %	SA without nerve block. N	SA without nerve block. %	SA Total	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	Case s submitted	Case ascertainment denominator	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.	Developing a pressure ulcer (CG179). Yes. N	Developing a pressure ulcer (CG179). Yes. %	Developing a pressure ulcer (CG179). No N	Developing a pressure ulcer (CG179). No %	Developing a pressure ulcer (CG179). Total cases.	Unknown pressure ulcer (CG179). Yes. N	Unknown pressure ulcer (CG179). Yes. %	Unknown pressure ulcer (CG179). No N	Unknown pressure ulcer (CG179). No %	Unknown 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	No OG consultantr hrs	No OG middle grade hrs	No OG ward rounds/week	No nurse practitioners	OG weekend cover?	Who collects data?	Who enters data?	Routine nerve blocks offered?	Where nerve blocks administered?	Enhanced recovery programme?	Pain tool used?	Clinical governance meetings?	Who attends?	What is discussed?	Who does bone health assessment?	Fracture Liaison Service?	FLS run by?	Does FLS lead on falls?	Single room accomodation in catchment	Can you refer to strength and balance training?	Do you use Nottingham Score?
ADD	196	64.69%	60	19.80%	*	0.33%	15	4.95%	10	3.30%	16	5.28%	*	0.99%	*	0.66%	*	203	58.2%	146	41.8%	349	*	99.7%	*	0.3%	*	8	2.1%	368	97.9%	376	10	3.8%	255	96.2%	265	*	99.7%	*	0.3%	*	*	99.7%	*	0.3%	*	323	80.5%	78	19.5%	401	304	80.85%	72	19.15%	376	283	75.27%	93	24.73%	376	67	23.67%	216	76.33%	283	68	18.09%	308	81.91%	376	*	5.88%	*	94.12%	*	176	100.00%	0	0.00%	176	58	74.36%	20	25.64%	78	137	95.14%	7	4.86%	144	*	92.00%	*	8.00%	*	376	504	74.60%	366	14.4	0.1	14.5	122	40.13%	182	59.87%	304	*	0.27%	*	99.73%	*	14	3.93%	342	96.07%	356	*	0.28%	*	99.72%	*	*	1.33%	*	98.67%	*	75	0	5	1	No	ND	ND	Yes	AED;AN	No	Yes	Monthly	ORC;OGC;ANC;TO	MM;DS;LOS;PSf;CI;CN	OG	Outpatients	RH	No	Unknown	FPC	No
AEI	86	35.98%	99	41.42%	*	0.42%	9	3.77%	13	5.44%	20	8.37%	11	4.60%	*	0.00%	*	102	32.8%	209	67.2%	311	*	99.4%	*	0.6%	*	19	5.9%	301	94.1%	320	15	6.2%	227	93.8%	242	*	99.7%	*	0.3%	*	*	99.3%	*	0.7%	*	215	70.0%	92	30.0%	307	243	75.94%	77	24.06%	320	202	63.13%	118	36.88%	320	24	11.88%	178	88.12%	202	107	33.44%	213	66.56%	320	6	5.61%	101	94.39%	107	125	92.59%	10	7.41%	135	47	81.03%	11	18.97%	58	108	87.10%	16	12.90%	124	*	83.33%	*	16.67%	*	320	334	95.81%	287	15.5	0.3	15.8	116	48.33%	124	51.67%	240	7	2.25%	304	97.75%	311	*	0.34%	*	99.66%	*	*	0.34%	*	99.66%	*	17	5.31%	303	94.69%	320	20	0	5	0	No	ND	ND	No	Unknown	No	Yes	Monthly	ORC;OGC;ANC;NS;PH;OC;TO	MM;DS;LOS;DS;PSf;CI;CN;LQ	OG	Outpatients	O	No	Unknown	FPC;CR	routinely
AIR	119	60.71%	39	19.90%	*	0.51%	8	4.08%	13	6.63%	14	7.14%	*	1.02%	*	0.00%	*	106	40.8%	154	59.2%	260	*	98.2%	*	1.8%	*	37	13.6%	235	86.4%	272	23	11.4%	178	88.6%	201	250	100.0%	0	0.0%	250	*	98.4%	*	1.6%	*	165	63.7%	94	36.3%	259	204	75.00%	68	25.00%	272	110	40.44%	162	59.56%	272	62	56.36%	48	43.64%	110	149	54.78%	123	45.22%	272	34	22.82%	115	77.18%	149	139	95.86%	6	4.14%	145	32	56.14%	25	43.86%	57	64	78.05%	18	21.95%	82	*	94.12%	*	5.88%	*	272	273	99.63%	238	17.5	0.4	18.0	86	43.88%	110	56.12%	196	*	0.38%	*	99.62%	*	*	2.00%	*	98.00%	*	0	0.00%	250	100.00%	250	13	4.78%	259	95.22%	272	10	0	3	0	Yes	ND	TA	Yes	AED;AN;SN;OS	Yes	Yes	Not routinely	N/A	MM;DS;PSf;CI	OG	Inpatients	GEM	Yes	Unknown	FPC;CR	No
ASH	182	76.47%	*	1.68%	10	4.20%	10	4.20%	8	3.36%	21	8.82%	*	1.26%	*	0.00%	*	182	52.9%	162	47.1%	344	362	100.0%	0	0.0%	362	*	1.1%	*	98.9%	*	19	7.0%	254	93.0%	273	320	100.0%	0	0.0%	320	320	100.0%	0	0.0%	320	319	89.4%	38	10.6%	357	325	89.78%	37	10.22%	362	185	51.10%	177	48.90%	362	17	9.19%	168	90.81%	185	132	36.46%	230	63.54%	362	*	3.03%	*	96.97%	*	*	99.47%	*	0.53%	*	46	76.67%	14	23.33%	60	121	91.67%	11	8.33%	132	*	82.35%	*	17.65%	*	362	326	111.04%	330	9.7	18.0	27.7	97	40.25%	144	59.75%	241	7	2.03%	338	97.97%	345	9	2.81%	311	97.19%	320	0	0.00%	320	100.00%	320	22	6.08%	340	93.92%	362	8	40	5	1	No	ND	ND	Yes	AED;OS	Yes	Yes	Monthly	ORC;OGC;ANC;NS;PH;OC;AES;TO	MM;DS;PSf;CI;CN;LQ	OG;SN	No	Unknown	Unknown	Unknown	CR	routinely