Falls and Fragility Fracture Audit Programme (FFFAP)

FFFAP is a national clinical audit run by the Royal College of Physicians designed to audit the care that patients with fragility fractures and inpatient falls receive in hospital and to facilitate improvement initiatives.

FFFAP is comprised of three workstreams:

National Hip Fracture Database (NHFD)

The NHFD collects data on all patients admitted to hospital with hip fractures and improves their care through auditing which is fed back to hospitals through targeted reports.

Fracture Liaison Service Database (FLS-DB)

The FLS-DB aims to evaluate patterns of assessment and treatment for osteoporosis and falls across primary and secondary care.

National Audit of Inpatient Falls (NAIF)

This audit evaluates both falls prevention activity prior to the hip fracture and post-falls care, within acute, community and mental health care.

Following an invitation to tender from HQIP, the Royal College of Physicians is awarded a new contract to continue delivering the Falls and Fragility Fracture Audit Programme (FFFAP).

The new contract commenced on 1 July 2023 and the FFFAP team is taking the opportunity to review our organisation and governance structures to ensure these remain fit for purpose.

FFFAP’s vision for the new contract is to increase emphasis on delivery of online improvement resources and a healthcare improvement plan which can clearly measure impact. Our aims are:

To improve the quality of care, services and clinical outcomes for people following a fragility fracture or an inpatient fall.
To deliver dynamic and responsive support to clinical and service leaders by appropriate design, focus and dissemination of audit results.
To incorporate the perspectives and experience of patients and the public.
To support local and national service improvement in the quality of care and patient experience.

Thank you for all the time and commitment you have given to FFFAP as data inputters, lead clinicians and audit facilitators. We are looking forward to continuing our work with you to achieve some lasting improvements in falls and fragility fracture care.

Organisations

The programme has been commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP) and currently covers England, Wales and Northern Ireland only.

The audit programme is led by the Royal College of Physicians (RCP), working closely with a broad range of organisations including:

Alongside the advisory groups and board the programme receives guidance from:

The Patient and Carer Panel - a group of 10 patient and carer volunteers who support the Falls and Fragility Fractures Audit Programme (FFFAP).

What we have produced

Read the latest reports and resources from FFFAP.

Resource

20/10/24

FFFAP resource map: Information for people who have fallen and broken a bone

In collaboration with our stakeholder group, including the Patient and Carer Panel (PCP) and the Royal Osteoporosis Society (ROS), the Falls and Fragility Fracture Audit Programme (FFFAP) team has produced a resource map to provide support for people who have suffered a broken bone after a fall.

18/07/24

CQID Carers Resource HOMEPAGE Graphics 02 0

Hip fracture: a guide for family carers

If you're a carer and the person you care for fractures their hip, this guide will ensure that you are equipped with the information you need to support their recovery. 

Report

20/11/23

The Falls and Fragility Fracture Audit Programme healthcare improvement workbook

The healthcare improvement workbook was developed to support local teams with quality improvement tools and enable service improvements with existing resources and limited budgets.

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