National Hip Fracture Database (NHFD)

The National Hip Fracture Database (NHFD) is a clinically led web-based audit of hip fracture care and secondary prevention in England, Wales and Northern Ireland. It collects data on all patients admitted to hospital with hip and femoral fractures aiming to improve their care through auditing which is fed back to hospitals through targeted reports and online reporting.

Launched in 2007, the NHFD improves quality of care for hip and femoral fractures, particularly collaborative care. Now patients are far more likely to have both medical and surgical needs addressed early and effectively. As a result, patients proceed promptly to surgery; and the early identification and treatment of medical problems allows earlier rehabilitation, which promotes independence and an earlier return home.

The publication of the NHFD annual report is now moving into its seventeenth year of documenting casemix, care and outcomes of over 65,000 cases from all eligible acute hospitals each year. With over a million records, it is the most extensive hip fracture audit in the world.

For more information or questions, please visit NHFD or email nhfd@rcp.ac.uk.

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What we have produced

View the latest reports and resources from the NHFD.

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NHFD Annual Report 2024 Cover

NHFD annual report 2024

A broken hip - three steps to recovery. The National Hip Fracture Database’s 2024 report, A broken hip - three steps to recovery, has been published today and aims to provide readers with a simple interactive guide to all our data and resources, as we seek to monitor and improve the experience of people at three key stages in their recovery from hip fracture.

Hospital Corridor

NHFD transparency data

Launched in 2007, the National Hip Fracture Database (NHFD) is a clinically led web-based audit of hip fracture care and secondary prevention in England, Wales and Northern Ireland. It 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 reporting.

KPI Cover

NHFD improvement repository

All key performance indicators (KPIs) measure performance against guidance and clinical standards for hip fracture care from NICE.

NHFD 2023 Cover

NHFD annual report 2023

The National Hip Fracture Database (NHFD) 2023 annual report is designed to help local hip fracture teams make the most of the NHFD website’s resources, recommending five quality improvement projects focused on a set of key performance indicators.

NHFD 2022 Cover

NHFD annual report 2022

The National Hip Fracture Database (NHFD) annual report 2022 is designed to help local hip fracture teams make the most of the NHFD website’s resources, with governance tools providing links to key information, graphs and tabulated data.

NHFD Annual Report 2021

NHFD annual report 2021

This report focuses on the six NHFD key performance indicators used to monitor and drive up standards across the country.

NHFD Annual Report 2020

NHFD annual report 2020

This report focuses on the six NHFD key performance indicators used to monitor and drive up standards across the country. 

Your Hip Fracture Guide Cover

Your hip fracture: all about your hip fracture and what to expect on the road to recovery

Your hip fracture: all about your hip fracture and what to expect on the road to recovery is a guide for patients who have fractured their hip, and their families and carers.It explains what a hip fracture is, and answers questions about how you will be cared for before and after your operation.

NHFD Annual Report 2019 0 0

NHFD annual report 2019

The National Hip Fracture Database (NHFD) annual report 2019 demonstrates that mortality has continued to improve with 564 fewer patients dying in 2018 than 2017. However, increased numbers of hip fractures in winter months contribute to increased mortality at a time of increased pressure on trauma services.