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The audit started in 1993 in four hospitals, funded by the Clinical Resource Audit Group (CRAG). Since March 1999, the Information Services Division (ISD) of NHS National Services Scotland have met central co-ordinating costs. Whilst data collection has historically been funded locally, temporary Scottish Government funding allowed full coverage of mainland hip-fracture operating hospitals in 2007 and 2008. New data collection stopped in December 2008 when the resource was transferred to an audit of Musculoskeletal Access (MSK).

In 2004, following a comprehensive standardisation and validation of local hospital databases, SHFA developed a single national database of audited hip fractures, ultimately incorporating data from all mainland Scotland.  We also re-launched data collection proformas and instructions, standardised across the country, and provided non-participating hospitals with temporary audit staffing to achieve full national coverage for the first time. This national database, now updated to 2008, provides a valuable tool for audit, management and research of this frail and vulnerable group of patients.

SHFA core data has provided hospitals with a succinct and clear overall description of the complex process of hip fracture care in their orthopaedic departments and a means of comparison of the varying multidisciplinary care at different centres. 

In addition to core data collection, SHFA has also carried out a series of time-limited audits that allow various areas of hip fracture care to be investigated in more detail. These have included: 

• Hip fracture rehabilitation (see SHFA Rehabilitation Report 2009)
• Postponement of surgery for medical reasons (see SHFA Clinical Decision Making: Is the Patient Fit for Theatre?)

Another major area of interest has involved working with the Scottish Government's Access Support Division to reduce unnecessary waiting times to surgery following hip fracture. Monthly “real-time” reports were sent to each hospital, allowing them to monitor their performance against agreed local delivery plan targets, and to identify and review patients that miss these targets.

Archive of Annual Reports

2008
Scottish Hip Fracture Audit Report 2008

2007
Scottish Hip Fracture Audit Report 2007

Clinical Decision Making: Is the Patient Fit for Theatre?
Fitness for Theatre Assessment: supplementary tables

SHFA The patient journey post hip fracture: What constitutes rehabilitation? 2009
Download the supplementary tables.

Scottish Hip Fracture Audit Rehabilitation Report 2007