National Hip Fracture Database 2024 annual report
Source: data.gov.uk (2025-06-11)

National Hip Fracture Database annual report 2024. Hip fracture is a serious and costly injury affecting mainly older people. It usually results from the combination of weak bone structure (osteoporosis) and a fall. Around 76,000 hip fractures occur each year in the UK as a whole. Although there is good evidence on best practice in surgical, medical and rehabilitation care following hip fracture, such care and its outcomes – in terms of return home and also of mortality – continues to vary.

The National Hip Fracture Database (NHFD), which was launched in 2007, aims to deliver improvements in the care of hip fracture patients. It documents case-mix, care and outcomes of hip fracture patients in England, Wales and Northern Ireland and is now, with almost 1 million cases on record – by far the largest hip fracture audit in the world.

It has demonstrated broad improvements at local and national level in patient care, and in England has supported the Department of Health’s highly successful Best Practice Tariff for hip fracture care. The work of the NHFD is now being replicated in Ireland, with the recent launch of Irish Hip Fracture Database, and similar developments are in hand in Australia and New Zealand, Canada and Hong Kong.

The National Hip Fracture Database was founded as a collaboration between the British Orthopaedic Association and the British Geriatrics Society. It was developed between 2004 and 2007, and since 2009 it has received central funding as a national clinical audit via the Healthcare Quality Improvement Partnership (HQIP). Since April 2012 the NHFD has continued as part of the Falls and Fragility Fracture Audit Programme (FFFAP), managed on behalf of HQIP by the Royal College of Physicians (RCP).

The audit covers England, Wales, Northern Ireland, Guernsey and the Isle of Man; however data files only refer to data for England and Wales.

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National Hip Fracture Database

National Falls and Fragility Fracture Audit Programme (FFFAP)

Annual reports
- 2025 (//www.nhfd.co.uk/2025report)
- 2024 (//www.nhfd.co.uk/2024report)
- 2023 (//www.nhfd.co.uk/2023report)
- 2022 (//www.nhfd.co.uk/2022report)
- 2021 (docs/reports2021)
- 2020 (docs/reports2020)
- 2019 (docs/reports2019)
- 2018 (docs/reports2018)
- 2017 (docs/reports2017)
- 2016 (docs/reports2016)
- 2015 (docs/reports2015)
- 2014 (docs/reports2014)
- 2013 (docs/reports2013)
- 2012 (docs/reports2012)
- 2011 (docs/reports2011)
- 2010 (docs/reports2010)
- 2009 (docs/reports2009)
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Related documents

A broken hip - three steps to recovery

The 2024 National Hip Fracture Database report on 2023

Key recommendations

• To ensure that hospitals are ready for the people they know will present each day, so patients receive each step of their care at the right place at the right time.

• To ensure that all hospitals provide both prompt surgery and optimal peri-operative care so patients can start getting back on their feet as soon as possible.

• To ensure rehabilitation and recovery is planned and started early, and continues beyond the hospital with measures to prevent another fracture.

• By agreeing a standardised approach to the collection of ethnicity data across all patients’ pathways and provider organisations.

• By ensuring that people with other injuries benefit from the improvements that have been pioneered among those with hip fracture.

British Orthopaedic Association Hip fracture surgery is carried out by members across the breadth of the BOA and is central to the care of older patients. We at the National Hip Fracture Database (NHFD) are delighted to release the 2024 annual report that gives perspective both on how well we currently look after our older injured patients but also in how best we can improve future care. From initiatives to reduce waiting time for ward admission, to discussions around weightbearing after surgery, the report explores all elements of contemporary care of this crucial patient group. We hope and ask that the report will be shared widely within the BOA infrastructure and its membership as we continue to strive to improve care for our patients with broken hips.

The National Hip Fracture Database v1.0 © Copyright 2019 - 2026 HQIP/RCP Falls and Fragility Fracture Audit Programme (FFFAP)

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