The Physiotherapy Hip Fracture Sprint Audit
The Physiotherapy Hip Fracture Sprint Audit (PHFSA) ran from May 1 2017 to October 31 October 2017 and captured a high volume of data on rehabilitation, pathways, frequency and type for hip fracture patients over 60. This data was then linked to the National Hip Fracture Data Base (NHFD) to understand the whole patient pathway.
Recovering after a hip fracture: helping people understand physiotherapy in the NHS
- Average wait of 15 days, but could be as high as 80 days, before receiving home rehab.
- Two in five people missed a day's therapy due to physiotherapist availability.
- Routine rehabilitation planning was carried out for six out of seven patients.
- Patients received 2 hours of post-op physiotherapy in the following week.
- Only one in five services maintained the continuity of rehabilitation.
Download the report
Acute trusts and physiotherapy services that took part in the audit
Search the map for trusts, hospitals, community centres and other physiotherapy services.Zoom the map and click each pin to show the audit results at that location. Use the buttons below to limit the type of service displayed.
PHFSA pathway
Hip sprint investigated the patient journey through the whole pathway from the acute trust providing the initial hip fracture treatment, the next step rehabilitation wards and finally on to home and community based services.
PHFSA infographic
This infographic summarises the results from the audit.
- Mobilisation
- Therapy
- Clinical handover
- Home rehabilitation
Available in the main report.
Clinical audit data
The audit metrics data from all sites is available via the map above and the results are available in the 'CSV' spreadsheets below.
Overall analysis is in the main report.
Organisational audit results
All sites were invited to complete an organisational audit which aims to capture details about the site resources, facilities and staffing. Not all units were able to respond. Those that did are organised by trust and are available via the map above and all results are available in the 'CSV' spreadsheets below.
Overall analysis is in the main report.
Video presentations
Videos of the report presentations are avilable below:
- Opening address - Karen Middleton
- A patients story - Iona Price
- Best practice examples (Bradford) - Kathryn Ellison
- Best practice examples (King's College) - Nicole Nielsen
- Hip sprint - what and how - Meghan Liddicoat
- Hip sprint - what we found - Dr Antony Johansen
- Early supported discharge programme - Laura Harrison
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Discussion and closing remarks
Ruth ten Hove, Pip White & Dr Antony Johansen
About the audit
The Physiotherapy Hip Fracture Sprint Audit (PHFSA) was a national clinical sprint audit, commissioned by the Chartered Society of Physiotherapy and managed by the Royal College of Physicians (RCP); in collaboration with the British Geriatric Society (BGS), British Orthopaedic Society (BOA), Healthcare Quality Improvement Partnership (HQIP), National Osteoporosis Society (NOS) and Public Health England (PHE).
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Copyright © Royal College of Physicians 2018
Disclaimer: The RCP is not responsible for the quality of PHFSA data which is supplied by clinical units. The PHFSA report and maps have been prepared for the exclusive use and benefit of the users and solely for the purpose for which it is provided. Applications for the copyright owner's written permission to reproduce significant parts of these publications (including photocopying or storing it in any medium by electronic means and whether or not transiently or incidentally to some other use of this publication) should be addressed to the publisher. Brief extracts from these publications may be reproduced without the written permission of the copyright owner, provided that the source is fully acknowledged.