1. Scottish National Hip Fracture Audit Jenny Mountain Audit Co-ordinator ISD Scotland

2. HIP FRACTURE AUDIT Steering Group - 2 Clinical Leaders Steering Group - 2 Clinical Leaders National Co-ordinator - management, data analysis, dissemination - ISD National Co-ordinator - management, data analysis, dissemination - ISD Dedicated audit sisters - data collection and data entry - Locally funded Dedicated audit sisters - data collection and data entry - Locally funded Core data set - acute stay data, 4 month follow and reoperation - set protocols Core data set - acute stay data, 4 month follow and reoperation - set protocols Six monthly local reports, Comparative reports, Annual reports Six monthly local reports, Comparative reports, Annual reports

3. Participating Hospitals Ninewells, Dundee Ninewells, Dundee Perth RI Perth RI RAH Paisley RAH Paisley RI Edinburgh RI Edinburgh Stirling Royal Stirling Royal Borders General Borders General Dunfermline QMH Dunfermline QMH Dr Grays, Elgin Dr Grays, Elgin Falkirk & District RI Falkirk & District RI Hairmyres Hospital Hairmyres Hospital Inverclyde Inverclyde Raigmore, Inverness Raigmore, Inverness Wishaw Wishaw Monklands Monklands Crosshouse Crosshouse Ayr Ayr Southern General Glasgow Southern General Glasgow Dumfries & Galloway Dumfries & Galloway

4. Benefits Patient contact Patient contact Easily accessible, locally owned data Easily accessible, locally owned data Monitoring role Monitoring role Focal point for all disciplines Focal point for all disciplines Knowledge of process Knowledge of process

5. Clinical Standards Board Scotland Established in April 1999 Established in April 1999 Role to promote public confidence in the NHS - meet nationally agreed standards Role to promote public confidence in the NHS - meet nationally agreed standards To Demonstrate that within resources available, NHS is delivering highest possible standards of care To Demonstrate that within resources available, NHS is delivering highest possible standards of care The CSBS Standards for Older People in Acute Care - hip fracture tracer condition The CSBS Standards for Older People in Acute Care - hip fracture tracer condition CSBS OPAC Report (scheduled for April 2003) likely to focus new interest on Hip Fracture care CSBS OPAC Report (scheduled for April 2003) likely to focus new interest on Hip Fracture care

6. AMALGAMATED DATABASE 25 000 hip fracture patients 25 000 hip fracture patients 98% complete follow up to 4 months 98% complete follow up to 4 months Statistically explored, published Statistically explored, published Research Registrar Research Registrar

7. FOCUS Data - Core Dataset Data - Core Dataset –Local accessible information –Add on projects (Warfarin) –Specific local audits Patients Patients –Patient Contact, Follow up –Clinical role of audit nurses

8. Mrs X (Stoke on Trent) message to Chief Executive. When she was on holiday in Edinburgh at the beginning of the year she fell and fractured her femur. " When she was on holiday in Edinburgh at the beginning of the year she fell and fractured her femur. She was treated really well in Ward 6 and was delighted this morning when Sister Farquar telephoned to ask how she was doing. She was very impressed by this and appreciates it very much and was to pass on her thanks to those concerned." PATIENT FOCUS