Welcome to the National Hip Fracture Database (NHFD)

A joint initiative between the British Orthopaedic Association and British Geriatrics Society



As a National audit project the NHFD is supported by the Information Centre for Health and Social Care’s National Clinical Audit Support Programme (NCASP)

The NHFD is intended to focus attention on hip fracture both locally and nationally, benchmark its care across the country, and use continuous comparative data to create a drive for sustained improvements in clinical standards and cost effectiveness.

Delivering good care for patients with hip fracture is challenging and involves many health professionals including nurses, surgeons, anaesthetists, geriatricians and rehabilitation staff. The quality of that care varies considerably across the country. The combination of care standards, in the form of the BOA-BGS Blue Book on the care of patients with fragility fractures, and Audit (NHFD), will encourage fracture units to develop the interdisciplinary services for rehabilitation and secondary prevention necessary to improve matters for this group of patients.


To participate in the NHFD:
  1. The lead clinician for the NHFD at your hospital should send an email to helpdesk@nhfd.co.uk from an NHS email address, requesting access to the database. The minimum information required to register should include the following: Name, job title, full address of hospital[s], email address and contact telephone number.
  2. Once you are registered - a username will be emailed direct; with a request to contact the NCASP helpdesk and a personal password issued.
  3. Go to www.nhfd.co.uk - and click on the NHFD ‘Log In’ - where you will be asked to enter your username and password.
  4. NB - as an integral part of the registration process you will also be requested to complete a FACILITIES AUDIT which will provide the NHFD with essential information regarding your hospital - it is important that this is completed swiftly but it will not delay you commencing your input into the database.
If you have any queries or would like assistance entering data for the first time please contact the clinical help desk on 0207 251 8868 or via email at helpdesk@nhfd.co.uk


Try the website using a Demo Account:

While waiting for your account details, you can use a Demonstration Account to look at how information is currently being collected.
Click on ‘Login' above and use the following credentials.

Username = NHFD DemoUser (not case sensitive)
Password = password

Records created using demouser may be deleted periodically and are considered publicly available, so ensure real patient identifiers are not entered.

In addition…..

  1. Does your hospital currently collect any hip fracture data [on excel/access]? – we have developed a programme in which we can import and analyse information in line with the NHFD dataset and add to the overall stats. We would just need the contact name & tel no. and our IT expert would liaise with them direct.
  2. The NHFD aims to promote best practice in the care and secondary prevention of hip fracture - do you have a summary of how hip fractures are managed in your hospital that you would like to share? This could include: strategies adopted to reduce length of stay and improve the quality of care, employment of specialist nurses working in the fracture wards and the support of Consultant Orthogeriatricians.

(c) 2008 NHFD CCAD