Analgesia in hip fractures. Do fascia-iliac blocks make any difference?

"Our experience shows a great improvement in compliance with fascia-iliac blocks in the pre-operative period. This work has also underpinned the introduction of a new hip fracture care pathway ultimately to better patient care and outcomes."

Analgesia in hip fractures. Do fascia-iliac blocks make any difference?
J Callear, K Shah
BMJ Quality Improvement Reports 2016;5: doi:10.1136/bmjquality.u210130.w4147

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Improving inpatient care with the introduction of a hip fracture pathway

"A system of payment by results exists for the management of hip fractures in England and Wales. Poor performance against the national standards was noted, reflecting failure to deliver optimal care. Through the introduction of a multi-disciplinary patient pathway and clerking pro forma, the proportion of patients earning the best practice tariff uplift increased from 44.4% to 91.7%. "

Improving inpatient care with the introduction of a hip fracture pathway
M Chamberlain, H Pugh
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u204075.w2786

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Is the quality of care in England getting better?

"The ability of the health system in England to monitor quality is increasing and, partly in response to the Francis Inquiry, there have been large changes in the range of ways that quality is assessed and measured."

Is the quality of care in England getting better? QualityWatch Annual Statement 2013
The Health Foundation, Nuffield Trust
November 2013

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Focus on hip fracture

"Providing good-quality care for hip fractures will become of increasing importance due to an ageing population and the corresponding rise in hip fracture incidence. This analysis explores the quality and outcomes of treatment by looking at ten years of hospital inpatient activity data in England."

Focus on hip fracture: trends in emergency admissions for fractured neck of femur, 2001 to 2011
P Smith, C Ariti, M Bardsley
QualityWatch
The Health Foundation, Nuffield Trust
October 2013

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National report of the National Hip Fracture Database

"While the challenges of improving post-acute care are recognised as substantial, greatly improving its documentation will provide a basis for comparisons that will be of interest not only to patients and their carers, but to acute and post-acute clinical teams, and to agencies commissioning hip fracture care – agencies which are likely to value cost-effectiveness, especially when it is linked to higher quality care....This Supplement to the National Hip Fracture Database 2012 National Report extends the findings of that Report and should be read in conjunction with it."

The National Hip Fracture Database National Report 2012 - supplement
National Hip Fracture Database
March 2013

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