Northumbria Healthcare Foundation Trust: HIP QIP breakthrough series collaborative – saving lives with better hip fracture care

Northumbria worked with four other orthopaedic units to improve care for patients after a hip fracture. This included operating within 36 hours of the fracture, early mobilisation and improved nutrition for patients, including ward tea parties. Three of the sites in the collaborative previously had poor outcomes for hip fractures.

Over two years, the initiative has seen 119 fewer deaths in four units (hip fracture has a one year mortality rate of 30 per cent) as 30 day mortality fell from 9.1 per cent to 5.8 per cent over this time – a greater fall than in a matched control group. Northumbria saw length of stay fall by a third, representing annual savings of £800,000. Support from the Health Foundation funded nutritional assistants, teams came together for learning events and patient stories added weight to the case for change, backed by shared ownership of change.

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