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Innovations in hip fracture care on target to save 100 lives

Tuesday, 06 March, 2018
Innovations in hip fracture care on target to save 100 lives

A ‘made in Northumbria’ initiative to improve care for older people who’ve had a hip fracture is helping to save lives across the NHS.

Northumbria Healthcare NHS Foundation Trust’s HIP Quality Improvement Programme (known as HIP QIP) is being rolled out to five other NHS trusts as part of the Health Foundation’s £3.5million Scaling Up Improvement programme.


The teams are over half way into the two and a half year project and a recent evaluation of the programme by the Royal College of Physicians has shown a reduction in mortality equivalent to 47 lives saved.


HIP QIP clinical lead, Dominic Inman from Northumbria Healthcare said: “This is a fantastic achievement and shows great progress against our aim to save 100 lives by December 2018. It’s a real credit to all the teams we are working with and shows the impact we have on the lives of our patients when the NHS collaborates.”


Hip fractures are one of the most common and serious injuries in older people and can be fatal. Northumbria’s HIP QIP has been running at the trust for eight years and has long been recognised as a gold standard for hip fracture care. Mortality rates at the trust have significantly decreased and are now lower than the national average. 


The HIP QIP initiative involves introducing local anaesthetic nerve blocks which reduces the need for other opiates which are known to increase mortality and secondary complications for older patients with hip fractures. Other features include quicker access to surgery, early rehabilitation and special appointed nutritional assistants.


Matron for trauma and orthopaedics at Northumbria Healthcare, Tracy Young said: “Better nutrition saves lives and is a medicine too. An extra meal a day can have a significant impact on health and mortality so it’s been a crucial part of our success. What’s really caught on is the idea of having regular tea parties to encourage patients to eat more, socialise and get out of bed which is an essential part of a patient’s recovery.”


Northumbria Healthcare and the five NHS trusts came together at a special celebration event today (Tuesday 6 March) in Leeds and focused on how they sustain improvements for the future.


Supporting the Health Foundation’s Scaling Up Improvement programme is RUBIS.Qi.


RUBIS.Qi is supporting 14 teams across the NHS, including HIP QIP, to deliver improvements from within their own organisations to more than 100 other NHS organisations. It is a unique partnership between Northumbria Healthcare NHS Foundation Trust and NHS Improvement.


Director of patient experience at Northumbria Healthcare and improvement coach for RUBIS.Qi, Annie Laverty said: “We have a long history of being at the forefront of innovations to drive forward quality improvements and working collaboratively across the NHS is something we strongly believe in and learn from too. We are so proud that our HIP QIP programme is being adopted by other trusts and that RUBIS.Qi has been chosen to support the Health Foundation’s Scaling Up Improvement programme which is really making a difference to patients across the NHS.”