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The orthopaedics team

The latest report by the National Hip Fracture Database, detailing outcomes for patients admitted to 177 hospitals in England with a hip fracture in 2016, shows that Ashford & St. Peter's (ASPH) was in the top 10% for the first time for achieving best practice in treatment and care, low mortality and shorter length of stay.

Recording the lowest-ever 30 day mortality of 4.4% (national average 6.7%) confirms that ASPH is one of the safest hospital trusts for hip fracture patients.

Patients with hip fracture spend a significant amount of time in hospital, recuperating after the operation and undergoing rehabilitation. Their care consumes a lot of resources, increases the risk of institutionalisation and may lead to hospital-related harm.

There is also significant continuing ill-health associated with hip fractures, with only 50% of patients returning to their previous level of mobility and 10-20% of patients being discharged to a residential or nursing care placement.

Elderly patients with hip fractures have complex medical, surgical and rehabilitation needs so a well-coordinated multidisciplinary team approach is essential. Over the years, the Ashford and St Peter's team has shown significant improvements, successfully achieving best care for their hip fracture patients and reducing mortality significantly.

In 2016, the Trust's Best Practice score was 83.2% (national average 59.2%). This measures a range of criteria including operations within 36 hours of admission, a multi-disciplinary approach (doctors, nurses and therapist working together), assessment and aftercare.

The Trust's average length of stay is also falling steadily - which is better for patients - from 21.3 days in 2013 (average 19.8 days) to 15 days in 2016 (average 21.6 days).

Lead Consultant Orthogeriatrican at the Trust, Dr. Radcliffe Lisk said: "We are delighted that all the thought and hard work the Trust has put in over the last few years to improving outcomes for our older and vulnerable patients has been recognised.

Consultant Orthogeriatrican, Dr. Keefai Yeong said "We have transformed the way we care for our patients with hip fractures. There is greater collaboration and teamwork across the board and this has resulted in excellent results we have seen"


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