Emergency admissions for hip fractures in those aged 65+

Hip fractures can result in pain, loss of independence, distress and an increased risk of mortality. They are largely caused by falls and a major cause for requiring social care. Key risk factors for hip fracture are age and gender. The rate of fracture is higher in very elderly groups (80+ years) and also higher in post-menopausal women.
We aim to maintain levels below 612 per 100,000 population

June 2019 Performance

Performance in West Sussex for 2017/18 of 569 per 100,000 65+ population is similar to the rate for England. This is down from 595 per 100,000 65+ population for 2016/17, a numerical but not statistically significant reduction.
It is worth noting that the rate for those aged 80+ was significantly worse than the rate for England in 2016/17 and is now similar to the England rate, a reduction from 1,658 to 1,568 per 100,000 80+ population.
While these reductions are to be welcomed, it needs to be highlighted that any activity impacting on them will be historical, relating to the period of data collection.

Actions

Falls and fall related injuries are priorities at both county and STPs (sustainability and transformation partnership) levels. It is one of the three socioeconomic priority areas for action along with musculoskeletal disorders (MSK) and cardiovascular disease (CVD).
STP workshops are currently taking place with representation from all key stakeholder organisations within the footprint to identify high value interventions across 4 aspects of the pathway:
  • Non-injured falls at home
  • Post ED or hospital admission falls prevention / home hazard assessment
  • Fracture liaison service development
  • Low level falls prevention / osteoporosis identification
As a result of the programme an additional 1,815 multifactorial and home hazard assessments were delivered by the Falls Champions, who reported that because of their nursing skills, many of the assessments covered wider health issues such as mental health, poorly controlled long term conditions and medicines management. The programme also achieved significant waiting time reductions for the community falls prevention service.
District and Borough strength and balance exercise capacity was significantly increased including providing 16 additional programmes, training 16 instructors and delivering 12 events.
More than 5,000 leaflets on home exercise and what to do in the event of a fall were distributed including to NHS services, Districts and Boroughs and all meals on wheels service users.  
Six slipper swap events were held across the county at which 411 pairs of new slippers were handed out and falls prevention advice was provided.

Services Available

There are a wide range of falls and fracture prevention services in West Sussex. To see further details read more.