AUDIT
Neck of Femur Fracture Proforma
Guy's and St Thomas' NHS Foundation Trust
2000
Academic Medicine
ratings
Guidelines Used
NICE CG124
Background
Uptake of the NICE CG124-based neck of femur fracture admission proforma at GSTT is variable, risking incomplete history, examination and Best Practice Tariff data capture. Standardised use of this proforma is mandated by NICE and the national Best Practice Tariff but local review shows inconsistent completion .
Aims
To improve accuracy and compliance of the neck of femur fracture admission proforma completion at Guy’s & St Thomas’ during the audit cycle.
Objectives
Audit population: Review all neck of femur admissions between 1 July and 30 September 2025 for use of the NICE CG124 admission proforma.
Benchmarking: Calculate the percentage of admissions with a fully completed proforma against a 100% standard.
Template integration: Embed the proforma into the EPIC admission workflow by month 2 of the cycle.
Education: Deliver a 15-minute training session for all orthopaedic junior doctors by the end of month 1.
Re-audit: Repeat the proforma-completion audit in month 6 to assess improvement toward full compliance .
Keywords
Neck of femur
Proforma compliance
NICE CG124
Best Practice Tariff
Hip fracture admission
Admission documentation
Orthopaedic audit
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