Proportion of patients of all ages discharged back to usual place of residence within 28 days of emergency admission to hospital with fractured proximal femur.
In the absence of routine data on patient levels of function and well-being, a return to usual residence following a fractured proximal femur may act as a proxy for successful outcome of rehabilitation. The category of accommodation as coded in Hospital Episode Statistics (HES) data is used as a proxy for place of residence. Although the proportion of those who return to pre-fracture category of accommodation will depend partly on the availability of support at home and the quality of community services, a change in the category of accommodation may suggest an important change in functional ability and health status. There are variations between ‘like’ populations in the proportions who return to usual residence. The National Health Service (NHS) may be able to avoid unnecessarily prolonged hospital stays by learning lessons from the experience of others, and alerting those with responsibility for social care about problems.The 28 day cut-off was selected based on comments on the NHS Executive’s consultation document on Clinical Indicators (1997). .
This indicator has been discontinued and so there will be no further updates.
Legacy unique identifier: P00818