Hip fractures - aged 65yrs and over - ICP Outcomes Framework - Resident Locality

This dataset presents the age-standardised rate of emergency hospital admissions for fractured neck of femur (hip fractures) in individuals aged 65 and over. It serves as a key indicator of frailty, fall risk, and the effectiveness of preventative care and support services for older adults.

Rationale

Reducing hip fractures in older adults is a major public health goal, as these injuries are associated with significant morbidity, loss of independence, and increased mortality. Monitoring this indicator helps inform fall prevention strategies, osteoporosis management, and the planning of health and social care services for aging populations.

Numerator

The numerator is the number of first finished emergency admission episodes for patients aged 65 and over with a primary diagnosis of fractured neck of femur, identified using ICD-10 codes S72.0 (Fracture of neck of femur), S72.1 (Pertrochanteric fracture), and S72.2 (Subtrochanteric fracture). Admissions are included only if they have a valid Local Authority code and meet criteria for emergency admission (episode order = 1, admission method starts with '2'). Regular and day attenders are excluded. Data are sourced from NHS England’s Hospital Episode Statistics (HES).

Denominator

The denominator is the resident population aged 65 and over, based on the 2021 Census.

Caveats

This indicator uses a specific definition of fractured neck of femur based on primary diagnosis codes S72.0 to S72.2. Other definitions may include a broader range of S72 codes (e.g., S72.0 to S72.9), which could result in higher values. Therefore, comparisons with other datasets or definitions should be made with caution.

External References

Fingertips Public Health Profiles – Hip Fractures (65+)

Localities Explained

This dataset contains data based on either the resident locality or registered locality of the patient, a distinction is made between resident locality and registered locality populations:

• Resident Locality refers to individuals who live within the defined geographic boundaries of the locality. These boundaries are aligned with official administrative areas such as wards and Lower Layer Super Output Areas (LSOAs).
• Registered Locality refers to individuals who are registered with GP practices that are assigned to a locality based on the Primary Care Network (PCN) they belong to. These assignments are approximate—PCNs are mapped to a locality based on the location of most of their GP surgeries. As a result, locality-registered patients may live outside the locality, sometimes even in different towns or cities.

This distinction is important because some health indicators are only available at GP practice level, without information on where patients actually reside. In such cases, data is attributed to the locality based on GP registration, not residential address.

Click here to explore more from the Birmingham and Solihull Integrated Care Partnerships Outcome Framework.