The National Audit of Inpatient Falls (NAIF) annual report 2025, Stepping towards improvement: an analysis of 2024 inpatient falls audit data and reflection on 6 years as continuous audit, presents data from fall-related inpatient femoral fractures (IFFs) sustained between January and December 2024.
'This report reflects on the progress made since 2019 when we started continuously measuring fall prevention actions and post-fall management in older people who sustain a hip fracture from an inpatient fall. We have seen improvements in all our key performance indicators in this period, and this is a testament to the tireless work in participating hospitals. However, there is potential for further improvement that will ultimately lead to better patient outcomes and experience. Next year we will report on a larger range of inpatient fall-related injuries, building on learning from the last six years for an expanded cohort of patents. Thank you to all who participate in the audit and strive to make improvements to care.'
Dr Julie Whitney, NAIF clinical lead
For the first time, the NAIF report has introduced statistics that describe the age, sex and index of multiple deprivation for included patients. Live data for the four key performance indicators (KPIs) are available on the Crown webtool.
Spotlights and recommendations
- Trusts and health boards review their data to select an area for local improvement from one of the three suggestions below:
1. Improve measurement and recording of LSBP aiming for 60% completion rate.
2. Increase delirium screening rates to 65% working together with relevant trust teams.
3. Develop new practices that hasten the time to administration of analgesia after fall-related injury. - Trusts and health boards to review and refine methods for identifying and inputting cases into the expanded audit.
- ICBs and health boards to ensure providers undertake a facilities audit in 2026 and review organisational capacity to:
a. support patients to move safely while they are in hospital
b. effectively and safely manage patients who have fallen while in hospital. - ICBs and health boards to guarantee that severe harm is always attributed to inpatient fall-related hip fractures.
This is the final NAIF report from the continuous audit of only those inpatients who had a fall resulting in a femoral fracture. To explore how audit data varies across different inpatient settings, please refer to the NAIF supplementary paper: A comparison of the data from different settings.
In January 2025, NAIF expanded to collect data on all fractures, head injuries and spinal injuries that occurred as a result of an inpatient fall. The next report will therefore present national data on patients with these fall-related injuries.
Trust/Health board (HB) reports
Trust/HB report for all participating organisations will be available from 17 October 2025.
Log into your account here, select 'Reports' and find your trust level report under 'Trust Report 2023 and 2024'.
Please use your browser's print to PDF function to download the report.