New Zealand Hip Fracture Registry to be launched

An important new health initiative is being launched which will help the over 4,000 New Zealanders who suffer from a hip fracture annually.

Hip fractures can be devastating for sufferers with over 50% losing their ability to live independently, many going into long-term care and 25% suffering an early death. This problem is likely to increase rapidly as New Zealand’s 1 million baby boomers age.

Osteoporotic fragility fractures exert a tremendous burden on older New Zealanders, the national economy and our health and social care system. The Hip Fracture Registry will allow for better analysis of national data, improve quality and consistency of care after a hip fracture through the use of a set of key quality indicators. These have been developed by New Zealand clinicians using other international registries, notably the Swedish and the UK’s hip fracture registries.

This clinically initiated and led programme is supported by the Accident Compensation Corporation (ACC), the Ministry of Health and the Health Quality and Safety Commission NZ (HQSC). ACC is supporting the New Zealand Hip Fracture Registry as part of a programme of work to improve services for older people. This programme aims to reduce the incidence of falls and fractures amongst older people, improve treatment and rehabilitation for those who have fallen and to reduce their risk of falling or fracturing again. This should mean our older people are able to live independently for longer.

The National Hip Fracture Database (NHFD) in the United Kingdom, which was established in 2007, has enabled benchmarking of implementation of best practice guidelines. Through adherence to these guidelines a recently published external validation of the UK NHFD suggests that better care has resulted in lives being saved. New Zealand hopes to replicate this success.

There is still a lot of work ahead, but there has been a great start with the positive pilot in 4 Northern DHBs. Progress so far includes Australasian consensus guidelines, draft Clinical Care Standards and a high performing IT platform. With continued enthusiasm from clinicians, political will and funding support the registry team expects rollout of the Hip Fracture Registry to happen over the next two years.

Details and Guidelines are available on the Australian & New Zealand Hip Fracture Registry website.

For further information about secondary fracture prevention and fracture liaison services (FLS) visit the Capture the Fracture® website.