Quality and Value

Orthopaedics (fractured neck of femur/primary hip and knee)

Over the past 5 months we have been travelling around England visiting the 20 acute trusts that are taking part in the Orthopaedic Rapid Improvement Programme. These visits have been very interesting and have varied across all sites. It is clear that by making service improvements based on the key characteristics of the Fractured Neck of Femur and Hip and Knee pathways, trusts will improve the quality and value of their service.

A clinical facilitator is assigned to work with each trust to provide support and expertise as needed. Once we have visited a trust we work with them to agree a service improvement plan and assign clear timescales to each objective. In addition, we introduce the trust's project team to sercie improvement tools that can help.

Many trusts have been using the observation tool 'Through the eys of' which has been very helpful and fun to use. Although we face some initial technical problems with the Sustainability Tool, most teams have now completed this and have found it valuable. These tools are free to NHS England via our website.

Orthopaedic forum

The Orthopaedic forum has been set up specifically for participating trusts to share information, learning and expertise. If you are not part of the Rapid Improvement Programme but would like access to this forum, please register you details on the NHS Institute's web page and then email james.lapworth@institute.nhs.uk.*

If you are already registered please click here to log onto the NHS Orthopaedic forum.

Participating trusts

SHA Hip and knee Neck of femur
South East Coast East Kent Hospitals University NHS Trust Maidstone and Tunbridge Wells NHS Trust

North East South Tyneside NHS Foundation Trust County Durham and Darlington NHS Foundation Trust

London Guys and St Thomas NHS Foundation Trust

The Whittington Hospital
East of England Princess Alexandra Hospital NHS Trust

Ipswich Hospital NHS Trust
East Midlands University Hospitals of Leicester NHS Trust

United Lincolnshire NHS Trust
Yorks and Humber Scarborough and North East Yorkshire NHS Trust Calderdale and Huddersfield NHS Foundation Trust and Leeds Teaching Hospitals NHS Trust

South West Salisbury NHS Foundation Trust Poole Hospital NHS Foundation Trust

South Central Basingstoke and North Hampshire NHS Foundation Trust

Royal Berkshire Hospitals NHS Foundation Trust

North West Stockport NHS Foundation Trust

West Midlands University Hospitals Coventry and Warwickshire NHS Trust Shrewsbury and Telford NHS Trust


Dates for the SHA events have now been agreed and are as follows:

South West SHA – 28 April

Hip and Knee Network Event - Coventry House, University of Warwick - June 9th

Fractured Neck of Femur Event - Coventry House, University of Warwick - June 15th

North West SHA - 19 June

West Midlands SHA - 2 July

East of England SHA – 10 July

East Midlands SHA – 17 July

South East Coast SHA – 24 July

North East SHA – 31 July

London SHA – 21 August

Orthopaedic Rapid Improvement National Event - National Motorcyle Museum, Birmingham - October 12


20645 Orthopaedic Rapid Improvement Programme Newsletter 2008.pdf Orthopaedic Newsletter - Issue 1( 906.71 KB )

20849 Orthopaedic Rapid Improvement Programme Newsletter Issue 2.pdf Orthopaedic Newsletter - Issue 2 ( 309.84 KB )

Orthopaedic Newsletter - Issue 3 Orthopaedic Newsletter - Issue 3 (301.24 KB)

Orthopaedic Newsletter - Issue 4 Orthopaedic Newsletter - Issue 4 (1.01 MB)

Orthopaedic Newsletter - Issue 5 Orthopaedic Newsletter - Issue 5 (779.56 KB)

For more information about the Primary Hip and Knee Pathway please click here and dowload documents shared by participating sites.

For more information about the Fractured Neck of Femur Pathway please click here and download documents shared by participating sites.

Contact For further information about this programme contact Sandra Corry at Sandra.corry@institute.nhs.uk *

* Please note that the NHS Institute is an innovation and improvement organisation and is unable to give medical advice to patients or their carers