Fracture Liaison Service Database
Falls and Fragility Fracture Audit Programme (FFFAP)
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About the Fracture Liaison Service Database

The Fracture Liaison Service Database (FLS-DB) is a national clinical audit commissioned by the Healthcare Quality Improvement Partnership
(HQIP) and managed by the Royal College of Physicians, London (RCP) as part of the Falls and Fragility Fracture Audit Programme (FFFAP).
FFFAP is a national clinical audit program designed to audit the care received by patients who suffer fragility fractures and those at risk of falling
in hospital. FFFAP also facilitates quality improvement initiatives to help improve clinical practice.

FFFAP is comprised of three national audits:

National Audit of Inpatient Falls (NAIF)
National Hip Fracture Database (NHFD)
Fracture Liaison Service Database (FLS-DB)

All three elements of FFFAP are listed on the HQIP 2015/16 listing for national audits that must be reported both in the Trust’s Quality Account
and also form part of the National Clinical Audit Patient Outcomes Programme (NCAPOP).

Crown Informatics audit team is commissioned by the RCP to operate the data collection and reporting service as part of the audit project.

Information Governance:
Working together, the RCP and Crown Informatics are fully commissioned to run and host the audit.
All audit data will be managed securely and in accordance with all legal regulations, NHS guidelines and protocols.
The RCP and Crown Informatics are duly authorised and contractually bound to uphold strict information governance in respect of:

• Data Protection Act 2018 (RCP Registration: Z7085833, Crown Informatics Registration: Z3566445)
• EU General Data Protection Regulation (EU) 2016/679 (GDPR)
• NHS IG-Toolkit Statements of Compliance (Reference 8J157)
• All staff handling patient data are IG trained and bound by confidentiality agreements.

Project Management:
Lara Amusan, FFFAP Programme Manager
Bonnie Wiles, FLS-DB Project Manager

Usage of these audit tools for purposes other than those defined by HQIP as part of the NCAPOP are subject to the following disclaimer:
These tools and documents were specifically developed for use within the FFFAP / FLS National Clinical Audit. These tools have been made publicly available and should you choose to download them for uses outside of this audit, you are free to do so, but are hereby agreeing to enter into a royalty free, non-exclusive, licence agreement with Healthcare Quality Improvement Partnership under the following terms and conditions:

All information, software, products and related graphics contained in the audit tool or data collection form are provided for non-commercial purposes "as is" without warranty, including but not limited to the implied warranties of satisfactory quality, fitness for a particular purpose, title and non-infringement of third party intellectual property rights. In no event shall HQIP be liable for any direct, indirect, incidental, special or consequential damages for loss of profits, revenue, data or use incurred by you or any third party, whether in action in contract, tort, or otherwise, arising from your access to, or use of, the audit tool or form. HQIP make no representations about the suitability, reliability, or timeliness, and accuracy of the information, software, products and related graphics contained in the audit tool or forms. HQIP reserves the right to make improvements, changes or updates to forms or tools at any time without notice.

For further information regarding the Falls and Fragility Fracture Audit Programme, please visit: