Hip fractures remain a significant public health issue, despite improvements in survival rates. While mortality has decreased, readmission rates within 30 days of discharge have steadily increased. This is concerning as re-admissions are associated with increased mortality and substantial healthcare costs.

Factors contributing to readmissions are complex and multifaceted. While some, such as age, are non-modifiable, others, like complications related to care delivery, are potentially avoidable. However, there is a lack of consensus on what constitutes an "avoidable" readmission.

Birmingham Heartlands Hospital treats a high volume of hip fracture patients. This population is often characterized by socioeconomic disparities, which can exacerbate health inequalities and impact outcomes. Understanding how to reduce avoidable readmissions in this context is a priority.

This dataset offers opportunities to understand risk associated with hip fracture and it management, and build strategies to avoid poor outcomes and readmissions.

Geography: The West Midlands (WM) has a population of 6 million & includes a diverse ethnic & socio-economic mix. UHB is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & > 120 ITU bed capacity. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems), a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”.

Data set availability: Data access is available via the PIONEER Hub for projects which will benefit the public or patients. This can be by developing a new understanding of disease, by providing insights into how to improve care, or by developing new models, tools, treatments, or care processes. Data access can be provided to NHS, academic, commercial, policy and third sector organisations. Applications from SMEs are welcome. There is a single data access process, with public oversight provided by our public review committee, the Data Trust Committee. Contact pioneer@uhb.nhs.uk or visit www.pioneerdatahub.co.uk for more details.

Available supplementary data: Matched controls; ambulance and community data. Unstructured data (images). We can provide the dataset in OMOP and other common data models and can build synthetic data to meet bespoke requirements.

Available supplementary support: Analytics, model build, validation & refinement; A.I. support. Data partner support for ETL (extract, transform & load) processes. Bespoke and “off the shelf” Trusted Research Environment (TRE) build and run. Consultancy with clinical, patient & end-user and purchaser access/ support. Support for regulatory requirements. Cohort discovery. Data-driven trials and “fast screen” services to assess population size.