Introduction

Hip fracture is a debilitating condition. Only one in three sufferers return to their former levels of independence and one in three ends up leaving their own home and moving to long term care . Hip fractures are almost as common and costly as strokes and the incidence is rising. In the UK, about 75,000 hip fractures occur annually at an estimated health and social cost of about £2 billion a year [1].

The average age of a person with hip fracture is about 83 years with about 73% of fractures occurring in women. There is a high prevalence of comorbidity in people with hip fracture [2]. The National Hip Fracture Database [2] reports that mortality from hip fracture is high where about one in ten people with a hip fracture die within 1 month and about one in three within 12 months. Interventions for recently retired and active older people are likely to be different in provision and uptake for frailer older people. This indicator therefore has sub indicators for ages 65 to 79 years and 80 years and over

Data Overview

Aged 65 and over

The rate of hip fractures in people aged 65 and over has remained relatively stable since 2010/11. Oldham's latest rate is 611 per 100,000, similar to the North West rate of 620 per 100,000 and slightly higher than the England rate of 558 per 100,000. This translates into 230 emergency admissions for hip fracture. For 2022/23, Oldham had the lowest rate across Greater Manchester. All of Greater Manchester had rates higher than the national average. Amongst CIPFA neighbours, Oldham ranks centrally.

Figure 1: Hip fractures in people aged 65 and over, trend
Source: OHID, based on Office for National Statistics and NHS England data

Figure 2: Hip fractures in people aged 65 and over across Greater Manchester
Source: OHID, based on Office for National Statistics and NHS England data

Figure 3: Hip fractures in people aged 65 and over across Oldham's CIPFA neighbours
Source: OHID, based on Office for National Statistics and NHS England data

Aged 65 to 79

Similarly to the aged 65+ rate, the rate of hip fractures in people aged between 65 and 79 has remained stable since 2010/11, with some yearly fluctuations in data. For 2022/23, there were 90 emergency admissions to Oldham residents for hip fracture in this age band. Oldham's latest rate for this age group is higher than the North West and England rates. It sits 4th highest across Greater Manchester and 5th highest amongst Oldham's CIPFA nearest neighbours.

Figure 4: Hip fractures in people aged 65 to 79, trend
Source: OHID, based on Office for National Statistics and NHS England data

Figure 5: Hip fractures in people aged 65 to 79 across Greater Manchester
Source: OHID, based on Office for National Statistics and NHS England data

Figure 6: Hip fractures in people aged 65 to 79 across Oldham's CIPFA neighbours
Source: OHID, based on Office for National Statistics and NHS England data

Aged 80+

For hip fractures in people aged 80 and over, the trend is a little different. The rates for Oldham and the North West have remained relatively stables as with the 65 and over and 65 to 79 age bands. However, the national rate has decreased by 12.2% between 2010/11 and 2022/23. Latest data (for 2022/23) reveals Oldham's rate is lower than the North West average of 1,600 per 100,000 and similar to the England rate of 1,469 per 100,000. For Oldham, this represents 135 emergency admissions. Oldham has the lowest rate in Greater Manchester with a rate of 1,469 per 100,000. Oldham's rate ranks 3rd lowest across CIPFA nearest neighbours.

Figure 7: Hip fractures in people aged 80+, trend
Source: OHID, based on Office for National Statistics and NHS England data

Figure 8: Hip fractures in people aged 80+ across Greater Manchester
Source: OHID, based on Office for National Statistics and NHS England data

Figure 9: Hip fractures in people aged 80+ across Oldham's CIPFA nearest neighbours
Source: OHID, based on Office for National Statistics and NHS England data 

Further Information & Resources

OHID Productive Healthy Ageing Data Profile
The productive healthy ageing profile provides data and further information on a wide range of topics relevant to our health as we age.

References

[1] OHID Productive Healthy Ageing Profile, https://fingertips.phe.org.uk/profile/healthy-ageing/data#page/6/gid/1938133252/pat/6/par/E12000002/ati/402/are/E08000004/iid/41401/age/27/sex/4/cat/-1/ctp/-1/yrr/1/cid/4/tbm/1/page-options/car-do-0, accessed September 2024
[2] National Hip Fracture Database (NHFD), National Hip Fracture Database National report 2013. Available at: http://www.nhfd.co.uk/20/hipfractureR.nsf/luMenuDefinitions/CA920122A244F2ED802579C900553993/$file/NHFD Report 2013.pdf?OpenElement, accessed September 2024