Key Info

The COVID-19 pandemic has led to national alterations in discharge rates for patients presenting with acute orthopaedic traumatic injuries with onward referral to a virtual fracture clinic (VFC). It is not clear how this will impact on the management of a variety of orthopaedic injuries as well as patient safety and satisfaction.

Aims

This national multi-centre audit aims to primarily assess the impact of COVID-19 on
  • Adherence to the British Orthopaedic Association Standards for Trauma (BOAST 7 and COVID-19 BOASTs)
  • Epidemiology of injuries managed at the VFC
  • Orthopaedic immobilisation techniques
  • Unplanned re-attendances or subsequent changes in management following VFC discharge
  • Patient satisfaction and patient reported outcome measures following VFC discharge

Hospital eligibility

Any hospital in the UK with a Virtual Fracture Clinic (VFC), also referred to as a Trauma Triage Clinic (TTC) or Trauma Assessment Clinic (TAC).

Patient eligibility

All consecutive adult patients (age ≥ 18 years) managed at a virtual fracture clinic.

Team

Individual hospital teams up to five people, who can be trainees, doctors, medical students and a supervising consultant, collecting data for a total of four weeks.

Time period audited

Patients will be retrospectively identified, and data collected on all patients who have been managed at a VFC during

  • 00:00 6th May 2019 – 23:59 19th May 2019
  • 00:00 4th May 2020 – 23:59 17th May 2020

Data collection

Local data collected for this audit will need to be anonymised and de-identified before submission using the MAVCOV Audit Data Collection Tool. Telephone questionnaire should only administered for patients who have been discharged from the VFC. The completed MAVCOV Audit Data Collection Tool should be submitted to the MAVCOV Steering Committee by: 30th November 2020.
Any requests to extend the deadline for data submission should be sent to mavcov@nsamr.ac.uk and will be reviewed on a case-by-case basis.

Registration

This study is classified as an audit by South East Scotland Research Ethics Service following review of submitted documentation and does not require ethics review. You should register this study with the Clinical Audit Department at your local hospital using the MAVCOV Audit Registration Form Guidance.

To register as a collaborator, please fill in this form (before 11th October 2020 23:59): https://forms.gle/DVjRRrJTwyhdwzSs9.

Authorship

Participation in this project results in collaborative authorship on all publications, with a PubMed citable ID attributed to all collaborators.

Project documentation

Please see the MAVCOV Project Documentation Hub for more details.

Contact

Please submit all queries to mavcov@nsamr.ac.uk

Please submit data to Samantha.Downie3@nhs.scot

Announcements

Thank you to those who’ve signed up so far. We will get back in touch when applications have closed to organise local teams and provide you with the local information pack to start the audit.

Here is our Project Timeline.

Key dates:

27th September 2020 (23:59): Round 1 collaborator application deadline
30th September – 1st October 2020: Local information pack emailed out to successful Round 1 collaborators
11th October 2020 (23:59): Round 2 collaborator application deadline
14th October 2020: Local information pack emailed out to successful Round 2 collaborators
31th October 2020: Local audit registration deadline

Participating virtual fracture clinics

Hospitals open for Round 2 recruitment

(Existing local teams looking for collaborators – sign up with us and we will put you in touch with your local team)

England

North West

  • Wythenshawe Hospital
  • Cumberland Infirmary
  • Royal Liverpool University Hospital

Yorkshire

  • Huddersfield Royal Infirmary
  • Leeds General Infirmary
  • Scunthorpe General Hospital
  • Leeds General Infirmary
  • Scunthorpe General Hospital

East Midlands

  • Kettering General Hospital

West Midlands

  • Birmingham City Hospital
  • Walsall Manor Hospital

Thames Valley

  • Stoke Mandeville Hospital
  • Wycombe Hospital
  • Milton Keynes General Hospital

North West London

  • Chelsea & Westminister Hospital
  • West Middlesex University Hospital
  • Northwick Park Hospital

North Central/East London

  • Queen’s Hospital, Romford
  • Barnet Hospital

South London

  • Princess Royal Hospital, Bromley
  • Kingston Hospital

Kent, Surrey, Sussex

  • St. Peter’s Hospital
  • Sussex Royal Hospital
  • Princess Royal Hospital (Hayward Heath)
  • Queen Elizabeth The Queen Mother Hospital
  • Frimley Park
  • Wexham Park
  • Medway Hospital

Wessex

  • Salisbury District Hospital
  • Southampton General Hospital

South West

  • Gloucester Royal Hospital
  • Royal Cornwall Hospital

Scotland

  • Victoria Hospital, Kirkcaldy
  • Aberdeen Royal Infirmary
  • Glasgow Royal Infirmary
  • Southern General Hospital
  • Queen Elizabeth University Hospital

Wales

  • University Hospital of Wales (Cardiff)

Northern Ireland

  • Royal Victoria Hospital (Belfast)
  • Ulster Hospital

Hospitals with completed recruitment

England

North East

  • Northumbria Specialist Emergency Care Hospital
  • James Cook University Hospital
  • South Tyneside District Hospital
  • Sunderland Royal Hospital

North West

  • Manchester Royal Infirmary
  • Chorley and South Ribble Hospital / Royal Preston Hospital
  • Fairfield General Hospital / North Manchester General Hospital / Rochdale Infirmary / Royal Oldham Hospital
  • Salford Royal Hospital

Yorkshire

  • Hull Royal Infirmary
  • Castle Hill Hospital
  • York Hospital
  • Scarborough Hospital

East Midlands

  • Royal Derby Hospital
  • Queens Hospital, Burton
  • Leicester Royal Infirmary

West Midlands

  • Sandwell Hospital

East of England

  • Basildon & Thurrock University Hospital
  • Addenbrookes Hospital
  • James Paget University Hospital

Thames Valley

  • Royal Berkshire Hospital

North West London

  • St Mary’s Hospital
  • Charing Cross Hospital
  • Ealing Hospital

North Central/East London

  • Royal London Hospital
  • Royal Free Hospital
  • University College Hospital
  • Whittington Hospital

South London

  • Guy’s & St Thomas Hospital
  • Kings College Hospital
  • St George’s Hospital

Kent, Surrey, Sussex

  • William Harvey Hospital (Ashford)

Wessex

  • Queen Alexandra Hospital

South West

  • Great Western Hospital

Scotland

  • Royal Infirmary of Edinburgh
  • Ninewells Hospital
  • Perth Royal Infimary
  • Monklands District General Hospital

 

Your hospital may not be listed above due to the one of the following reasons:

  • There are currently no collaborators at your hospital. You may register your hospital with us once you have checked your hospital runs a virtual fracture clinic.
  • No virtual fracture clinic services were available during our data collection period