Expert advice

Using the Big Six interventions to improve hip fracture care

Emergency nurses can play a pivotal role in ensuring new guidance from the RCEM is followed for older patients and those living with frailty
An X-ray showing a hip fracture marked in red

Emergency nurses can play a pivotal role in ensuring new guidance from the RCEM is followed for older patients and those living with frailty

Hip fracture is the most common serious injury in older people and those living with frailty presenting to an emergency department (ED), says the Royal College of Emergency Medicine (RCEM) .

The annual cost excluding social care is around £1 billion, says the National Institute for Health and Care Excellence (NICE), in its guidance on the management of hip fractures , which was updated in January 2023.

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