$The Multiagency Falls Collaborative for Wales aims to support practitioners and community-based teams to improve care for patients who have fallen. Falls are a major cause of disability and death in older people in the UK, and result in significant human costs in terms of pain, loss of confidence and independence. There is also significant financial cost to health and social care services associated with dealing with the results of falls. Evidence suggests that falls prevention can reduce the number of falls by between 15% and 30%, and that well organised services, based on National Standards and evidence-based guidelines, can prevent falls and reduce death and disability from fractures. The aim of the collaborative is to reduce mortality and harm to adults who have fallen, and are at risk of further falls, by providing a structure around which to align and develop community services.$

1000 Lives Plus Programme: Reducing Falls in the Community

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$The NHFD is a joint venture of the British Geriatrics Society and the British Orthopaedic Association, and is designed to facilitate improvements in the quality and cost effectiveness of hip fracture care. As a National audit project the NHFD is supported by the Information Centre for Health and Social Care’s National Clinical Audit Support Programme (NCASP) The NHFD is intended to focus attention on hip fracture both locally and nationally, benchmark its care across the country, and use continuous comparative data to create a drive for sustained improvements in clinical standards and cost effectiveness.$		The National Hip Fracture Database National Report 2011
$This clinical guideline offers evidence-based advice on the management of hip fracture from admission to secondary care and through to final return to the community and discharge from specific follow-up.$		CG124 Hip fracture: NICE guidance
$This guideline explores the selection of patients for referral or further investigation and monitoring, and treatment options. The objective is to ensure the timely identification of those individuals at highest risk of osteoporosis, as well as those who already have the disease. Patients who have already suffered a low impact fracture, including those who have just been admitted to hospital with such a fracture, are at highest risk.$		Management of osteoporosis
		Standards for the Management of Open Fractures of the Lower Limb
		Falls: The assessment and prevention of falls in older people (NICE guideline)
		Falls: The assessment and prevention of falls in older people. Understanding NICE guidance - information for older people, their families and carers, and the public
		Map of Medicine. Hip fracture management

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Fractured Neck of Femur

Amongst elderly patients, hip fractures are associated with an in-hospital mortality rate of 7–14%, and profound temporary and sometimes permanent impairment of independence and quality of life.

As the elderly population increases, the number of hip fractures globally is expected to exceed 7–21 million annually over the next 40–50 years with significant costs to health care systems.

The recently published hip fracture guideline from NICE emphasised the importance of early treatment of hip fracture patients.

Hip fracture surgery is often subject to delay in comparison with other operations. Surgery is considered the best form of pain relief. Postponement of surgery prolongs pain and carries an increased risk of complications.

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Fractured Neck of Femur