Key recommendations for commissioning hip fracture services
People who commission hip fracture services should:
> develop a culture of continuous improvement, using NHFD performance run charts and other quality indicators to inform discussions with local provider organisations
> consider a whole-pathway approach to commissioning hip fracture services, with particular attention to how the acute hip fracture programme team integrates with rehabilitation, intermediate care and community elements of the pathway
> ensure that 120-day follow-up is an integral part of patient care, and that acute hospital teams engage with rehabilitation and community services in follow-up of patients’ progress
> consider how effectively their population is served by fracture liaison services (FLS) to assess patients at risk of falls and fragility fractures and ensure appropriate treatment for osteoporosis and falls risk factors.
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