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This important conference will focus on improving care for hip fracture patients – learning from the NHFD findings and improving progress against the NICE quality standard for hip fracture. Through national updates and practical cases studies the conference will highlight best practice in hip fracture care, improving the care pathway and outcomes. There will be an update on the impact of Covid-19 and changing practice as a result following the increase in hip fractures during the pandemic.
“COVID-19 has had notable effects on the hip fracture care service: hip fracture rates increased significantly... Elderly patients with hip fractures are a particularly vulnerable group during the pandemic… Despite national lockdown and traffic restrictions, the number of older patients with hip fractures significantly increased”
The conference will focus on improving assessment, minimising delays to theatre, improving the pathway from falls to theatre changing the role of the emergency department, ensuring hip fracture patients are prioritised for surgery, overcoming contra indications, improving the anaesthetic and surgical pathway, and ensuring prompt mobilisation after surgery.
The conference will also look at how we can reduce confusion and delirium following hip fracture surgery as highlighted by the NHFD Report:
The 2019 National Hip Fracture Database Report found that:
- One in ten patients are still not receiving timely orthogeriatric assessment
- One in five patients are still not able to get out of bed on the day after surgery
- Wide variation in the type of hemiarthroplasty implants being used - significant cost implications for the NHS
- Improvements in 120 follow up rates are still needed, with only around two-thirds of patients being recorded as returning to their original pre-fracture residence
- Increased numbers of hip fractures during winter months add to pressures on services and contribute to increased hip fracture patient mortality at this time
- Screening for delirium is becoming more consistent, as this has improved the proportion of patients known not to have post-operative delirium
Why attend? This conference will enable you to:
- Network with fellow delegates working to improve services for Hip Fracture
- Reflect on the patient perspective
- Learn from the highest performing trusts in the UK as recognised by the National Hip Fracture Database
- Understand the impact of Covid-19 and how practice needs to change as a result
- Understand and reflect on how you can improve practice, outcomes and reduce mortality locally as a result of NHFD findings
- Update your knowledge on national developments
- Reflect on how can we get this patient to surgery? Understanding and reducing medical complications, avoidable inefficiencies and unacceptable reasons for delaying theatre
- Identify key strategies for improving surgical care pathway for hip fracture
- Improve the perioperative and anaesthetic pathway for Hip Fracture through a perioperative trauma bundle
- Understand on how you can improve the pathway from falls to surgery through thinking differently about the role of the emergency department and providing direct access to orthopaedics
- Develop practical strategies for assessing, reducing, recognising and treating delirium and confusion
- Improve physiotherapy rehabilitation after hip fracture: ensuring prompt mobilisation after surgery
- Self assess and reflect on your own practice
