TRUSTS are failing to meet national standards on the prevention of falls among older patients, according to healthcare watchdogs.
Some 80% of hip fracture cases spent over two hours in A&E before being transferred to a ward, according to the clinical audit of falls and fractures services at 157 trusts in England, Wales and Northern Ireland.
The audit, by the Royal College of Physicians for the Healthcare Commission, found most patients returning home from A&E after a fragility fracture were not offered a falls risk assessment. Three months after a fracture, only one-fifth were on appropriate treatment for osteoporosis.
The government has just published an A&E urgent care pathway for older people with complex needs caused by falls, confusional states or hip fracture.