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Lack of rehab is harming hip fracture patients, warns CSP

16 March 2015 - 2:29pm

People with hip fracture do not get enough rehabilitation immediately after surgery, the CSP has warned.

Hip fractures

Half of all hip fracture patients do not return to former levels of mobility and independence

This failure increases the chances of patients requiring an admission to residential care, the society says in a contribution to a new report from the British Orthopaedic Association.

The document is a follow-up to a 2012 report, Getting it right first time, by Professor Timothy Briggs. The latest report, with the same title, also looks at orthopaedic services across England.

It says that of all the hip fracture patients treated by NHS trusts, half never return to their former levels of mobility and independence. Many of these people will no longer be able to live at home.

The CSP sets out a number of recommendations in the report. These include:

  • providing more intense rehab in hospitals immediately after hip fracture and total knee replace surgery, focusing not just on improving mobility, but on strength, balance and endurance
  • using properly-funded and designed seven-day services to ensure both the frequency and quality of care remains constant across the whole week
  • ensuring patients continue their rehab, without a break, once they are discharged from the acute sector

Karen Middleton, the CSP chief executive, said that without rehab surgery is unlikely to be a success for many patients undergoing hip and knee replacement surgery.

‘Expert, intensive rehabilitation provided immediately post-surgery and continuing after discharge for hip fracture patients allows people to keep their independence and lead full and active lives,’ she said.

‘But as our report shows, the excellence delivered in some places is not available everywhere across the NHS. This leaves people in need of health and social care support that costs far more than an effective package of rehabilitation would have.’

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