Action Needed to Prevent Future Hip Fracture Risks

Action needed now to avoid potential harms for future hip fracture patients.

• NHS hospitals are not currently equipped to manage the projected increase in the number of patients likely to suffer hip fractures in the future.
• Researchers predict a shortfall of more than £25 million per year to care for the increase in patients by 2030.

New research from the University of Aberdeen forecasts an upsurge in hip fracture patients within the next decade with an annual NHS shortfall of more than £25 million to meet this demand.

Dr Luke Farrow, Clinical Research Fellow at the University and Chair of the Scottish Hip Fracture Audit Quality Improvement and Research Sub-group led the research and stated that: “A clear, comprehensive national plan is needed now to manage the future burden of hip and other fragility fractures.”

The full report is published in the journal, Bone and Joint.

The team used data from the Scottish Hip Fracture Audit from 2017 to 2021 and statistical forecasting techniques to predict the annual number of hip fractures from 2022 to 2029. Analysis showed that between 2017–2021 the number of annual hip fractures increased from 6675 to 7797, and by 2029 it is forecast that the annual number of hip fractures would be 10311, representing a 32 percent increase from 2021.

This would equate to a rise from an average of 21 daily hip fractures in Scotland, to 28 per day.
Based upon these projections, the total overall length of hospital stay following hip fracture in Scotland would increase by a total of 60,699 days per year, incurring an additional cost of at least £25 million annually.

Fragility fractures of the femur already have one of the highest levels of overall ‘acute care bed burden’ in the country, with this report suggesting that approximately a further 5 more acute hip fracture beds will be required per hospital to accommodate this increased activity.

Dr Farrow explains: “Our predictions show that there is a need for a clear national plan for tackling the future burden of all fragility fractures, which should include a big public health focus on fracture prevention measures such as reducing falls in older adults and osteoporosis, weak bone, treatment.

“NHS healthcare services, including those that cater for hip fracture patients, are already significantly stretched. If the projected increases are not accounted for in future workforce, theatre capacity and bed planning then there is a real risk that the services will not be able to cope with the increased demand, and the quality of care that patients receive may diminish as a result.

“It is likely that this would likely have a knock-on effect of increased patient mortality and further strain on healthcare services managing complications associated with sub-optimal treatment that might have otherwise been avoided.

Dr Farrow adds: “The increasing health and social care burden of fragility trauma, driven by an ageing population, is one of the major challenges facing the NHS over the next 10 years. We need to act urgently in order to ensure we have adequate resources to appropriately manage these increases otherwise care will likely suffer significantly as a result.”