Characteristic Service elements

The pathway is coordinated and

designed to reduce variation in
length of stay, reduce mortality and,
re-admissions
Patients are greeted a the door
A coordinator is in place to oversee and
improve the fractured neck of femur pathway
Theatre lists are effectively managed
There is a dedicated unit for patients with
fractured neck of femur, patients are
discharged home from this unit
Infection control policy is adhered to by all
staff
Appropriate, medically fit, patients
receive surgery within 24 hours
Patient status is optimised in a timely and
appropriate way allowing surgery within 24
hours
Effective pre operative care is in place and
information is shared across health and
social care
Effective theatre list management
Each stage of the pathway is coordinated
Patients are mobilised within 2-!
post op and receive therapy input
over wee"ends
Patients are informed to epect early
mobilisation
Pain is consistently managed
!taff are trained to deliver basic therapy over
the weekend
Patients are discharged bac" to their
usual address using a criteria based
discharge process
"ength of stay is predicted when the decision
to operate is made
#urses are empowered using pre defined
criteria to discharge the patient
$ischarge is coordinated across acute and
community services
#ealth and social care multi agency
teams are coordinated and
integrated across the patient
pathway$
E$ is alerted prior to the patients arrival
Information is shared pre operatively
%ommunity services are engaged pre
operatively where appropriate
The patient is informed and empowered
$iagnostics are fast tracked
The %&T wor"s in partnership with
an orthogeriatrician
Pre operative assessment includes review by
an orthogeriatrician if medically unfit
The &$T collaborates with an
orthogeriatrician on rehabilitation aims and
discharge plans
!tandardised assessment of falls and bone
health 'As per #I%E guidance( is agreed
Patients receive an early referral to the
orthogeriatrician if medically unwell