About this release

This release by Public Health Scotland (PHS) provides information from the Scottish Hip Fracture Audit (SHFA) on patients with a hip fracture from January 2020 to December 2020.

Main Points

  • Slightly more patients (62%) returned to their original residence within 30 days in 2020 (59% in 2019).
  • The length of acute orthopaedic stay remained at 9 days in 2020, however total length of hospital stay dropped to an average of 15 days (17 days in 2019).
  • The percentage of people who died within 30 days of admission increased in 2020 to 8.6% (7.7% in 2019).
Image caption SHFA Standards 2020
A summary of the achievement in 2020 in Scotland of the Scottish Standards of Care for Hip Fracture patients.

Standard 1: Time in emergency department
Standard 2: Big 6 interventions/treatments
Standard 3: Inpatient bundle of care
Standard 4: Time to theatre
Standard 5: Repeat fasting
Standard 6: Cemented hemi-arthroplasty
Standard 7: Comprehensive geriatric assessment
Standard 8.1: Post-operative mobilisation
Standard 8.2: Time to physiotherapy assessment
Standard 9: Time to OT assessment
Standard 10: Bone assessment
Standard 11: Return home


People who suffer from a hip fracture are usually frail and elderly and at risk of complications from surgery and/or the injury. This can be associated with increased length of stay in hospital, admission to care homes, and mortality.

The Scottish Hip Fracture Audit reports on compliance with the Scottish Standards of Care for People with Hip Fractures. The results support the collaborative work between the Scottish Government, PHS and Health Boards to continually drive improvements in care for this group of people.

Data are collected by Local Audit Co-ordinators based in each hospital and submitted to PHS for analysis and report production.

Further Information

The next release of this publication will be August 2022.

General enquiries

If you have an enquiry relating to this publication, please email phs.mskaudit@phs.scot.

Media enquiries

If you have a media enquiry relating to this publication, please contact the Communications and Engagement team.

Requesting other formats and reporting issues

If you require publications or documents in other formats, please email phs.otherformats@phs.scot.

To report any issues with a publication, please email phs.generalpublications@phs.scot.

Older versions of this publication

Versions of this publication released before 16 March 2020 may be found on the Data and Intelligence, Health Protection Scotland or Improving Health websites.

Last updated: 07 October 2022
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