Recurring concern
Unreliable care and follow-up for identified fractures
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Request correctionFirst reported 10 Jun 2015•Latest report 18 Jun 2025
What this concern includes
Includes failures in the care pathway for an identified fracture, including appropriate treatment, analgesia, assessment of related risks, discharge planning, referral, booking and completion of fracture-clinic follow-up.
Not included
- Excludes undiagnosed injuries where the concern is failure to recognise or diagnose the fracture rather than care after an identified fracture.
- Excludes generic discharge, appointment or follow-up failures without an identified fracture-care context.
- Excludes unrelated orthopaedic conditions and fracture-prevention or fracture-risk concerns.
- Excludes failures occurring after fracture care and required follow-up have been reliably arranged when the remaining issue is unrelated downstream care.
- Reports
- 6
- Individual concerns
- 8
- Date range
- 2015–2025
- Stated actions
- 5
Distinct published reports
A report can raise multiple concerns
First to latest report issue date
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
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Concerns raised1
Failure to provide recommended fracture clinic follow-up after orthopaedic review
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
No fracture clinic appointment was made because the Emergency Department X-ray identified no fracture.
Stated by Tameside and Glossop Integrated Care NHS Foundation Trust
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Concerns raised3
Failure to book fracture clinic follow-up
Failure to treat identified fractures
Failure to communicate identified fractures in discharge information
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
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Action
Reviewed the emergency department's process for subsequent image review to assess its robustness and alignment with national practice.
Stated by the Princess Alexandra Hospital NHS Trust -
Action
Launch a comprehensive electronic health record to reduce risks arising from clinicians using multiple systems.
Stated by the Princess Alexandra Hospital NHS Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
The fracture was minimally displaced and would not have required restricted mobilisation or orthopaedic follow-up if identified.
Stated by the Princess Alexandra Hospital NHS Trust
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Position
The existing process of subsequent emergency-department consultant image review was considered as robust as possible and consistent with national practice.
Stated by the Princess Alexandra Hospital NHS Trust
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Concerns raised1
Outstanding infrastructure repairs affecting timely hip-fracture surgery
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
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Action
Approve multimillion-pound investment in new theatre-complex air-handling and chiller systems.
Stated by Surrey and Sussex Healthcare NHS Trust -
Action
Install new chillers and air-handling units for half of the theatre complex as the first phase of infrastructure improvements.
Stated by Surrey and Sussex Healthcare NHS Trust -
Action
Complete the second phase of theatre-complex infrastructure work by installing new chillers and air-handling units for the remaining half.
Stated by Surrey and Sussex Healthcare NHS Trust
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Concerns raised1
Delays in performing operations for hip fracture patients within the day of admission or the following day
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to organise orthopaedic review
This report raised 17 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to assess injury-related immobility and its effects when arranging fracture clinic appointments
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
Data last updated 7 September 2026