This guideline covers managing hip fracture in adults. It aims to improve care from the time people aged 18 and over are admitted to hospital through to when they return to the community. Recommendations emphasise the importance of early surgery and coordinating care through a multidisciplinary hip fracture programme to help people recover faster and regain their mobility.

NICE has also produced a guideline on osteoporosis: assessing the risk of fragility fracture.

In March 2014, changes were made to the introduction of the full guideline and recommendation 1.1.1 to clarify how an occult fracture is identified and when an MRI scan should be done.


This guideline includes recommendations on:

Who is it for?

  • Healthcare professionals
  • Commissioners and providers
  • Adults with hip fracture and their families and carers

Is this guideline up to date?

We reviewed the evidence in December 2015 and we are updating the recommendations on intracapsular fractures. See the guideline in development pagefor progress on the update.

Next review: 2017

Guideline development process

How we develop NICE guidelines

This guideline was previously called hip fracture: the management of hip fracture in adults.

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.

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