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Abstract Aim To create a comprehensive Neck of Femur (NOF) fracture proforma that includes sections for the wider multi-disciplinary team (MDT) such as Physiotherapy, Nursing, Orthogeriatric, Emergency Department (ED) and Orthopaedic teams. To assess the extent of completion of the Integrated care pathway (ICP) by profession. To assess the documentation of Key Performance Indicators (KPI) of a single centre. Method 57 NOF proformas were collected and analysed to evaluate compliance of each section. Qualitative feedback was obtained from the wider Multidisciplinary team to gauge the practicality of the proforma. Each section underwent scrutiny to assess the documentation of key information relevant to the respective MDT. Results Certain aspects, such as time to surgery, nerve block documentation, and NICE-compliant surgery, could not be thoroughly assessed due to insufficient information (less than 50% availability). Documentation scores; ED 5.8/13, Orthopaedic clerking 8.9/13, Nursing 22/29, Physiotherapy 3.5/4. For each KPI; Physio score was 96%, MUST score 89%, mobilising the next day after surgery 86%, Orthogeriatric ST3+ r/v 72 hours after presentation 82%, falls assessment 77%, pre-Op AMTS 75%, surgery the following day of presentation 49%, 4AT post-op score 11%. Conclusions A single place proforma for all patient needs can save significant administrative time when it comes to assessing key documentation of the ICP. However, this is only useful if there is adequate compliance to proforma documentation. Education is key as simple factors such as documentation of delirium post-operatively can limit Best Practice. A proforma must be practical, and easily accessible to encourage compliance.
Choudhry et al. (Mon,) studied this question.