• Victoria Goodwin, Finbarr C Martin, Janet Husk, Derek Lowe, Robert Grant, and Jonathan Potter.
• Primary Care Research Group, Peninsula College of Medicine and Dentistry, Exeter EX1 2LU, UK. victoria.goodwin@pms.ac.uk
• Physiotherapy. 2010 Mar 1; 96 (1): 38-43.

ObjectiveTo establish current physiotherapy practice in the secondary management of falls and fragility fractures compared with national guidance.DesignWeb-based national clinical audit.ParticipantsAcute trusts (n=157) and primary care trusts (n=146) in England, Wales and Northern Ireland.ResultsData were collected on 5642 patients with non-hip fragility fractures and 3184 patients with a hip fracture. Those patients who were bedbound or who declined assessment or rehabilitation were excluded from the analysis. Results indicate that of those with non-hip fractures, 28% received a gait and balance assessment, 22% participated in an exercise programme, and 3% were shown how to get up from the floor. For those with a hip fracture, the results were 68%, 44% and 7%, respectively.ConclusionsPhysiotherapists have a significant role to play in the secondary prevention of falls and fractures. However, along with managers and professional bodies, more must be done to ensure that clinical practice reflects the evidence base and professional standards.

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