• Patient safety
• Safety culture
• Patient-centred care

I would like to commend Hawkes and colleagues on their work.1 Hip fracture is common and increasing, and the care of these patients occupies a significant amount of time and resources. Compared with other trauma cases, they often receive low priority in theatre scheduling, perhaps due to a subconscious perception of the limited benefit to society of early treatment. The patients are usually elderly and often lack a strong advocate for quality care. Thus, other drivers for improvement are required. Specific interventions have been identified that appear to improve outcome after hip fracture, and avoiding undue delay to surgery is recommended.2 However, …