Limited implementation of measures to reduce nosocomial spread of COVID-19 in hip fracture patients in the North West of England.

Abstract Hip fracture patients are vulnerable to the outcomes of COVID-19. We performed a cross-sectional survey to determine measures employed to limit nosocomial spread of COVID-19 in 23 orthopaedic trauma hospitals in North-West England. 19 (87%) hospitals admitted patients to a ward prior to a negative swab, and only 9 (39%) were barrier nursed. Hip fracture patients were operated in non-COVID-19 free theatres in 21 (91%) hospitals. Regular screening of doctors working in trauma and elective areas for COVID-19 was undertaken in 3 (13%) and 5 (22%) hospitals, respectively. Doctors moved freely between trauma and elective areas in 22 (96%) hospitals.