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The involvement of families, friends and others important to the patient has always been central in person-centred, individualised care. Following fragility fracture, many patients wish for their family and significant others to be involved in their care, both during the hospital stay and following discharge, and it is often expected that families will provide, or lead, continuing care once they are discharged.

Nursing is central to good care for the patient with a fragility fracture and makes a major contribution to positive outcomes. Nurses are the largest group of health professionals in the orthogeriatric team, and they are the one group who are present for the full 24-hour span during hospitalisation. They are also most likely to work across organisational boundaries, acting as links between the patient’s home and local community, the hospital, the outpatient/ambulatory setting and other organisations.