XI-ROR-01rrczv41-GB-GOV-10-RIGHT_4_203194 University of the Philippines Manila Older patients are particularly likely to break a bone (fracture) because of a fall from a standingheight, as their bones are weakened by osteoporosis. These fragility fractures have seriousconsequences; in the UK 25% of hip fracture patients die within a year and survivors have areduction in their quality-of-life similar to having a stroke. Outcomes may be even worse in LMICwithout the same level of healthcare resource.Asia is particularly affected by rapidly ageing populations. The number of hip fractures isexpected to increase from 1,124,060 now to 2,563,488 in 2050. Associated healthcare cost mayrise to US$15 billion. Improving care for patients with hip fracture is therefore a priority in thisregion. Looking after patients following a hip fracture requires healthcare workers from manydifferent backgrounds to work together. These include surgeons, doctors specialising in lookingafter older patients, nurses and therapists, each with defined roles and responsibilities. In theUK, this team approach has reduced the number of patients dying and improved quality-of-lifeafter hip fracture. It also reduced time spent in hospital and associated healthcare costs.Our project has two parts:1. To refine the multidisciplinary HIPCARE training and support package for each LMIC.2. To see if the HIPCARE intervention improves the quality-of-life for hip fracture patients inLMIC and whether it reduces healthcare costs, compared with usual care. The HIPCARE trainingpackage has three main components: early surgery to fix the hip fracture, early assessment by amedical doctor and early walking with the help of a therapist to speed recovery.The HIPCARE training package has three main components: early surgery to fix the hip fracture,early assessment by a medical doctor and early walking with the help of a therapist to speedrecovery. Having refined the training materials to make HIPCARE specific to each country, wewill do a large study to compare HIPCARE with usual care in 40 hospitals in LMIC.Community engagement and involvement: This proposal has been developed together withmembers of the Global Health Fragility Fractures Community Engagement and InvolvementPanel with support from the World Musculoskeletal Trauma Patient and Public InvolvementGroup. The views of patients and their carers, from Asia and the UK, informed all aspects of thestudy but in particular the choice of eligibility criteria, primary outcome measure and follow-upplan.Dissemination: We disseminate the findings of this study: 1. Through plain language summariesspecific to each country via social media/web-pages as well as hard-copy 2. Through ourpartnership with the Global Fragility Fracture Network, with its many events worldwide 3.Through scientific publications and presentations. The University of Oxford The University of Oxford Kathmandu Medical College Public Limited University of the Philippines Manila Mahidol University, Faculty of Medicine Ramathibodi Hospital The Hanoi University of Public Health George Institute Services India Private Limited All India Institute of Medical Sciences, New Delhi University of New South Wales UK - Department of Health and Social Care (DHSC) hipcare@ndorms.ox.ac.uk https://hipcare.ndorms.ox.ac.uk