New Published September 2026 · 11th Annual Report

The 2026 Annual Report is here

Care provided by 106 hospitals to more than 19,500 older people who sustained a hip fracture in 2025, measured against the Hip Fracture Clinical Care Standard.

Read the 2026 report See the 2025 snapshot

For the first time, the report is digital-only. The Clinical Care Standard and Supplementary reports will be available at anzhfr.org/registry-reports.

Read the ANZHFR Annual Report 2026 (cover)

2025 at a glance

106
Hospitals contributing
85 Australia · 21 New Zealand
19,560
Hip fracture records
15,740 Australia · 3,820 New Zealand
81 / 82
Average age (years)
Australia / New Zealand
100%
NZ public hospital participation
All 21 eligible public hospitals, as at July 2026

Who we cared for in 2025

Australia / New Zealand

64% / 68%
were female
77% / 74%
lived at home before their injury
46% / 47%
walked without an aid before their injury
34% / 35%
had cognitive impairment or known dementia

Snapshot 2025

Ten measures of care along the hip fracture pathway, from arrival in the emergency department to discharge. Change is compared with 2024.

  • Improved
  • Declined
  • No change
  1. 1
    Preoperative assessment of cognition
    84%
    AUS Improved
    61%
    NZ Declined
  2. 2
    Analgesia within 30 minutes of arrival to the ED
    75%
    AUS Improved
    69%
    NZ Improved
  3. 3
    Nerve block to manage pain before arrival in the operating theatre
    86%
    AUS Improved
    84%
    NZ Improved
  4. 4
    Surgery within 36 hours
    56%
    AUS Declined
    65%
    NZ Improved
  5. 5
    Received protein and energy oral nutritional supplements during admission
    64%
    AUS Improved
    76%
    NZ Improved
  6. 6
    Assessed for frailty
    89%
    AUS Declined
    94%
    NZ Improved
  7. 7
    Delirium assessment following surgery
    81%
    AUS No change
    72%
    NZ Improved
  8. 8
    Achieved first day walking
    52%
    AUS Declined
    47%
    NZ Improved
  9. 9
    On active treatment for osteoporosis at discharge
    38%
    AUS Improved
    42%
    NZ Declined
  10. 10
    Hospital routinely provides written information on treatment and care after hip fracture
    % of participating hospitals, not patients
    42%
    AUS Declined
    76%
    NZ Improved

Source: ANZHFR Annual Report 2026, Snapshot 2025 (p. 5). Hospital-level results are in the full report.

What the 2025 data tells us

Progress

More patients received a nerve block before theatre

86% in Australia and 84% in New Zealand, with both countries improving on the previous year.

Progress

Nutritional supplements are reaching more patients

64% in Australia and 76% in New Zealand received protein and energy oral nutritional supplements during admission.

Priority

Timely surgery, early walking and bone health

56% of Australian patients who had surgery were operated on within 36 hours of presentation, about half achieved first-day walking, and fewer than half left hospital on osteoporosis treatment.

Golden Hip Awards 2025

Recognising outstanding hip fracture care

Awarded for the highest attainment against the Clinical Care Standard quality indicators, and the largest improvement on the previous year.

Best performing · Australia
Prince of Wales Hospital
New South Wales
Best performing · New Zealand
North Shore Hospital
Fifth year in a row
Most improved · Australia
Maroondah Hospital
Victoria
Most improved · New Zealand
Nelson Hospital
Also a Best Performing finalist

Annual National Reports

The 2026 report and every previous edition.

Read

Standards & Guidelines

Clinical standards for hip fracture care.

View

Selected Research

Peer-reviewed articles using ANZHFR data.

Explore

Join the registry community

Contributing hospitals help improve care across Australia and New Zealand.

Contact us