Peri-operative Enhanced Recovery hip FracturE Care of paTiEnts with Dementia Peri-operative Enhanced Recovery hip FracturE Care of paTiEnts with Dementia

Despite one quarter of acute NHS hospital beds being occupied by people with dementia, there is little research on how best to look after these people in hospital. They are exceptionally vulnerable and at high risk of serious complications.

Researchers at the University of East Anglia, with national and international collaborators, are working with a wide range of stakeholders (health professionals, people living with dementia and their carers)  to optimise acute hospital care. The Peri-operative Enhanced Recovery hip FracturE Care of paTiEnts with Dementia programme (PERFECTED) is aiming to improve hospital care for patients living with dementia who break their hip.

We want to find out how to optimise the care and rehabilitation of people with dementia who break their hip by creating an Enhanced Recovery Pathway – a way of helping patients recover quicker after surgery. Through working together, health professionals, people living with dementia, and their carers and researchers will create and pilot the pathway to see how optimising care can improve outcomes, both for this patient group and those who care for them.

Principal Investigator

Dr Chris Fox, Norwich Medical School, UEA

The Core Team 


Hospital NHS Foundation Trust

  • Professor Stephen Jackson, King’s College

  • Professor Opinder Sahota, University of Nottingham

  • Professor Martin Knapp, London School of Economics

  • Professor Alasdair MacLulich, University of Edinburgh

  • Professor Clive Ballard, King’s College London

  • Jo Walmsley, Norfolk and Norwich University Hospital NHS Foundation Trust


The research is funded by the National Institute for Health Research (NIHR) through their Applied Research Programme.


Key Partners 

How will PERFECTED work?

PERFECTED is comprised of four work packages that will be drawn together to create and evaluate the Enhanced Recovery Pathway (ERP). Using examples of best practice from across the globe, our team of national and international experts will work with patients, carers and clinicians from across East Anglia, Nottinghamshire, Yorkshire, London and Scotland to develop and refine the ERP, creating guidelines for its use and bespoke training materials for its implementation.

We will then conduct a pilot study in hospitals across the UK to assess the feasibility of procedures and provide information to inform a definitive trial. Patient and Public Involvement is a key component of the study and, across the duration of the study, members of the public will be involved as part of the steering group and as part of Service User Advisory Groups.  

For more information, please visit the PERFECTED Project website, or follow our Twitter (@perfectedERP) and Youtube channels.