Bodies In Australia Research Articles

Reading the Creative Industries With Deleuze: How Creative Are the Creative Industries?

This article develops a definition of creativity that is informed by the work of Gilles Deleuze, Dan Harris, Susan Luckman, and others. We explore its application in the context of the creative industries in Australia. Through our empirical interviews conducted as part of an Australian Research Council–funded project called Vital Arts, we delve into the multifaceted nature of creativity, which we argue is not always accounted for in the bureaucratic organization, categorization, and funding of the creative industries. We outline the measurements used by key governmental, nongovernmental, and policymaking bodies in Australia to categorize and fund the creative industries. These metrics reveal blind spots in how the creative industries are institutionally organized and treated when considering the Deleuzian ontology of creativity that actually motors creative work. We argue that many creative jobs and industries exist outside traditional bureaucratic definitions and categories, and through the concepts of affect, becoming, the major and the minor, as well as fabulation, from Deleuze and Guattari’s philosophy, we explore these dynamics further.

Accessibility of Halal Certification Bodies in Australia: A Website Content Analysis

ABSTRACT The increasing Muslim population and growing demands for Halal products have necessitated a corresponding growth in Halal certification. While Muslim-majority countries typically practice centralized Halal certification governance, non-Muslim countries, including Australia, have their own unique Halal certification body systems. The Australian Government recognizes 24 Halal certification bodies. Previous studies have primarily focused on the general requirements for certification. In contrast, our study takes a unique and novel approach, attempting to understand each body’s system and accessibility from the point of view of customers and food producers. This novel approach should pique the interest of our audience, as it offers a fresh perspective on a well-studied topic. We implemented website content analyses through website searches and comparative analysis to identify information that can assist Halal product consumers and certification applicants. While most bodies have established guidelines for Halal certification, several areas remain unclear, with no procedures to aid consumers and producers in checking and applying for certifications. Our study identifies these areas for improvement, with the goal of enhancing information accessibility and marketability of these bodies to assist consumers and applicants in obtaining proper guidance on Halal certification. This research is not just theoretical, but it has practical implications that can significantly improve the Halal certification process in Australia, making it more accessible and marketable. This reassurance of practical application should instill confidence in the audience about the relevance and usefulness of the study.

Crafting effective regulatory policies for psychedelics: What can be learned from the case of cannabis?

AbstractThe turn of the century brought a resurgence of interest in psychedelics as a treatment for addiction and other psychiatric conditions, accompanied by extensive positive media attention and private equity investment. Government regulatory bodies in Australia, Israel, Canada and the United States now permit use of psychedelics for medical purposes. In the United States, citizen action and corporate financing have led to petitions and ballot initiatives to legalize psilocybin and other psychedelics for medical and recreational use. Given this momentum, policymakers must grapple with important questions that define whether and how psychedelics are made available to the public, as well as how companies produce and promote them. The current push to broaden the production, sale, and use of psychedelics bears many parallels to the movement to legalize cannabis in the United States and other nations—most notably, the use of poorly‐evidenced therapeutic claims to create a de facto recreational market via the health care system. Experience with cannabis highlights the value of debating the question of legalization for nonmedical use as such rather than misrepresenting it as a medical issue. The lessons of cannabis policy also suggest a need to challenge hyping of psychedelic research findings; to promote rigorous clinical research on dosing and potency; to minimize the influence of for‐profit industry in shaping policies to their economic advantage; and to coordinate federal, state, and local governments to regulate the manufacture, sale and distribution of psychedelic drugs (regardless of whether they are legalized for medical and/or recreational use).

Resistance and the delivery of healthcare in Australian immigration detention centres

There are few issues that have been as vexing for the Australian healthcare community as the Australian governments policy of mandatory, indefinite, immigration detention. While many concepts have been used to begin to describe the many dilemmas faced by healthcare professionals and their resolution, they are limited, perhaps most fundamentally by the fact that immigration detention is antithetical to health and wellbeing. Furthermore, and while most advice recognises that the abolition of detention is the only option in overcoming these issues, it provides little guidance on how action within detention could contribute to this. Drawing on the work of political theorists and the broader sociological literature, we will introduce and apply a form of action that has not yet been considered for healthcare workers within detention, resistance. We will draw on several examples from the literature to show how everyday resistance could be enacted in healthcare and immigration detention settings. We argue that the concept of resistance has several conceptual and practical advantages over much existing guidance for healthcare workers in these environments, namely that it politicises care and has synergies with other efforts aimed at the abolition of detention. We also offer some reflections on the justifiability of such action, arguing that it is largely consistent with the existing guidance produced by all major healthcare bodies in Australia.

Australia's Speech-Language Pathology Profession and Its Global Impact

Purpose:The purpose of this article is to describe the speech-language pathology profession in Australia and its global impact.Conclusions:Australia is known for its international collaboration in research, advocacy, leadership in practice (clinical) education and training of the workforce, innovations in technology for service delivery, and global partnerships. In Australia, speech-language pathologists are known asspeech pathologistswho have expertise in providing assessment and intervention to optimize communication and swallowing for people across the life span. Speech Pathology Australia (SPA) is the peak professional body in Australia and was founded in 1949. Speech pathology is a self-regulating profession, and SPA is recognized by the Australian government as the body that sets and maintains the standards for the profession. Members can hold Certified Practising Speech Pathologist (CPSP) status if they meet annual recency of practice and continuing professional development requirements. Not all speech pathologists are members of SPA. SPA has approximately 14,000 members; half are employed in private practices where services may be funded by government-funded schemes, private health insurance, or self-funded by service users. Most SPA members are female and the majority only speak English, with Cantonese being the most common other language spoken. TheProfessional Standards for Speech Pathologists in Australiaoutlines the knowledge, skills, and attributes for entry-level and practicing speech pathologists. SPA hosts an annual national conference and produces two journals:International Journal of Speech-Language PathologyandJournal of Clinical Practice in Speech-Language Pathology. SPA have committed to cultural responsiveness and privileging the voices of Aboriginal and Torres Strait Islander Peoples and Communities, the First Peoples of Australia. SPA aspires to the provision of culturally safe speech pathology services for all people and supports the development of speech-language pathology in the Asia-Pacific region including Vietnam and Cambodia.

A Qualitative Study Examining How Passion Impacts Sport Board Functioning

Passion is a highly relevant focus for sport governance researchers as it can have a considerable impact on board functioning. The purpose of this study was to explore how passion impacts board functioning in national and state sport governing bodies in Australia. This phenomenon was analyzed through the eyes of 19 Chairs, who play a central role in managing passion on nonprofit sport boards. Findings showed passion is an important emotional factor impacting sport boards. Passion was found to impact sport board functioning in several beneficial (i.e., on motivation, cohesion, and climate) and disruptive (i.e., on cohesion, conflict, decision-making) ways. This research contributes to passion research by developing knowledge on the group-based outcomes of passion and by highlighting how the context of sport—as a leisure pursuit—shapes how different domains of passion manifest in sport governance through volunteer directors and its impact on board functioning.

Gambling, fast food and alcohol sponsorship in elite sport – perspectives from Australian sporting fans

BackgroundPublic health bodies in Australia remain concerned about marketing of unhealthy commodities; namely unhealthy food, alcohol and gambling products. Children are particularly susceptible to the influence of unhealthy commodity marketing. This study explored adults’ perceptions of unhealthy commodities sponsorship in elite sport and policies to restrict them.MethodsFour focus groups of 7–8 frequent sport spectators were recruited, including parents and non-parents, and located in inner and outer suburbs of Sydney, Australia. Results were analysed thematically.ResultsParticipants identified the contradictions of healthy messages of sport and unhealthy commodities, while highlighting the commercial value of sport sponsorship to sporting clubs. There is concern around children’s exposure to effective and integrated marketing techniques when viewing sport, which encouraged unhealthy habits. Support for restricting sponsorship related to perceived product harm, with gambling viewed as having the greatest health impact. Participants were supportive of policies that reduced exposure of unhealthy commodities to children, but were concerned about the financial risk to sporting clubs. Governments and sports associations were identified as holding responsibility for enacting changes.ConclusionA number of options were identified for advocates to gain public and political traction to reduce unhealthy commodity sponsorship. There is potential for shifts away from unhealthy sponsorship by both governments and sports associations.

Factors influencing care and support for older adults with traumatic injury in Australia: a qualitative study

Purpose To investigate factors influencing provision of care and support to older adults with traumatic injury in Australia, from a health service and policy perspective. Methods Semi-structured interviews were undertaken with 16 clinicians, support providers, researchers, policy makers, and representatives from peak bodies in Australia, who had experience across injury, ageing, and disability sectors. A thematic analysis was performed using a framework approach. Results Themes identified included prolonged injury recovery in older adults, limited accommodation options, restricted access to preventive care, escalating care needs over time, issues with siloed funding schemes and funding availability, and the need for advocacy to coordinate care across different schemes. Certain themes were specific to people who were older when injured. Others related to people who had acquired an injury at a younger age and were ageing with injury. However, most themes had relevance for both groups. Conclusions For older adults, this research has highlighted a range of cross-sector problems which impact upon the potential to recover from injury and to age well with injury. To improve the lives of older adults with injuries, Australia needs better coordinated system interfaces, shared funding models or packages of care across sectors, and improved advocacy and case management. Implications for rehabilitation To address the lack of long-term, multi-disciplinary preventive care for age-related conditions and secondary complications in people with injuries, older adults may need more prolonged, or individualised, care following injury, episodic health checks, and a greater focus on long-term health care. Accessible and well-coordinated specialist housing and support responses, that offer timely access to health care professionals and carers trained in both ageing and disability, and enable greater support for “ageing in place”, are required to manage changing care needs of people ageing with injury. There needs to be greater involvement of geriatricians, nurses, and allied health care professionals within the aged care sector in order to care for people with complex needs, including older adults with injury-related disability. To reduce gaps in care and support for injured older adults, Australia needs better coordinated system interfaces, shared funding models or packages of care across sectors.

Availability and content of concussion guidelines in Australian combat sports

ObjectivesTo examine the availability and content of publicly available concussion information published by peak amateur and professional combat sport governing bodies in Australia. DesignCross-sectional study; document analysis. MethodsPublicly available concussion information was retrieved from the websites of eleven peak Australian amateur and professional combat sport governing bodies. Data on type of source material, concussion definition, provision of medical services, concussion evaluation, and return-to-sport information were extracted. The quality of the information was assessed using a modified version of the Global Rating Scale. ResultsEight out of eleven combat sport governing bodies provided concussion information in source documents ranging from competition rules to position statements to specific policies. Five governing bodies provided information on post-contest concussion evaluation or testing, four of which mentioned the Sport Concussion Assessment Tool. Eight governing bodies provided information on return-to-sport, of which six stipulated mandatory minimum rest periods and four indicated that athletes should complete a graduated return-to-sport protocol. The provided concussion information was generally of low quality, with a median score of 3 out of 9 (range: 1–4). ConclusionsThere is substantial scope and an urgent need for improving concussion guidelines across peak combat sport governing bodies in Australia to improve the health and safety of their athletes.

Characterising Australians who have high levels of anger towards Islam and Muslims

This article reveals the characteristics and demographics of non-Muslim Australians who express levels of anger towards Muslims and Islam. Using data from a 2018 national social survey of a random, stratified sample of Australians, we identify key demographic characteristics amongst those expressing above-average degrees of anger towards Muslims and the religion of Islam, separately. We identify the proportion of different typologies of people who hold anger towards Islam and Muslims. We aim to establish which combinations of demographic and personal characteristics are most strongly associated with the expression of anger so that policy and interventions targeted at reducing this emotion might be effectively directed. We draw on the literature about Muslimophobia and Islamophobia, along with key studies that have examined attitudes towards Islam and Muslims in Australia and elsewhere. Our findings are relevant to organisations and government bodies in Australia, with implications for policy and social cohesion programs.

Exploring emotional and social competencies in undergraduate students: Perspectives from CALD and non-CALD students

With the internationalisation of higher education, students from culturally and linguistically diverse (CALD) backgrounds represent a significant proportion of the university student body in Australia. Research literature indicates that the unique cultural and linguistic challenges experienced by these students may adversely impact their academic performance and social integration in university settings. However, less is known about how the socio-emotional competencies of undergraduate CALD and non-CALD domestic English-speaking students compare. This cross-sectional quantitative study compares the emotional and social competencies in a cohort of CALD and non-CALD occupational therapy undergraduates. Data were collected at one Australian university from a group of 360 students enrolled in the Bachelor of Occupational Therapy (Honours) course. Participants completed the Emotional and Social Competency Inventory– University edition (ESCI-U). Multivariate regression analyses were used to compare between CALD and non-CALD students, controlling for students’ year level of study, age, and gender. Key findings from the regression analysis included the observation of indicate that non-CALD students having significant higher scores than CALD students on all the ESCI-U socio-emotional subscales, especially the Emotional Self-control, Achievement Orientation, Empathy and Teamwork from western perspectives. No difference was found between CALD and non-CALD student on two cognitive competencies- systems thinking and pattern recognition. These findings should be interpreted with caution considering CALD students may interpret the questions differently and demonstrate the competencies in different ways. Specific emotional and social competencies that need to be strengthened in students are discussed and recommendations are made to inform the preparation of evidence-based curricula.

An examination of accreditation standards between Australian and US/Canadian doctoral programs in clinical psychology

ABSTRACT Objective Clinical psychology involves the integration of clinical science and clinical practice, and the application of this integrated knowledge for the purpose of alleviating human distress. Method The best way to train these competencies has been a matter of debate. In this editorial, we compare the standards of three accreditation bodies: the Australian Psychology Accreditation Council (APAC), the Canadian Psychological Association (CPA), and the American Psychological Association (APA). Results Although the three accreditation standards are similar in terms of required coursework for core clinical psychology competencies, research output, and clinically supervised placement hours, the APA/CPA standards involved more coursework in statistics, research methodology, and topics highly relevant to clinical psychology that elucidate for whom and under what circumstances a treatment may be helpful (e.g., developmental and social psychology). The APA/CPA standards also required coursework on the history of psychology, which provides the opportunity for students to learn about and better appreciate the developments and influences on current knowledge and practice. The APA/CPA accreditation standards also required more clinically supervised placement hours to be obtained prior to graduation than did the APAC standards. Conclusions Unfortunately, data do not directly support one training system over another. We therefore urge psychology programs to routinely monitor their students’ clinical practice effectiveness after graduation so that accreditation standards can be reenvisaged if needed. KEY POINTS What is already known about this topic (1) Accreditation of degree programs leading to the practice of clinical psychology is overseenby regulatory bodies in Australia, the US, and Canada. (2) Greater synchronization with international competencies is a stated goal of the Psychology Board of Australia. (3) No prior comparisons of accreditation standards between Australia and Canada/US has been published. What this topic adds (1) APA/CPA and APAC accredited programs tend to have very similar coursework in clinical psychology. (2) APA/CPA programs tend to require substantially greater training in research methods/statistics and other domains of psychology such as social and cognitive psychology. (3) An individual with an APA/CPA-accredited degree would be close to meeting Australian psychology registration requirements, while an individual with an APAC accredited degreewould require substantial additional coursework if wishing to become licensed/registered as a psychologist in the US or Canada.

Vehicles for Drug Delivery and Cosmetic Moisturizers: Review and Comparison.

Many dermatological conditions, such as eczema and psoriasis, are treated with topical therapeutic products. Instead of applying the active drug directly onto the skin, it is combined with a vehicle to aid in its delivery across the stratum corneum (SC) and into deeper regions of the skin, namely the epidermis and dermis. Absorption into the systemic circulation is minimized. Topical vehicles are also used as cosmetic moisturizers (often termed emollient therapy) to ameliorate dry skin, which is a cornerstone of the management of various dermatological conditions, including xerosis, eczema, psoriasis, and aging. The most common topical vehicles include ointments, creams, gels, and lotions, among others. It is crucial that topical vehicles are chosen based upon the size and properties (wet/dry, mucous/non-mucous, healthy/diseased) of the skin to be treated in order to optimize application and contact of the product with the skin, as this can have profound impacts on potency, efficacy, and patient compliance. This review examines common topical vehicles used for drug delivery and cosmetic moisturizers, including their formulation, advantages and disadvantages, and effects on the skin. The unique rules imposed by governing regulatory bodies in Australia and around the world, in terms of topical product claims, are also briefly examined.

Internationalization and knowledge management strategies of service firms: impact of regulatory environment in regional markets

PurposeThis study aims to the influence and impact of regulations and highlights the barriers to market entry faced by Australian professional service firms in the European Union (EU) and their strategies to manage and transfer tacit knowledge.Design/methodology/approachThe authors collected data by reviewing relevant regulatory documents and conducting semi-structured interviews with key informants from Australian architecture firms and senior representatives from the professional, trade and regulatory bodies in Australia and Europe.FindingsHistorically, Australian professional service firms use the United Kingdom (UK) as their EU base. The mutual recognition of qualifications and prior experiences are barriers to intra-organizational expatriation and knowledge transfer. The study identifies the dual nationality of the architects as a way of circumventing the residency/nationality restrictions.Originality/valueThe study discusses Brexit and how the uncertainty surrounding the UK and EU’s agreement adds to the complexity for non-European firms’ market entry and operations in the region.

Availability and content of concussion guidelines in Australian combat sports

Introduction: Sport-related concussion continues to receive frequent and widespread media coverage. Sport governing bodies are facing increased pressure to improve athlete safety, but they have responded in diverse ways, from taking little or no action to developing and implementing comprehensive guidelines for evaluating and managing sport-related concussion. Despite the relatively high risk of concussion in full-contact combat sports, the status quo of concussion guidelines among combat sport governing bodies in Australia is unknown.

Development and uptake of the National Heart Foundation of Australia Smart Heart Guideline App

Abstract Background Many organisations have developed Smartphone mobile applications (apps) to improve access and uptake of clinical guidelines, including the European Society of Cardiology and the American Heart Foundation. The National Heart Foundation of Australia publish clinical guidelines in collaboration with the Cardiac Society of Australia and New Zealand. We aimed to develop an app for three national guidelines: 1) the Australian clinical guidelines for the prevention and detection of atrial fibrillation 2018; 2) the Australian clinical guidelines for the detection and management of heart failure in Australia 2018; and 3) the Australian clinical guidelines for the management of acute coronary syndromes 2016. Purpose To develop a mobile app for Australian health professionals to improve access and uptake of national cardiac clinical guidelines. Methods A national health professional mobile app online survey was developed and distributed in 2017. Survey items included the frequency of searching for information about the prevention or management of cardiovascular disease, the methods of searching, and the likelihood of using an Australian-specific mobile app to access clinical guidelines. Following analysis of survey responses, a software developer was contracted to develop the app, which included user-testing. The Smart Heart Guidelines App was registered with the regulatory body in Australia, the Therapeutic Goods Administration, and made freely available from October 2019 on iOS and Android operating systems. The app was promoted using electronic direct mail, social media techniques (Twitter and LinkedIn), on our organisation's website and via printed flyers and materials at regional and national event stands at conferences. Data from the Apple App Store was analysed between 1 October 2019 – 1 October 2020 to evaluate app use. Results The health professional survey (respondents n=504; nurses 39%, allied health professionals 26%; GP/cardiologist 9%; researcher 8%; other 18%) showed most (n=447; 89%) reported accessing the Heart Foundation's resources electronically. The majority (n=355; 70%) reported they would be likely to use an Australian-specific app. Data from the Apple App Store indicated over 30,300 impressions (the number of times the Smart Heart App appeared in an App Store search) during the first year the app was available. This resulted in approximately 4,400 app downloads, with consistent “search-to-download rates” throughout the year (monthly average rate 22%). Of the downloads, 3,200 (82%) were a direct result of searching for the Smart Heart App, indicating promotional activities were effective. Conclusion Development of the Smart Heart Guideline App in Australia was indicated by health professionals to improve access to national cardiac clinical guidelines. Consistent app downloads and use during the first-year support further research, development, promotion, and evaluation of the app. Funding Acknowledgement Type of funding sources: Foundation. Main funding source(s): The National Heart Foundation of Australia

Using Tobacco Plain Packaging to Protect the Human Rights of Children

The societal interest of public health protection has driven Australia’s regulation of tobacco products for many years. The recent decision of the Appellate Body in Australia – Tobacco Plain Packaging should encourage states to protect supportable societal interests even if they restrict the exercise of intellectual property rights. As the decision suggests that non-WTO agreements can support tobacco control measures, this article argues that greater attention should be given to the human rights implications of these measures. A primary objective of tobacco plain packaging measures is to protect young people, engaging Australia’s obligations pursuant to the Convention on the Rights of the Child. Despite this objective, the voices of children have been very quiet in disputes about Australia’s plain packaging measures. The article argues that explicit engagement with children and recognition of their human rights in the development and implementation of plain packaging measures could have strengthened Australia’s defence of its plain packaging measures. It provides novel insights into what a child rights-based approach could mean for the future development of tobacco control measures worldwide.

Can Standardisation of the Public Assessment Report Improve Benefit-Risk Communication?

BackgroundNational regulatory authorities (NRAs) make the decision to register a medicine based on an assessment of its benefits and risks and publicly available assessment reports are used as a tool to communicate the basis for the decision. The Universal Methodology for Benefit-Risk Assessment (UMBRA) has also been used to effectively communicate the basis of regulatory decisions. Many NRAs in emerging markets place reliance on the public assessment reports (PARs) of reference agencies to inform about their own regulatory decisions. However, PAR users often criticise the redacted nature of PARs and may be challenged in identifying key benefits and risks, value judgements, and benefit-risk (BR) trade-offs.MethodsPARs for ertugliflozin l-pyroglutamic acid, erenumab, and durvalumab published by regulatory bodies in Australia, Europe, Canada, and the United States were compared with the validated UMBRA Benefit-Risk Template to evaluate the BR decision documentation. Published validation of UMBRA included report of a consortium of four regulatory authorities in Australia, Canada, Switzerland, and Singapore indicating that their clinical assessment templates were modified to align with the UMBRA approach. A focus group discussed the use of PARs as potential knowledge management tools for stakeholder understanding of regulatory decision making. The South African Health Product Regulatory Authority (SAHPRA) approach to document and communicate the BR decisions was evaluated.ResultsResults indicate key elements to include in the PARs including regulatory history, an effects table and a record of the strengths and uncertainties for each benefit and risk. Focus group participants agreed that a harmonised PAR template would support improved regulatory decision-making transparency. SAHPRA communication of BR decisions could be improved through the use of the UMBRA BR Template as a guidance for BR assessment and the basis of the South Africa public assessment report format.ConclusionSAHPRA's use of a structured template that supports transparent and quality decision making could have a major impact in ensuring consistency in the BR assessment of new medicines. The implementation of this effective approach for communicating BR decisions will advance agency goals of being a trusted, responsive, accountable regulatory body in which all healthcare stakeholders may rely on with confidence.

Accreditation without Impact: The Case of Accreditation by Professional Accounting Bodies in Australia

AbstractAustralian tertiary accounting education relies on a variety of accreditation processes to develop, manage and assure the learning outcomes of students. This research focuses on the impact of professional accounting body accreditation on Australian higher education providers (HEPs). It explores the process and rigour with which HEPs utilise the objectives and standards within this accreditation process to evaluate and improve their degree programs. This research uses interview data with HEP staff who have led accreditation processes of bachelor‐level accounting degrees. Data were analysed using a narrative framework to establish a range of discourses that explore the engagement of HEPs with: the process; the level of trust HEP staff have in the process; and the processes’ benefits. This research demonstrates that the current accreditation process does not achieve its stated outcomes and is unable to improve the alignment of student learning with professional expectations. Professional body accreditation fails to achieve its objectives because HEPs consider accreditation to be a ‘tick‐box’ process without consequence and are mistrustful of the veracity of several aspects within the process. Building on these findings, this research provides insights into the challenges associated with accreditation and explores how a previously impactful accreditation process has become largely inconsequential.

The effect of a multidisciplinary care bundle on the incidence of delirium after hip fracture surgery: a quality improvement study.

Delirium is a common complication following hip fracture surgery. We introduced a peri-operative care bundle that standardised management in the emergency department, operating theatre and ward. This incorporated: use of fascia iliaca blocks; rationalisation of analgesia; avoidance of drugs known to trigger delirium; a regular education program for staff; and continuous auditing of compliance. The study was conducted between June 2017 and December 2018. We recruited 150 patients before (control group) and 150 patients after (care bundle group) the introduction of the care bundle. In patients having surgery for a hip fracture, there was a lower incidence of delirium on the third postoperative day in the care bundle group compared with the control group (33 patients (22%) vs. 49 patients (33%)), respectively; p=0.04). Patients in the care bundle group had an adjusted OR of 2.2 (95%CI 1.1-4.4) (p=0.03) for the avoidance of delirium on the third postoperative day. There was no difference between groups for the secondary outcome measures (measured at 30days postoperatively) including: all-cause mortality; composite morbidity; institutionalisation; and walking status. During the study period, compliance with elements of the care bundle improved in the emergency department (49 patients (33%) compared with 85 patients (59%); p<0.001) and anaesthetic department (40 patients (27%) compared with 104 patients (69%); p<0.001), while orthogeriatrics maintained a high level of compliance (140 patients (93%) compared with 143 patients (95%); p=0.45). There was a clinically and statistically significant reduction in the incidence of delirium following hip fracture surgery in patients treated with a multidisciplinary care bundle.