 The management of fractured neck of femur in the elderly population is of clinical and political interest in the United Kingdom at present, with a current national audit in progress to look at anaesthetic management and clinical outcomes. It is estimated that the number of patients that sustain a hip fracture will reach 100,000 cases per annum by 2033 with a cost to the NHS of some 2.7 billion. Outcomes for this group remain poor with a mortality of 8 at 1 month, increasing to 20-33 at 1 year4. Complication rates for this group also remain significant with between 20 and 60 of patients having significant postoperative complications. These complications are not only associated with increased length of stay and healthcare costs, but also reduced long-term survival. 