Evidence base: Constipation in elderly people with hip fracture is a common problem due to immobility, opioid prescription and lack of privacy. It can result in a numerous complications and ultimately an increased length of hospital stay. There is a dearth of meaningful evidence, both in the way that constipation is recognised and its subsequent treatment. The orthogeriatric team in this large University Hospital Trust investigated the effectiveness of bowel care for elderly inpatients following hip fracture. Each audit followed a cohort of 40 people aged 60 or above following surgical fixation of hip fracture.