Johansen A, et al. - This study was undertaken to investigate the implications of seasonal variation in hip fracture for trauma services and for the frail older people who typically suffer this injury. Researchers examined published National Hip Fracture Database (NHFD) data for the 450,764 people who presented during the seven years from April 2011 to March 2018. Marked seasonal variation was found in the number of people presenting: 8% more people presenting in the winter months (December-February) than in the summer (June-August). They found significant public health effect of these findings. They found an 8% raise in hip fracture numbers during the winter would equate with 1,250 additional fractures during these months each year. Individuals average over 20 days in hospital, so these additional cases will compound the stresses on hospital services over the Christmas and New Year holiday period. When organising trauma services, such factors must be taken into consideration whether they are to try and avoid the additional 325 deaths that they found to occur each winter.