“…High demand for clinic appointments may contribute to difficulty accessing fracture clinic appointments in a timely manner [5]. This has led some health services to consider whether efficiency gains can be achieved through service redesign [5][6][7][8], and this has occurred successfully in some adults fracture clinics [5,7,8]. Some referrals from emergency departments to fracture clinics may be considered inappropriate and a source of service inefficiency when no orthopaedic specialist review is required [5].…”