Skip to main content
Article thumbnail
Location of Repository

A national survey of services for the prevention and management of falls in the UK

By S. E. Lamb, Joanne D. Fisher, Simon Gates, R. Potter, Matthew Cooke and Yvonne Carter

Abstract

Background: The National Health Service (NHS) was tasked in 2001 with developing service provision to prevent falls in older people. We carried out a national survey to provide a description of health and social care funded UK fallers services, and to benchmark progress against current\ud practice guidelines.\ud Methods: Cascade approach to sampling, followed by telephone survey with senior member of the fall service. Characteristics of the service were assessed using an internationally agreed taxonomy. Reported service provision was compared against benchmarks set by the National\ud Institute for Health and Clinical Excellence (NICE).\ud Results: We identified 303 clinics across the UK. 231 (76%) were willing to participate. The majority of services were based in acute or community hospitals, with only a few in primary care or emergency departments. Access to services was, in the majority of cases, by health professional\ud referral. Most services undertook a multi-factorial assessment. The content and quality of these assessments varied substantially. Services varied extensively in the way that interventions were delivered, and particular concern is raised about interventions for vision, home hazard modification, medication review and bone health.\ud Conclusion: The most common type of service provision was a multi-factorial assessment and intervention. There were a wide range of service models, but for a substantial number of services, delivery appears to fall below recommended NICE guidance

Topics: HT, R1
Publisher: BioMed Central Ltd.
Year: 2008
OAI identifier: oai:wrap.warwick.ac.uk:519

Suggested articles

Citations

  1. (2005). British Association of Emergency Medicine: National Survey of Emergency Secondary Care
  2. (2004). Clinical practice guideline for the assessment and prevention of falls in older people Royal College of Nursing: London: National Institute for Clinical Excellence;
  3. (2004). Development and preliminary examination of the predictive validity of the Falls Risk Assessment Tool (FRAT) for use in primary care. J Public Health (Oxf) doi
  4. (2006). Educational intervention to reduce falls and fear of falling in patients after fragility fracture: results of a controlled pilot study. Prev Med doi
  5. (2001). Health: National Service Framework for Older People London: The Stationery Office;
  6. (2003). Incidence and costs of unintentional falls in older people in the United Kingdom. doi
  7. (1994). Ory MG: Preventing falls among community-dwelling older persons: results from a randomized trial. Gerontologist doi
  8. (2004). Prevention of Falls Network Europe: a thematic network aimed at introducing good practice in effective falls prevention across Europe. European Journal of Ageing doi
  9. (2007). SR: Internet provision of tailored advice on falls prevention activities for older people: a randomized controlled evaluation. Health Promot Internation doi
  10. (2005). Why modelling a complex intervention is an important precursor to trial design: lessons from studying an intervention to reduce falls-related injuries in older people. J Health Serv Res Policy doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.