Allied health professions as agents of change and reshaping care E33 (2#2)

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AHPs are uniquely placed in delivering outcomes for integration as they already work across health, social care and the third sector. This workshop will highlight some innovative examples of partnership working, pose questions and initiate debate. Key themes explored will include how putting the person at the centre can improve the individuals care and experience and how self-management and enablement can empower individuals, families and carers.
Contributed by: Scottish Government - Allied Health Professionals team

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Allied health professions as agents of change and reshaping care E33 (2#2)

  1. 1. PREVENTING FALLS IN SCOTLAND Lianne McInally Up and About in Care Homes Project Lead lianne.mcinally1@nhs.net
  2. 2. Falls matter For an older person a fall can be… • trivial, profound or fatal, • the first sign of a new or worsening health problem, • a marker for the onset of frailty, • a ‘tipping point’ leading to loss of confidence and independence, and increased dependence on family, and health and social services. A fall is a symptom, not a diagnosis. “I was never the same after the fall” “I suddenly became an old person” “I don’t really feel the same person” “I was thoroughly demoralised” NHS QIS Focus Groups, October 2008 2
  3. 3. Why falls matter The cost to health and social care services In people 65 years and over: • Largest single presentation to the Scottish Ambulance Service (over 35,000 attendances). • One of the leading causes of Emergency Department attendance. • Responsible for over 390,000 emergency bed days. • Implicated in up to 40% care home admissions. • Highest reported incident in hospital settings. Costs to health and social care services in Scotland estimated to exceed £471m each year (est. rising to £666m by 2020): – 45% long term care – 40% NHS – 15% care at home Costs to health and social care services in Scotland estimated to exceed £471m each year (est. rising to £666m by 2020): – 45% long term care – 40% NHS – 15% care at home 3
  4. 4. Why falls matter Targeted interventions, based on multifactorial risk assessment, include: 4
  5. 5. The National Falls Programme in Scotland (2010-present) Aims • To reduce the personal, system and societal costs associated with falls and harm from falls in Scotland. • For every health and social care partnership area in Scotland (32 partnerships) to have a local integrated falls prevention and management and fracture prevention pathway for older people in operation by the end of 2014. • Contributes to Reshaping Care for Older People Programme for Change 5 Falls Leads Network
  6. 6. 6 Up and About (NHSQIS 2010)  Whole system and integrated.  Evidence-based.  Person-centred.  Underpinned by data for improvement and measuring impact.  Supports and enables healthier and independent living.  Recognises and supports carers.  Everybody’s business. Creating a shared vision The Up and About Pathway
  7. 7. The Prevention and Management of Falls in the Community Current work streams Framework for Action for Scotland 2014-15 •Unscheduled care pathways •Falls Care Bundles •Materials to support self management •Learning resources for health and social care staff •Repository of new and emerging practices Up and About in Care Homes 7
  8. 8. For more information, please contact: Ann Murray Programme Manager Mobile: 07833 095399 ann.murray3@nhs.net Lianne McInally Project Lead Mobile: 07580994822 Lianne.mcinally1@nhs.net http://www.knowledge.scot.nhs.uk/fallsandbonehealth

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