Falls Prevention 10 th  January 2011 Jim McManus / Safina Mistry
Contin u ous Process RFBC Prioritisation C.S.R  JSNA  5  COUNCIL Outcomes
Prediction forecast / target services Secondary Prevention Primary Prevention Universal & Well-being LOW MODERATE SUBSTANT...
Why Falls Prevention <ul><li>In Birmingham, over 40,000 older people have falls every year. </li></ul><ul><li>35% of over ...
For  a typical PCT <ul><li>For each 10,000 people over 65 </li></ul><ul><li>3,500 will fall each year, 1500 twice or more ...
Key  Risk Factors include  people who have had a Previous fall 1 2 3 <ul><ul><ul><li>People who have a Long term condition...
Three levels of focus  Defined Outcomes  Process & Procedures  Service User Evaluation  Targeted intervention  Benefits
Falls Prevention multi-factorial toolkit <ul><li>checklist to identify people at risk at falls and link to services and in...
Prevent Falls – project aim <ul><ul><li>By providing a pathway for people who may be at risk of falling to get the help th...
The Process  low/moderate <ul><li>Falls Checklist  </li></ul><ul><ul><li>Usually new to A and C  - Unique numbering </li><...
Prevention of Falls -  Process <ul><li>Target Population </li></ul><ul><li>Persons over 50 years living in Birmingham </li...
Results to date <ul><li>Over 500 people supported  </li></ul><ul><li>All received information on preventing falls </li></u...
Our Target Referrals  1,000 completed Falls Prevention Checklists
Next Steps  <ul><li>Ensure Benefits realised  </li></ul><ul><li>Evaluation with Citizens  </li></ul><ul><li>Explore other ...
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Falls prevention and social care

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The Birmingham model and early outcomes on preventing falls in social care

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  • Complete the Checklist with the citizen Send to the Falls Co-ordinator Co-ordinator identifies requirement (s) Co-ordinator requests services Services delivered to citizen
  • Falls prevention and social care

    1. 1. Falls Prevention 10 th January 2011 Jim McManus / Safina Mistry
    2. 2. Contin u ous Process RFBC Prioritisation C.S.R JSNA 5 COUNCIL Outcomes
    3. 3. Prediction forecast / target services Secondary Prevention Primary Prevention Universal & Well-being LOW MODERATE SUBSTANTIAL CRITICAL Reduce numbers of people coming into high-cost services and moving along FACS banding Intensive Home Support Residential Care Community Equipment Services Telecare Service Tertiary Prevention
    4. 4. Why Falls Prevention <ul><li>In Birmingham, over 40,000 older people have falls every year. </li></ul><ul><li>35% of over 65s experience one or more falls. </li></ul><ul><li>45% of over 80 who live in the community fall each year. </li></ul><ul><li>By reducing the common risk factors and by providing appropriate equipment, falls can be reduced by between 10 -40%. </li></ul><ul><li>A person’s home environment can also contribute to the risk of falling. </li></ul><ul><li>The prevention of falls scheme supports a proactive approach, to target individuals with low level prevention interventions which can have a measurable impact on individual’s quality of life and wellbeing. </li></ul><ul><li>Low /moderates – savings </li></ul>
    5. 5. For a typical PCT <ul><li>For each 10,000 people over 65 </li></ul><ul><li>3,500 will fall each year, 1500 twice or more </li></ul><ul><li>Most will not call for help </li></ul><ul><li>700 will attend A&E or the MIU </li></ul><ul><li>A similar number will call the ambulance service </li></ul><ul><li>250 will have a fracture </li></ul><ul><li>80 are hip fractures </li></ul><ul><li>Ageing demography means all this will increase 50% by 2020 </li></ul>
    6. 6. Key Risk Factors include people who have had a Previous fall 1 2 3 <ul><ul><ul><li>People who have a Long term condition </li></ul></ul></ul><ul><ul><ul><li>muscle weakness/balance/gait or who are taking multiple medications </li></ul></ul></ul>
    7. 7. Three levels of focus Defined Outcomes Process & Procedures Service User Evaluation Targeted intervention Benefits
    8. 8. Falls Prevention multi-factorial toolkit <ul><li>checklist to identify people at risk at falls and link to services and information </li></ul><ul><li>Working Neighbourhood Fund – funding secured until March 2011 </li></ul><ul><li>Start date of project – 20th November 2009- sort tools , plan etc </li></ul><ul><li>Multi-agency: Birmingham City Council, Health Services, Third Sector </li></ul><ul><li>Training for participants </li></ul><ul><li>Programme management –part of wider prevention </li></ul><ul><li>Public health evidence based </li></ul><ul><li>Referral to a selection of agencies </li></ul>
    9. 9. Prevent Falls – project aim <ul><ul><li>By providing a pathway for people who may be at risk of falling to get the help they need :- </li></ul></ul><ul><ul><li>Raising awareness of falls and how to prevent them </li></ul></ul><ul><ul><li>Referring on to services to help prevent falls e.g. equipment, handy persons scheme and/or foot care </li></ul></ul><ul><ul><li>Referring on to Telecare equipment (falls monitor) which mitigates the effects of falls </li></ul></ul><ul><ul><li>Referring on for benefits entitlement guidance </li></ul></ul><ul><ul><li>Sign post to social activities and exercise classes such as, “Keep Moving, or chi to improve their balance and to prevent falls and fractures </li></ul></ul><ul><ul><li>Internal process ( timelines ) </li></ul></ul>
    10. 10. The Process low/moderate <ul><li>Falls Checklist </li></ul><ul><ul><li>Usually new to A and C - Unique numbering </li></ul></ul><ul><ul><li>Specific requests </li></ul></ul><ul><ul><li>Client to sign </li></ul></ul><ul><ul><li>Leave client with note </li></ul></ul><ul><ul><li>Send form to Co-ordinator </li></ul></ul><ul><ul><li>Destroy original when receipt confirmed </li></ul></ul><ul><li>Service Request Form </li></ul><ul><ul><li>Details copied by Co-ordinator from Checklist </li></ul></ul><ul><ul><li>Sent to Service provider -5 days </li></ul></ul><ul><li>Visit /contact Follow up letter </li></ul><ul><ul><li>Details copied by Co-ordinator from Checklist </li></ul></ul><ul><ul><li>Sent to Client </li></ul></ul>
    11. 11. Prevention of Falls - Process <ul><li>Target Population </li></ul><ul><li>Persons over 50 years living in Birmingham </li></ul><ul><li>Some Agencies </li></ul><ul><li>Have a dual role as Visitor and Service provider </li></ul>
    12. 12. Results to date <ul><li>Over 500 people supported </li></ul><ul><li>All received information on preventing falls </li></ul><ul><li>Average number of services requested per checklist – 2.6 requests per person </li></ul><ul><li>Number of people having a fall since – 14% (46% before checklist) </li></ul><ul><li>Over 66% were very confident that the information and services they received would help them prevent falls in the future </li></ul><ul><li>There was a reported 3.7% improvement in quality of life </li></ul><ul><li>One woman £11k </li></ul><ul><li>Service User evaluation commencing </li></ul>
    13. 13. Our Target Referrals 1,000 completed Falls Prevention Checklists
    14. 14. Next Steps <ul><li>Ensure Benefits realised </li></ul><ul><li>Evaluation with Citizens </li></ul><ul><li>Explore other roles that maybe able deliver this for low and moderates . </li></ul><ul><li>Shift thinking to Primary prevention </li></ul><ul><li>Embed prevention score cared </li></ul><ul><li>Support delivery of Peters New Offer </li></ul><ul><li>Build into GPs pathfinder </li></ul>

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