The National Falls Prevention Coordination Group (NFPCG) brings together over 35 organizations to provide leadership on falls prevention in the UK. Falls are a major risk to older adults, with over 400 risk factors including prior falls, weakness, poor balance, and vision issues. The NFPCG has published consensus statements and resources on effective interventions like exercise programs, home assessments, and fracture liaison services. Moving forward, the NFPCG is developing e-learning, research questions, and focusing on areas like social care and dementia to promote falls prevention as a whole system priority.
Building links for the prevention of Youth HomelessnessFEANTSA
Presentation given by Melanie Redman, National Learning Community on Youth Homelessness and Stephen Gaetz, Canadian Observatory on Homelessness, Canada, at the 2015 FEANTSA Policy Conference, "Homelessness, A Local Phenomenon with a European Dimension: Key Steps to Connect Communities to Europe", Paris City Hall, 19 June 2015
Rachael Addicott on commissioning end-of-life careThe King's Fund
Rachael Addicott, senior fellow at The King's Fund, presents early findings from her ongoing research into effective commissioning of services at the end of life, along with case studies of innovation and best practice.
Significant improvement of social security and public safety after the promotion of healthy city program in New Taipei, Taiwan
By Hsien-Wen Kuo, TAIWAN
Ronald Wiman: Innovative solutions to the implementation of Agenda 2030, FinlandTHL
Wiman's presentation at the "Thinking long-term: Making poverty eradication and environmental policies mutually supportive" side event at The 55th session of the Commission for Social Development (CSocD55) on the 6th of February 2017.
Integrating Partners and Resources to Enhance Community Preparedness, Amanda ...Global Risk Forum GRFDavos
6th International Disaster and Risk Conference IDRC 2016 Integrative Risk Management - Towards Resilient Cities. 28 August - 01 September 2016 in Davos, Switzerland
The Role of Communities in Community Safety Promotion
- Initiators, Supporters, Implementers and Beneficiaries
Lu Pai, Ph.D.
Chair of Taiwanese Community Safety Promotion Center
International Safe Community Support Center
& International Safe School Certifying Center
5th International Disaster and Risk Conference IDRC 2014 Integrative Risk Management - The role of science, technology & practice 24-28 August 2014 in Davos, Switzerland
Forever Autumn Community of Practice - Promoting Healthy Ageinganne spencer
Presentation given to DCU School of Nursing and Human Sciences Teaching & Learning Spring School Jan 2017. Daragh Rodger and Anne Spencer present the work undertaken with the Community of Practice in relation to Falls and Falls Management
Update on the An Saol Project by Reinhard Schaler. The project is a three year pilot project running a day centre for persons with severe acquired brain injury (sABI) co-funded by the Health Service Executive (HSE) in Dublin, Ireland.
Building links for the prevention of Youth HomelessnessFEANTSA
Presentation given by Melanie Redman, National Learning Community on Youth Homelessness and Stephen Gaetz, Canadian Observatory on Homelessness, Canada, at the 2015 FEANTSA Policy Conference, "Homelessness, A Local Phenomenon with a European Dimension: Key Steps to Connect Communities to Europe", Paris City Hall, 19 June 2015
Rachael Addicott on commissioning end-of-life careThe King's Fund
Rachael Addicott, senior fellow at The King's Fund, presents early findings from her ongoing research into effective commissioning of services at the end of life, along with case studies of innovation and best practice.
Significant improvement of social security and public safety after the promotion of healthy city program in New Taipei, Taiwan
By Hsien-Wen Kuo, TAIWAN
Ronald Wiman: Innovative solutions to the implementation of Agenda 2030, FinlandTHL
Wiman's presentation at the "Thinking long-term: Making poverty eradication and environmental policies mutually supportive" side event at The 55th session of the Commission for Social Development (CSocD55) on the 6th of February 2017.
Integrating Partners and Resources to Enhance Community Preparedness, Amanda ...Global Risk Forum GRFDavos
6th International Disaster and Risk Conference IDRC 2016 Integrative Risk Management - Towards Resilient Cities. 28 August - 01 September 2016 in Davos, Switzerland
The Role of Communities in Community Safety Promotion
- Initiators, Supporters, Implementers and Beneficiaries
Lu Pai, Ph.D.
Chair of Taiwanese Community Safety Promotion Center
International Safe Community Support Center
& International Safe School Certifying Center
5th International Disaster and Risk Conference IDRC 2014 Integrative Risk Management - The role of science, technology & practice 24-28 August 2014 in Davos, Switzerland
Forever Autumn Community of Practice - Promoting Healthy Ageinganne spencer
Presentation given to DCU School of Nursing and Human Sciences Teaching & Learning Spring School Jan 2017. Daragh Rodger and Anne Spencer present the work undertaken with the Community of Practice in relation to Falls and Falls Management
Update on the An Saol Project by Reinhard Schaler. The project is a three year pilot project running a day centre for persons with severe acquired brain injury (sABI) co-funded by the Health Service Executive (HSE) in Dublin, Ireland.
5th International Disaster and Risk Conference IDRC 2014 Integrative Risk Management - The role of science, technology & practice 24-28 August 2014 in Davos, Switzerland
Building Resilience in Urban Youth and Communities The Power of Prevention, J...Global Risk Forum GRFDavos
6th International Disaster and Risk Conference IDRC 2016 Integrative Risk Management - Towards Resilient Cities. 28 August - 01 September 2016 in Davos, Switzerland
Thematic Platform for Emergency and Disaster Risk Management Health and the ...Global Risk Forum GRFDavos
Presentation at the Consultion Day event about: Scientific and Technical Platforms / Networks: Achievements and Future Goals during the Global Platform for Disaster Risk Reduction GPDRR 2013 in Geneva
“National Patient Safety Collaborative Programme”
The National Patient Safety Collaborative Programme, launched on the 14th October 2014 will be the largest patient safety initiative ever attempted in the world. Led by the 15 Academic Health Science Networks and supported by NHS England and NHS Improving Quality, they will be undertaking a challenging programme of work over the next 5 years. This session will outline the actions to date and the next steps moving forwards.
Interested in sharing best practices within your organization?
Are you engaged in creating community health status reports? Are you interested in learning about how to improve health equity? The Equity-Integrated Population Health Status Reporting Action Framework can help health professionals at all levels identify and implement manageable steps for integrating equity into existing or new public health status reporting processes. The framework is suitable for use by health/public health staff, community organizations that provide local data, and academic researchers.
This framework was developed collaboratively by the six National Collaborating Centres for Public Health, building upon earlier work by the NCC for Determinants of Health.
To see the summary statement of this tool developed by NCCMT, click here: http://www.nccmt.ca/resources/search/240
The National Collaborating Centre for Methods and Tools is funded by the Public Health Agency of Canada and affiliated with McMaster University. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.
NCCMT is one of six National Collaborating Centres (NCCs) for Public Health. The Centres promote and improve the use of scientific research and other knowledge to strengthen public health practices and policies in Canada.
We held an improvement collaborative with 19 NHS providers earlier this year to help improve the management of falls in an inpatient setting.
This resource shows case studies of the providers involved in the collaborative.
AKW, a Commercial Partner and Main Sponsor for the 2020 DFG Champions Roadshows took part in presenting this Spring. To find out more about their presentation, please contact AKW directly at https://www.akw-ltd.co.uk/
Impey Showers, a Commercial Partner and Main Sponsor for the 2020 DFG Champions Roadshows took part in presenting this Spring. To find out more about their presentation, please contact Impey Showers directly at https://www.impeyshowers.com/
Closomat, a Commercial Partner and Main Sponsor for the 2020 DFG Champions Roadshows took part in presenting this Spring. To find out more about their presentation, please contact Closomat directly at https://www.closomat.co.uk/
Frances Swann shares the successes of CambsHIA and working with 3 local authorities to ensure best practice. For more information, please contact Frances directly frances.swann@cambshia.org
The Alzheimer's Society, shares their knowledge on all things dementia and how you can help people living with dementia. For more information, please contact the Alzheimer's Society https://www.alzheimers.org.uk/
Taking Technology Enabled Care to the next level, Doctor Kevin Doughty, shares his experiences, knowledge and ideas to support people in the near future. For more information, please contact Dr Doughty at http://t-cubed.co.uk/
Stiltz, a Commercial Partner and Main Sponsor for the 2020 DFG Champions Roadshows took part in presenting this Spring. To find out more about their presentation, please contact Stiltz directly at https://www.stiltz.co.uk/
Up the Ratios Bylaws - a Comprehensive Process of Our Organizationuptheratios
Up the Ratios is a non-profit organization dedicated to bridging the gap in STEM education for underprivileged students by providing free, high-quality learning opportunities in robotics and other STEM fields. Our mission is to empower the next generation of innovators, thinkers, and problem-solvers by offering a range of educational programs that foster curiosity, creativity, and critical thinking.
At Up the Ratios, we believe that every student, regardless of their socio-economic background, should have access to the tools and knowledge needed to succeed in today's technology-driven world. To achieve this, we host a variety of free classes, workshops, summer camps, and live lectures tailored to students from underserved communities. Our programs are designed to be engaging and hands-on, allowing students to explore the exciting world of robotics and STEM through practical, real-world applications.
Our free classes cover fundamental concepts in robotics, coding, and engineering, providing students with a strong foundation in these critical areas. Through our interactive workshops, students can dive deeper into specific topics, working on projects that challenge them to apply what they've learned and think creatively. Our summer camps offer an immersive experience where students can collaborate on larger projects, develop their teamwork skills, and gain confidence in their abilities.
In addition to our local programs, Up the Ratios is committed to making a global impact. We take donations of new and gently used robotics parts, which we then distribute to students and educational institutions in other countries. These donations help ensure that young learners worldwide have the resources they need to explore and excel in STEM fields. By supporting education in this way, we aim to nurture a global community of future leaders and innovators.
Our live lectures feature guest speakers from various STEM disciplines, including engineers, scientists, and industry professionals who share their knowledge and experiences with our students. These lectures provide valuable insights into potential career paths and inspire students to pursue their passions in STEM.
Up the Ratios relies on the generosity of donors and volunteers to continue our work. Contributions of time, expertise, and financial support are crucial to sustaining our programs and expanding our reach. Whether you're an individual passionate about education, a professional in the STEM field, or a company looking to give back to the community, there are many ways to get involved and make a difference.
We are proud of the positive impact we've had on the lives of countless students, many of whom have gone on to pursue higher education and careers in STEM. By providing these young minds with the tools and opportunities they need to succeed, we are not only changing their futures but also contributing to the advancement of technology and innovation on a broader scale.
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Canadian Immigration Tracker March 2024 - Key SlidesAndrew Griffith
Highlights
Permanent Residents decrease along with percentage of TR2PR decline to 52 percent of all Permanent Residents.
March asylum claim data not issued as of May 27 (unusually late). Irregular arrivals remain very small.
Study permit applications experiencing sharp decrease as a result of announced caps over 50 percent compared to February.
Citizenship numbers remain stable.
Slide 3 has the overall numbers and change.
ZGB - The Role of Generative AI in Government transformation.pdfSaeed Al Dhaheri
This keynote was presented during the the 7th edition of the UAE Hackathon 2024. It highlights the role of AI and Generative AI in addressing government transformation to achieve zero government bureaucracy
A process server is a authorized person for delivering legal documents, such as summons, complaints, subpoenas, and other court papers, to peoples involved in legal proceedings.
What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
1. Falls Prevention- everyone’s
business
Sue Dewhirst-Population health services manager, Public Health
England, Coordinator of National Falls Prevention Coordination
Group (NFPCG)
2. What I will cover
-What is the National Falls Prevention Coordination Group (NFPCG)?
-Falls-risk factors
-National picture-current data
-Falls and Fractures consensus statement and resources
-Key interventions-eg. Strength and balance exercise, home adaptations
-NFPCG programme and developments
-Who can help? A whole system approach
-Making it happen
Falls prevention video: https://learn.nes.nhs.scot/23390/falls-preventionFalls Prevention-a national perspective
3. NFPCG
National Falls Prevention Coordination Group
• Set up since 2016
• Now has over 35 member organisations
• Brings together representatives from national organisations, academia, 3rd
sector
• Hosted by Public Health England
• Meets 3 times a year in London
• Provides leadership, enables dissemination of good practice, supports data
collection, informs skills development, influences policy, facilitates task and
finish groups
Falls Prevention-a national perspective
4. Falls-the risk factors
There are a very large number of falls risk factors (over 400). Significant ones
include:
• a history of falls
• muscle weakness
• poor balance
• visual impairment
• environmental hazards
• polypharmacy and the use of psychotropic and anti-arrhythmic medicines,
• + a number of specific conditions including cognitive impairment, diabetes,
high alcohol consumption, incontinence, Parkinson’s disease and stroke.
Falls Prevention-a national perspective
5. 5
Falls - National picture
For people aged 60+, women are more
likely to fall than men
Fall hazards in the home
cost the NHS
£435 million
a year
29.1% 23.5%
Emergency admissions for falls
are higher for older people
Falls Prevention-a national perspective
6. Falls and fracture consensus
• National Falls Prevention Coordination Group (NFPCG), since 2016
• Falls and fractures consensus statement (published February 2017) -
commissioner focussed (but useful to all!) – details key interventions,
approaches to commissioning plus national commitment for support
• Falls and fracture consensus statement resource pack (July 2017) –
comprehensive set of resources and tools to support commissioning and
delivery including frailty section and commissioners checklist
• Takes a life course and whole system approach
• https://www.gov.uk/government/publications/falls-and-fractures-consensus-
statement
Falls Prevention-a national perspective
7. Key interventions- a whole system approach
• Life course risk factor reduction
• Case finding and risk assessment
• Strength and balance exercise programmes
• Healthy homes, including home adaptations
• High-risk care environments
• Fracture liaison services (FLS)
• Collaborative care for severe injury
Falls Prevention-a national perspective
9. Home HazardsAssessment
What does the evidence say?
• Gillespie et al, Cochrane Library systematic review, 2012. Home hazard
assessment and modification (HAM) interventions delivered by an OT
reduced the rate of falls by 31% and the number of people falling by 21%.
• ‘Adaptations without delay’ report (RCOT, 2019)-raises issue of lack of
capacity
• Updated Cochrane Library environmental modifications review due July
2020
NICE Guidance (QS86)-Home hazards assessment and safety interventions
Older people who have received treatment in hospital following a fall should be
offered a home hazard assessment and safety intervention/modifications by
a suitably trained healthcare professional.
Falls Prevention-a national perspective
10. NFPCG Programme 2019/ 2020
Evidence briefing-Multi-factorial falls prevention interventions (February 2019)
Contributed to resources from North of England Falls Prevention in Care Homes
Strength and Balance Roadshows in South East and North of England, PHE and
the Centre for Ageing Better-March 2019
Contributed to resource Preventing falls in people with learning disabilities
(August 2019)
Strength & Balance Quality Markers (published 29th July 2019)
Falls and Fractures Prevention-All Our Health (updated January 2020)
Home adaptations NFPCG meeting September 2019, PHE Healthcare Public
Health newsletter articles on Home adaptations and Adaptations without
Delay (October 2019) and the Disabled Facilities Grant (January 2020)
Falls Prevention-a national perspective
11. In development
• All Our Health e-learning on e-lFH, due for publication in April 2020
• PHE Healthcare Public Health newsletter articles, includes falls prevention
• National Falls framework for ambulance services, including prevention,
based on the Welsh model
• Consulting with NIHR to develop falls prevention research questions
• Future NFPCG meetings 2020 themes include:
Adult Social Care and Dementia, Fractures
Falls Prevention-a national perspective
13. Making it happen
• Evidence based interventions –Cochrane reviews
• Data –Primary care data, electronic frailty index, emergency services data
• Quality improvement –the Strength & Balance Quality Markers paper may
help, data collection important
• Effective governance at all levels
• The Falls Consensus statement and resource pack may help
• Make falls prevention everyone’s business!
Falls Prevention-a national perspective
14. Thanks!
THANK YOU FOR LISTENING!!
Contact: Sue.Dewhirst@phe.gov.uk
Falls Prevention-a national perspective
Editor's Notes
Falls are events, fractures are the injury resulting from the event.
Caused by a number of inter-related risk factors.
Prevention= systematic reduction of risks
For people aged 60+, women are more likely to fall than men – 29.1% of women and 23.5% of men had a fall in previous 2 years
Source: Gale C, Cooper C and Sayer A, 2016, Prevalence and risk factors for falls in older men and women: The English Longitudinal Study of Ageing, Age and Ageing; 45: 789–794
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5105823/#afw129C4
Unaddressed fall hazards in the home are estimated to cost the NHS in England £435 million
Source: Nicol S, Roys M, Garrett H, BRE. The cost of poor housing to the NHS [Internet]. BRE Trust; 2016
Available from: www.bre.co.uk/filelibrary/pdf/87741-Cost-of-Poor-Housing-Briefing-Paper-v3.pdf
Emergency admissions are higher for older people
Source: Public Health Outcomes Framework, Emergency hospital admissions due to falls in people aged 65 and over - aged 65-79, 2017/18, England; Emergency hospital admissions due to falls in people aged 65 and over - aged 80+, 2017/18, England.
https://fingertips.phe.org.uk/profile/public-health-outcomes-framework
References and evidence to support falls prevention:
National Falls Prevention Coordination Group, 2019. Strength and Balance Quality Markers-supporting improvement.
https://www.gov.uk/government/publications/strength-and-balance-quality-markers-supporting-improvement
National Falls Prevention Coordination Group, 2017. Falls and Fractures consensus statement and resource pack.
https://www.gov.uk/government/publications/falls-and-fractures-consensus-statement
Royal College of Occupational Therapists, 2019. Adaptations without delay.
https://www.rcot.co.uk/news/rcot-launch-adaptations-without-delay-report
All Our Health-Falls Prevention (updated July 2019)-Information and resources for health professionals
https://www.gov.uk/government/publications/falls-applying-all-our-health/falls-applying-all-our-health
Public Health England and Centre for Ageing Better. 2018. Muscle and bone strengthening and balance activities (MBSBA) for general health benefits in adults and older adults: summary of a rapid evidence review for the UK Chief Medical Officers’ update of the physical activity guidelines.
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/721874/MBSBA_evidence_review.pdf
Centre for Ageing Better, 2019. Raising the bar on strength and balance: the importance of community-based provision
https://www.ageing-better.org.uk/publications/raising-bar-strength-balance
Lifecourse risk factor reduction includes:
Modifiable lifestyle risk factors – inadequate nutrition, inactivity, smoking, high alcohol use
Life course – childhood, teens, 30s, 40+, 65+ (+key events)
Mapping inter-dependencies with other conditions e.g. frailty, dementia, diabetes
Case finding and (multi-factorial) risk assessment
Maximise routes for case finding
NICE Quality Standard 86: Falls in older people
Case finding and risk assessing for fractures – fracture liaison services
The role of emergency care
Supporting self-referral
Alignment with frailty activity Eg. Anticipatory Care in Primary Care Networks
Fire and Rescue Service winter pressures evaluation
Strength and balance exercise:
Key single intervention for reducing rate of falls-see Cochrane review 2019-’reduces the number of falls over time by around a quarter’
https://www.cochrane.org/news/new-cochrane-review-assesses-benefits-and-harms-exercise-preventing-falls-older-people-living
Assessing performance – measuring numbers, referrals and outcomes
Commissioning challenge
Challenge for participants – enabling adherence, filling places
HAM was more effective in people at higher risk of falling, including those with severe visual impairment.
Home hazard assessment is shown to be effective only in conjunction with follow-up and intervention, not in isolation.
Following NICE guidance will require significant investment eg. 4,772 emergency admissions in West Sussex in 2017/18 (£1,355k estimate)
Suggests need for agreed criteria / priorities e.g. visual impairment
System partners include:
Social landlords – private landlords – leisure and fitness services – home improvement and handyperson services – general practices – fracture liaison services – Trauma and Orthopaedics Departments – physiotherapists – opthalmologists – adult social care teams - acute nurses - Departments of Geriatric Medicine – occupational therapists – podiatrists - Emergency Medicine Departments – ambulance services – Fire and Rescue Services – local authority older people’s services - fracture clinics – specialist falls services – pharmacists – voluntary and community sector employees – public health teams – residential care and nursing homes – specialist nurses – rheumatologists – social prescribers