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Falls in the elderly

If someone needs a medical assessment for falls, please see the RMS falls page here.

There is also a therapy-led Community Falls Clinic

Referrals

Referrals are welcomed from healthcare professionals. Complete a referral form.

Many services are involved in falls management, our criteria are a person over the age of 50 with 1 of the following:

  • clinically complex person who has recurrent falls, who has had a multi-factorial falls risk assessment completed, interventions actioned and remains at risk

  • upper limb fragility fracture following a fall and history of 2 or more falls in the last 12 months.

Exclusion criteria

  • Less than 50 years of age.

  • More than 1 blackout or temporary loss of consciousness in the last 12 months.

  • Pathological fracture.

  • Where an underlying condition is the main cause of the falls, for example, neurological condition, advanced cognitive impairment.

  • Falls secondary to alcohol or substance abuse.

  • Where needs are better met by another service, for example where a person is experiencing a health (or health and care) crisis and care or support is required within 2 hours to prevent hospital admission. An urgent crisis responder will visit a person at home (including a care home) within 2 hours to assess, provide urgent treatment and implement a care plan if required.

  • Where a person ;may require reablement. This is a short term programme to improve a person’s ability to live independently, reduce the necessity for an increase in package of care, or to reduce the requirement for a bed-based care provider such as a care home or community hospital. Individuals will receive an assessment within 2 days of referral to determine their ability to participate in reablement.

Referrals for a 2-hour urgent crisis response or 2-day reablement are made via a STRATA (single electronic referral form). Please mark 2-hour referrals as a 'red referral’.

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