Table of contents


Adults :: Falls :: Recommendations

• Projected increases in the burden of falls and falls-related injury together with fewer resources available for health and social care mean that falls and falls prevention should be a priority issue for commissioners and providers.
• A Medway Falls Strategy should be developed and implemented as a framework for consideration of the whole falls care pathway by commissioners.

• Falls should continue to be included as a topic within the JSNA and the findings should be brought to the attention of the Health and Wellbeing Board.
• Effective falls prevention schemes can be implemented at little cost with the involvement of professionals working in health, social care and in the community. The majority of falls in Medway occur in the home or in residential care settings, highlighting the need to examine the existing provision of home safety information in the community and the need for a better understanding of falls prevention activities within care settings. All care homes should have falls prevention strategies in place, the objectives of which should include more robust recording and reporting of data on falls.
• Commissioning of the enhanced falls pathway and falls fast track clinic
• Service users should have greater involvement in service development and monitoring.
• Audit of the accuracy/ appropriateness of coding for falls related admissions
• Further in depth analysis of falls data, including data on A&E attendances and locations of falls in the community, is required in order to achieve a better understanding of the pattern of falls across different groups and different settings in Medway.
• Detailed mapping of all falls services delivered across all sectors and organisations in Medway, including the voluntary sector, should be undertaken.

• Falls Prevention should also consider the wider environment, for example, through partnership working with town planners to ensure that the risk of falls to older people is taken into account.