A national survey of services for the prevention and management of falls in the UK

<p style="text-align:justify;"> <b> Background:</b> The National Health Service (NHS) was tasked in 2001 with developing service provision to prevent falls in older people. We carried out a national survey to provide a description of health and social care funded UK fall...

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Main Authors: Lamb, S, Fisher, J, Gates, S, Potter, R, Cooke, M, Carter, Y
Format: Journal article
Language:English
Published: BioMed Central 2008
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author Lamb, S
Fisher, J
Gates, S
Potter, R
Cooke, M
Carter, Y
author_facet Lamb, S
Fisher, J
Gates, S
Potter, R
Cooke, M
Carter, Y
author_sort Lamb, S
collection OXFORD
description <p style="text-align:justify;"> <b> Background:</b> The National Health Service (NHS) was tasked in 2001 with developing service provision to prevent falls in older people. We carried out a national survey to provide a description of health and social care funded UK fallers services, and to benchmark progress against current practice guidelines.<br/><br/> <b>Methods:</b> Cascade approach to sampling, followed by telephone survey with senior member of the fall service. Characteristics of the service were assessed using an internationally agreed taxonomy. Reported service provision was compared against benchmarks set by the National Institute for Health and Clinical Excellence (NICE).<br/><br/> <b>Results:</b> We identified 303 clinics across the UK. 231 (76%) were willing to participate. The majority of services were based in acute or community hospitals, with only a few in primary care or emergency departments. Access to services was, in the majority of cases, by health professional referral. Most services undertook a multi-factorial assessment. The content and quality of these assessments varied substantially. Services varied extensively in the way that interventions were delivered, and particular concern is raised about interventions for vision, home hazard modification, medication review and bone health.<br/><br/> <b>Conclusion:</b> The most common type of service provision was a multi-factorial assessment and intervention. There were a wide range of service models, but for a substantial number of services, delivery appears to fall below recommended NICE guidance. </p>
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spelling oxford-uuid:77e5a9ba-a139-46d7-b884-575cc492d1712022-03-26T20:27:14ZA national survey of services for the prevention and management of falls in the UKJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:77e5a9ba-a139-46d7-b884-575cc492d171EnglishSymplectic Elements at OxfordBioMed Central2008Lamb, SFisher, JGates, SPotter, RCooke, MCarter, Y <p style="text-align:justify;"> <b> Background:</b> The National Health Service (NHS) was tasked in 2001 with developing service provision to prevent falls in older people. We carried out a national survey to provide a description of health and social care funded UK fallers services, and to benchmark progress against current practice guidelines.<br/><br/> <b>Methods:</b> Cascade approach to sampling, followed by telephone survey with senior member of the fall service. Characteristics of the service were assessed using an internationally agreed taxonomy. Reported service provision was compared against benchmarks set by the National Institute for Health and Clinical Excellence (NICE).<br/><br/> <b>Results:</b> We identified 303 clinics across the UK. 231 (76%) were willing to participate. The majority of services were based in acute or community hospitals, with only a few in primary care or emergency departments. Access to services was, in the majority of cases, by health professional referral. Most services undertook a multi-factorial assessment. The content and quality of these assessments varied substantially. Services varied extensively in the way that interventions were delivered, and particular concern is raised about interventions for vision, home hazard modification, medication review and bone health.<br/><br/> <b>Conclusion:</b> The most common type of service provision was a multi-factorial assessment and intervention. There were a wide range of service models, but for a substantial number of services, delivery appears to fall below recommended NICE guidance. </p>
spellingShingle Lamb, S
Fisher, J
Gates, S
Potter, R
Cooke, M
Carter, Y
A national survey of services for the prevention and management of falls in the UK
title A national survey of services for the prevention and management of falls in the UK
title_full A national survey of services for the prevention and management of falls in the UK
title_fullStr A national survey of services for the prevention and management of falls in the UK
title_full_unstemmed A national survey of services for the prevention and management of falls in the UK
title_short A national survey of services for the prevention and management of falls in the UK
title_sort national survey of services for the prevention and management of falls in the uk
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