Category Archives: Older People Safety

UK: NEW FALLS INFORMATION ZONE TO SUPPORT OLDER PEOPLE AT RISK OF A FALL

A new information zone to support older people at risk of a fall has been launched on NHS inform.  The Falls Information Zone has been developed by Scottish Government’s Falls Programme team in association with NHS 24 Health Information Services.

Falls amongst older people are extremely common and are often associated with injury, hospitalisation and loss of confidence and independence. However, falls are not an inevitable consequence of getting older. Simple steps can be taken by older people, their families and carers to reduce their risk of falling and the risk of harming themselves if they do fall.  The new Falls Information Zone provides quality assured information for people at risk of falling, their carer’s and families to help reduce the physical, emotional and psychological harm caused by falls.

As well as providing information on the causes of falls, when to seek help and support, and what to do in the event of a fall, detailed advice and information is offered on ‘Keeping Well’ and ‘Safety at Home’.  The Zone also features short films demonstrating strength and balance exercises, information on falls and dementia, and a comprehensive section on fear and anxiety about falling. Visit: nhsinform.co.uk/falls.

SCOTLAND: KEEPING SCOTLAND’S OLDER PEOPLE SAFE FROM FIRE IN 2015

Scotland’s Fire and Rescue Service (SFRS) have released adverts on how to protect yourself and older people in the community from preventable house fires. The SFRS has urged the pubic to arrange Home Fire Safety Visits  where local firefighters will come out to the property to check for fire hazards and to provide advice

 

ENGLAND: FALLS AND FRAGILITY FRACTURES POPULATION HEALTHCARE PROGRAMME LAUNCH

Public Health England launched the Falls and Fragility Fractures (FFF) Population Healthcare Programme at an event held 4 December in London.

The Programme, involving partnership work between Public Health England, the ‘Better Value Healthcare’s FFF Population Healthcare Programme’ and local stakeholders, aims to support service improvement through the collection and sharing of evidence based outcome data.

 

WALES: BURDEN OF INJURY REPORTS FOCUSING ON ROAD TRAFFIC COLLISIONS, ASSAULTS, POISONINGS AND FALLS.

Following on from the 2012 Wales Burden of Injuries report, PHWs in association with CAPIC, have produced four interim reports focusing on data updates in four key areas; road traffic collisions, assaults, poisonings and falls.  These reports  present additional figures from 2011 and 2012, as well as more detailed socio-economic profiles.

There are still a number of data completeness and coding issues and some of the differences reported here may reflect variations in data quality. Nevertheless, the best way to improve data quality is to use the data and stimulate interest in the results.

To download the reports please click on the links below:

The Burden of Injury in Wales – Road Traffic Collisions

The Burden of Injury in Wales – Poisonings

The Burden of Injury in Wales – Assaults

The Burden of Injury in Wales – Falls

ENGLAND: OLDER PEOPLE INJURY ADMISSIONS LOCAL AUTHORITY INDICATORS

The Public Health Outcomes Framework includes 2 related indicators of emergency hospital admissions in older people: indicator 2.24 – ‘injuries due to falls in people aged 65 and over’ in the ‘Health Improvement’ domain and indicator 4.14 ‘hip fractures in people aged 65 and over’ in the ‘Healthcare and Premature Mortality’ domain. Each is measured separately in age groups 65 and over, 65-79 and 80 and over, and the falls in age 65 and over also includes a males/females split. The indicator is available at both upper and lower tier local authority level and trend data can be viewed for the years 2010/11, 2011/12 and 2012/13. Local Authorities can also be grouped and compared by deprivation level or type of area.

 FURTHER INFORMATION: http://www.phoutcomes.info/

PARACHUTE – A CANADIAN CHARITABLE ORGANISATION DEDICATED TO PREVENTING INJURIES AND SAVING LIVES

Parachute is a Canadian charitable organisation dedicated to preventing injuries and saving lives.

http://www.parachutecanada.org/

Information, tools and guides are available for the following injury topic areas:

UK: BBC PROGRAMME – PROTECTING OUR PARENTS

The BBC produced a documentary ‘Protecting our Parents’ based on the activity of Birmingham’s older adults care teams over the course of a year, from the perspective of the professionals, families and the elderly.

This was broadcast over 3 episodes 1 May to 17 April 2014 and featured issues such as the impact of falls. Although the programmes are no longer available to view online, the related BBC website provides a description of the episodes and a number of video clips.

The website also provides a number of statistics, including those relating to falls and fractures, and links to further useful resources.

FURTHER INFORMATION: http://www.bbc.co.uk/programmes/b041mq9q

 

ENGLAND: NICE GUIDANCE AND RESEARCH ON PREVENTING FALLS IN OLDER PEOPLE

The National Institute for Health and Care Excellence (NICE) has updated the ‘Clinical Knowledge Summary’ on falls risk assessment and the ‘falls in older people pathway’, and also signposts on-going research .

CLINICAL KNOWLEDGE SUMMARY: http://cks.nice.org.uk/falls-risk-assessment#!topicsummary

FALLS IN OLDER PEOPLE PATHWAY: http://pathways.nice.org.uk/pathways/falls-in-older-people

ON-GOING RESEARCH:   https://www.evidence.nhs.uk/topic/falls

 

 

SCOTLAND: HOSPITAL ADMISSIONS BY SCOTTISH LOCAL AUTHORITY

RoSPA have produced a spreadsheet providing information on the numbers and rates of hospital admissions due to unintentional injuries, for children under the age of five and also for adults aged 65 years and over,for each of Scotland’s local authority areas as well as Scotland as a whole.

These figures are available for the ten years from 2003/04 to 2012/13 and highlight those injuries that have happened in the home as well as on the road (along with those that are recorded as ‘other’ and ‘unknown’).

Hospital admissions spreadsheet: http://www.injuryobservatory.net/wp-content/uploads/2014/07/LA-Hospital-Admissions.xls

This information should be read in conjunction with the attached Notes page and can be found directly from the ISD website at http://www.isdscotland.org/Health-Topics/Emergency-Care/  (select Unintentional Injures (published 25th Feb 2014)).

UK: TAKE HEAD INJURIES SERIOUSLY AND TREAT QUICKLY, SAYS NICE

Children and adults who suffer a head injury should be taken straight to a hospital with resuscitation facilities to avoid potentially serious complications, including disability or death, says NICE.

In an update to existing guidelines, NICE stresses the importance of early detection and prompt treatment for head injuries. Patients who have suffered a head injury but also begin to show particular signs that the injury may be serious or potentially life-threatening, such as seizures, fracture skull or loss of consciousness, should be given a CT brain scan within one hour.

FACING UP TO FALLS VIDEO

RoSPA has created a short film, Facing up to Falls, as part of its Safer Homes project in England.  The film aims to provide families and older people with practical steps to avoid falls by highlighting key issues that lead to a fall.  The film contains advice on preventing a fall and involves real-life experiences of older people.  To view this short film click here and please do share it with others.

FALLS PREVENTION EVIDENCE

This new document from Age UK explains the research base for falls prevention exercise to give a better understanding of the programmes that have been shown to be effective in preventing falls. The guide also provides examples of evidence-based programmes that are currently in practice and demonstrates how they contribute to an integrated falls care pathway.

UK OLDER PEOPLE’S DAY

Older People’s Day is on 1 October 2013 to coincide with the UN International Day of Older Persons. The main aim for the day is to be a national celebration of the achievements and contributions that older people make to society and to the economy.

VIOLENCE AGAINST OLDER WOMEN

Countries Covered: UK
Date: 2013

The University of East Anglia have conducted research on intimate partner violence against older women (60+) and have produced a report of their findings.

WALES: UNINTENTIONAL FALL INJURIES RESULTING IN A HOSPITAL ADMISSION IN WELSH RESIDENTS AGED 60 AND OVER (2000 – 2012)

The following analyses conducted by CAPIC and AWISS (All Wales Injury Surveillance System) contain unintentional fall related hospital admissions in Welsh residents aged 60 and over.

Number of falls admissions are presented by year from 2000 – 2012

In addition, for the year 2012, the number of fall injuries are broken down by age, gender, Local Authority and area-level deprivation.

Please refer to the ‘Summary’ page for further information about the data sources, data quality issues and guidance on interpreting the results.

Hospital admissions for unintentional falls in Welsh residents aged 60 and over

WHERE TO FIND INJURY DATA AND STATISTICS IN THE UK AND IRELAND?

Countries Covered: UK and Ireland
Date: 
2013

To help injury practitioners find relevant and up to date injury related statistics; IOBI have produced guides on where to find injury data in the constituent countries of the UK and Ireland. As well providing guidance on where to find general statistics, links to themed statistics (e.g. road accidents, self-harm, falls) are also provided. England and Wales guides also include: injury related strategies, policies and reviews, and further information on selected injury databases.

Please also refer to Data and Statistics in the Cross-Cutting Themes section

FACTORS INFLUENCING THE IMPLEMENTATION OF FALL PREVENTION PROGRAMMES: A SYSTEMATIC REVIEW AND SYNTHESIS OF QUALITATIVE STUDIES

Countries Covered: World
Date: 
2013

The current literature on barriers and facilitators to the implementation of fall-prevention programmes examines a variety of interventions. We recommend that successful implemen-tation requires individuals, professionals, and organisations to modify established behaviours, thoughts, and prac-tice. The issues identified through this synthesis need to be fully considered and addressed if fall-prevention pro-grammes are to be successfully implemented into clinical practice.

Citation: Child S, Goodwin V, Garside R, Jones-Hughes T, Boddy K, Stein K. Implement. Sci 2013, 7(1): 91.

PREVENTION PACKAGE FOR OLDER PEOPLE

Countries Covered: UK
Date: 
2013

UK Department of Health’s Prevention Package for Older People – The package sets out how preventing health problems before they occur can help older people live better and healthier lives.

INTERPRETING PHYSICAL ACTIVITY GUIDELINES FOR OLDER ADULTS

Countries Covered: UK
Date: 
2013

The British Heart Foundation National Centre (BHFNC) has produced a series of three booklets designed to assist those who work with older people to interpret the UK physical activity guidelines into appropriate messages. The three booklets are designed to reflect the differences among the older population.

AGE UK AND FALLS PREVENTION

Countries Covered: UK
Date: 
2013

The briefing ‘Don’t Mention the F-Word’ by Age UK, summarises the findings from the research report Encouraging Positive Attitudes to Falls Preven-tion in Later Life. This report gives advice to practitioners on communicating falls prevention methods to older people and is well worth a read.

THE FALLS AND FRACTURES DECLARATION

Countries Covered: UK
Date: 
2013

The National Osteoporosis Society and Age UK have launched theFalls and Fractures Declaration, a collaborative response to the changes and reforms within the NHS. This declaration is the result of a commitment from the National Osteoporosis Society and Age UK to reducing hip fractures and falls related inju-ries in older people over the next 5 years.

NEW PROJECT ON FALL-PREVENTION IN EU

Countries Covered: Europe
Date: 
2013

The ICT Policy Support Programme as part of the Competitiveness and Innovation framework Programme (CIP) will support a new project that aims to bring together innovative initiatives, individual solutions, local, regional and na-tional programmes for falls prevention in Europe. This project, called “Prevention of Falls Network for Dissemination (ProFouND)”, will the issue of the rising toll of fall injuries.

EU FALLS PREVENTION NETWORK

Countries Covered: Europe
Date: 
2013

In March 2013 the Prevention of Falls Network for Dissemination (ProFouND) will be launched. ProFouND is a The-matic Network with 21 partners from 12 countries, and currently associate members from a further 10 countries. Pro-FouND will act to disseminate and implement best practice in falls prevention across Europe. ProFouND’s objective is to embed evidence based fall prevention programmes for elderly people at risk of falls by using novel ICT in at least 10 countries/15 regions by 2015 so as to facilitate widespread implementation.

CAPIC SYSTEMATIC REVIEW DATABASE & SAFETYLIT

Countries Covered: Europe
Date: 
2013

CAPIC SYSTEMATIC REVIEW DATABASE & SAFETYLIT

A huge amount of research on preventing injuries is carried out across the world. It is difficult for injury prevention practitioners to keep up to date with the latest scientific evidence. Increasingly, scientists are pulling together all the high quality studies on particular topics and collating the results in systematic reviews.

NHS BRISTOL RESEARCH – PREDICTING FUTURE NEEDS OF FALLS SERVICES

Countries Covered: England
Date:
 2012

NHS Bristol have also been involved in a falls related project ‘Falls—into the future’. This project aims to model trends in fall related emergency admissions of older people, to help predict future needs of falls services. As well as highlighting the need for specialised services to identify and assist people at risk of falling, this analysis also helped make a business case for a Fracture Liaison Service and the development of the Falls/Primary Prevention Services.

PHYSICAL ACTIVITY AND EXERCISE FOR HEALTH AND WELL BEING FOR OLDER PEOPLE

Countries Covered: UK
Date: 
2012

Reviews from the Cochrane Library assess the benefits of physical activity and exercise on the health and well being of older people.

INTERVENTIONS FOR PREVENTING FALLS IN OLDER PEOPLE LIVING IN THE COMMUNITY

Countries Covered: UK
Date: 
2012

Conclusions: Group and home-based exercise programmes, and home safety interventions reduce rate of falls and risk of falling.Multifactorial assessment and intervention programmes reduce rate of falls but not risk of falling; Tai Chi reduces risk of falling.Overall, vitamin D supplementation does not appear to reduce falls but may be effective in people who have lower vitamin D levels before treatment.

Citation: Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Cochrane Database Syst. Rev. 2012; 9(ePub): CD007146.

YOUTUBE VIDEO ON FALLS PREVENTION

Countries Covered: UK
Date: 
2012

Oxfordshire Falls Prevention Service has produced a video on falls prevention. The video offers advice to older people and their carers on how to reduce an older person’s risk of falling.

FALLS PREVENTION RESOURCE PACK

Countries Covered: UK
Date: 
2012

This Royal College of Physicians pack includes quality improvement best practice measures for assessing the impact of the number of falls in clinical hospital wards as well as preventing and managing falls.

REDUCING FALLS IN CARE ENVIRONMENTS

Countries Covered: UK
Date: 
2012

East Midlands Health, Innovation, Education Cluster have developed a falls reduction educational package for carers in care homes which includes resources such as DVD and social media support.

PROTECTING AN AGEING POPULATION FROM RISK OF FIRE IN THE HOME

Countries Covered: UK
Date: 
2012

The Chief Fire Officers Association (CFOA) have launched a new National Older Persons Strategy which aims to provide guidance and support to fire and rescue services and their partners to enable them to rise to the challenge of keeping older and more vulnerable members of the community safer from the risk of injury and death as a result of fire in the home.

AGENDA FOR LATER LIFE 2012 REPORT

Countries Covered: UK
Date: 
2012

This Age UK report is an annual audit of how public policy is meeting the challenges of an ageing society against five key indicators: work and learning; finances; travel and lifestyle; health and wellbeing; and home and care.

CHARITY CALLS ON WELSH PUBLIC TO RULE OUT ELDER ABUSE

Countries Covered: Wales
Date: 2012

Age Cymru has launched a campaign to introduce a legal duty to be placed on public bodies, including local authorities, to investigate cases of abuse or potential abuse reported to them.

CARE HOMES CAMPAIGN

Countries Covered: UK
Date: 
2012

Fresh ties is calling for independent volunteer care home visitors who can act as a confidential listening ear/advocate for residents and family members . Their reports could provide a central log of concerns (as well as good practice). The inspection body and local authority would then have a basis for investigation; and family members/residents would no longer be lone voices.

FALLS PREVENTION GUIDELINES ISSUED BY THE BRITISH AND AMERICAN GERIATRICS SOCIETIES

Countries Covered: World
Date: 
2011

The British and American Geriatric Societies have issued the updated guideline ‘Clinical Practice Guideline: Prevention of Falls in Older Persons’ The Guideline for the Prevention of Falls in Older Persons was originally published in May 2001. The present publication updates the earlier guideline by evaluating evidence and analyses that have become available since 2001 and by providing revised recommendations based on these evaluations.

BENCHMARKING QUALITY OF CARE FOR FRAGILITY FRACTURES IN THE SOUTH CENTRAL STRATEGIC HEALTH AUTHORITY

Countries Covered: England
Date:
 2011

This pilot report commissioned by the South Central Quality Observatory for South Central Strategic Health Authority (SC SHA), aims to develop a health intelligence system that co-ordinates, collates and disseminates information on the local organisation of services and quality of care for fragility fractures.

PROTECTING AND SAFEGUARDING VULNERABLE ADULTS IN WALES

Countries Covered: Wales
Date:
 2010

Healthcare Inspectorate Wales (HIW) has published ‘Safeguarding and Protecting Vulnerable Adults in Wales: A review of the arrangements in place across the Welsh National Health Service‘. The report identifies examples of notable or positive practice, as well as highlighting areas for improvement.

Care and Social Services Inspectorate Wales (CSSIW) have also published a report with its views of protecting and safeguarding adults in Wales, as well as identifying areas of good practice and areas for improvement.

OLDER PEOPLE’S PREVENTION PACKAGE

Countries Covered: Great Britain
Date:
 2009

The package sets out how preventing health problems before they occur can help older people live better and healthier lives. It is part of the government’s ageing strategy Building a Society for All Ages.

STRATEGY TO PREVENT FALLS AND FRACTURES IN IRELAND’S AGEING POPULATION

Countries Covered: Ireland
Date: 
2008

The Health Service Executive, Department of Health and Children and National Council on Ageing and Older people have jointly prepared a strategy to “Prevent Falls and Fractures in Ireland’s Ageing Population”. Falls and fractures in older people can be prevented and this strategy outlines a range of measures that should assist older people to avoid falls, and to protect them from the more serious consequences of a fall or fracture.

PREVENTION OF ROAD TRAFFIC INJURIES AMONG THE ELDERLY

Countries Covered: Europe
Date: 
2007

Prevention of Road Traffic Injuries Among the Elderly – produced by EUNESE

PREVENTION OF ACCIDENTAL POISONING AMONG THE ELDERLY

Countries Covered: Europe
Date: 
2007

Prevention of Accidental Poisoning among the Elderly produced by EUNESE

PREVENTION OF INJURIES DUE TO BURNS, FIRE & FLAMES AMONG THE ELDERLY

Countries Covered: Europe
Date: 
2007

Prevention of Injuries due to Burns, Fire & Flames among the Elderly – produced by EUNESE

PREVENTION OF FALLS AMONG THE ELDERLY

Countries Covered: Europe
Date: 
2007

Prevention of Falls among the Elderly – produced by the European Network for Safety Among Elderly (EUNESE)

THE STRATEGY FOR OLDER PEOPLE IN WALES

Countries Covered: Wales
Date:
 2003

This strategy for Wales aims to provide a framework for future polices and programmes reflecting the needs of an ageing society. Many issues are highlighted in this document about how government at all levels affects older people and their lives. The need to improve services for older people such as health, housing, social services, transport is recognised and the strategy will help to confront discrimination against older people, tackle stereotypes of old age and improve the engagement with and participation of older people in our communities.

KEEP WELL THIS WINTER – THE CONTRIBUTION OF LOACL AUTHORITIES AND THEIR PARTNERS

Countries Covered: Wales
Date:
 2003

This is a Wales-wide campaign that aims to provide information and support to people aged 65 and over to enable them to stay fit and healthy through the winter months. The partnership approach of the campaign is its key feature, in which the Welsh Assembly Government works with local government, statutory agencies, and organisations in the voluntary and community sectors to promote the messages of the campaign. This document provides the background to the themes of the campaign and ideas for local authority involvement.

OSTEOPOROSIS AND FRACTURE PREVENTION STRATEGY FOR WALES

Countries Covered: Wales
Date:
 2003

This Osteoporosis and Fracture Prevention Strategy will assist and inform Local Health Boards (LHBs) working with the NHS trusts and social services to address the rising tide of osteoporotic fractures in particular, reducing bed blockage. This approach emphasises the prevention of osteoporotic fractures through the promotion of a healthy active life and the prevention and treatment of osteoporosis. The NOS strategy uses an evidence-based approach and links to national priorities, making it a wonderful example of joined-up thinking.

PREVENTION AND REDUCTION OF ACCIDENTAL INJURY TO CHILDREN AND OLDER PEOPLE – EVIDENCE BRIEFING

Countries Covered: UK
Date: 
2003

This evidence briefing is a review about the prevention and reduction of accidental injury in children and older people. The necessity for reviewing reviews of tertiary level research stems from the proliferation over the last decade or more of systematic and other types of review in medicine and public health.

NATIONAL SERVICE FRAMEWORK FOR OLDER PEOPLE

Countries Covered: UK
Date: 
2001

This National Service Framework is the first ever comprehensive strategy to ensure fair, high quality, integrated health and social care services for older people. It is a 10 year programme of action linking services to support independence and promote good health, specialised services for key conditions, and culture change so that all older people and their carers are always treated with respect, dignity and fairness.