The Prevention and Management of Falls in the Community: A Framework for Action for Scotland 2014/2015
The Framework builds on the model presented in the Up and About resource, and focuses on falls prevention and management and fracture prevention for older people living in the community. The Framework is underpinned by evidence from research and draws on knowledge and experience gained by the falls prevention community in Scotland over the last four years.
Summary of Actions to achieve the minimum standard for 2014/15
Stage One: Supporting health improvement and self management to reduce the risk of falls and fragility fractures
Action 1.1
Up-to-date information on the prevention of falls and the prevention of harm from falls is made available to older people by health and social care services.
Stage Two: Identifying individuals at high risk of falls and/or fragility fractures
Action 2.1
Health and social care services offer Level 1 assessment† to older people who report a fall or an injury or functional decline caused by a fall.
Action 2.2
Everyone identified at high risk of further falls by Level 1 assessment is offered intervention to identify and address possible contributory factors, i.e. Level 2 assessment†.
Stage 3: Responding to an individual who has just fallen and requires immediate assistance
Action 3.1
Responding services† have a standard operating procedure† for responding to people who have fallen and have or have not sustained injuries.
Action 3.2
A responding service attends an older person who has fallen within one hour of being alerted to the fall, or as close to this timescale as possible given geographical constraints.
Action 3.3
Responding services have a standard operating procedure for identifying and meeting the immediate needs of a person who has fallen.
Action 3.4
Health and social care services working with older people in their own homes (including care homes) have a standard operating procedure to identify and meet the immediate need of an older person who falls in their presence or is found on the floor.
Action 3.5
Older people presenting to responding services following a fall and who are not conveyed to hospital, are offered Level 1 assessment†.
Action 3.6
Older people assisted by other health and social care services in the event of a fall, and who are not conveyed to hospital, are offered Level 1 assessment†.
Stage 4: Co-ordinated management including specialist assessment
Action 4.1
Older people identified at high risk of further falls are offered a Level 2 assessment†.
Action 4.2
Health and social care services providing Level 2 assessment have a governance infrastructure to ensure suitable staff undertake Level 2 assessments.
Action 4.3
Following Level 2 assessment the person is provided with a personalised Falls and Fracture Prevention Action Plan.
Action 4.4
Level 3 assessment† and remedial interventions offered are in line with current and emerging evidence.
Action 4.5
Following Level 2 assessment there are referral pathways into services that provide evidence based assessment (Level 3) and intervention.
Action 4.6
Services providing Level 2 assessment can refer directly into services that provide evidence based assessment (Level 3) and intervention.
Action 4.7
There is a quality assurance process which monitors whether or not Fall and Fracture Prevention Action Plans are implemented.
Contact
Email: Julie Townsend
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