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Older people, falls and neighbourhood working

Older people, falls and neighbourhood working. Today. 1. Falls in Bristol – the latest statistics and NHS Bristol’s response ( Rob ) 2. Break (at 12.15) 3. Community awareness raising and Falls Awareness Day 2010 ( Jo, Noshin, Alex ) What’s new for 2011 – ( Rob, Louise, Michael )

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Older people, falls and neighbourhood working

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  1. Older people, falls and neighbourhood working

  2. Today 1. Falls in Bristol – the latest statistics and NHS Bristol’s response (Rob) 2.Break(at 12.15) 3. Community awareness raising and Falls Awareness Day 2010 (Jo, Noshin, Alex) • What’s new for 2011 – (Rob, Louise, Michael) • Working together – (All of us)

  3. Falls are the leading external cause of death for the over-75s

  4. National falls facts • Every year between 33% and 50% of people over the age of 65 suffer a fall, (estimates from Help the Aged) • 20% of fallers will need medical help and just under 10% will sustain a fracture • Fractured hips cost the NHS £1.8 billion every year: All smoking £5bn, (2009). All obesity £4.2bn, (2007).

  5. Falls in Bristol • Emergency admissions per day (over 65’s) 2007/08 4.9 2008/09 5.6 2009/10 6.3 (20010/11 est. 6.4) • In 2009/10, 405 people over 65 were admitted to hospital with hip fracture, of which 15-30% die within 1 year, (60-121 deaths). • Each year, falls cost NHS Bristol an estimated £28.5 million.

  6. 18,103 - 27,429

  7. Falls admissions in Bristol Magda Szapeil, Avon IM&T consortium, 2011.

  8. Projected Growth in RATE Numbers projected to double in 15 years - 4,403 by 2025. 12 per day.

  9. Falls clusters in Bristol

  10. NHS Bristol’s response

  11. Hip Fracture Non hip fragility Individuals at high risk of 1st fragility fracture or other injurious falls NHS Bristol strategy Reduce costs of hip fractures by renegotiating tariff and standards. Use savings to... ....invest in Fracture Liaison Service. “Treat the first, prevent the second”. Service design is underway. and fracture patients ....develop Falls/Primary Prevention Services that identify people at high risk and respond effectively. Pilot before end 2011. Prevent frailty and preserve bone health through healthy lifestyles. People currently at relatively low risk

  12. NHS Bristol Public Health falls / fracture priorities – 2011/12 1. Identify people who may be at risk – refer to GP 2. Continue to raise awareness of how improvements in diet, strength and balance, footcare, eyesight, home environment and medication management can reduce falls risk 3. Help develop business case and design of primary prevention services ready to pilot later in 2011

  13. “It appears that individualised exercise interventions with balance training at the core of the programme are most effective for those at risk of falls, including those with significant risk of fracture”. (Gillespie et al. 2009) Quoted from Department of Health, 2009. Falls and fractures: Exercise Training to Prevent Falls

  14. Contacts Rob Benington rob.benington@bristol.nhs.uk Injury Prevention Manager, NHS Bristol

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