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Falls in older people [QS86]

Measuring the use of this guidance

Statement: 1

Older people are asked about falls when they have routine assessments and reviews with health and social care practitioners, and if they present at hospital.

Quality standard measure: Proportion of older people asked about falls when they present at hospital.
What was measured: The proportion of patients who had been asked about any history of falls documented in their case notes.
Data collection end: May 2015
81.2%
Number that met the criteria: 3757 / 4846
Data collection end: December 2016
79.6%
Number that met the criteria: 4100 / 5387
Area covered: England and Wales
Source: Royal College of Physicians. National Audit of Inpatient Falls audit report.


Statement: 2

Older people at risk of falling are offered a multifactorial falls risk assessment.

Quality standard measure: Proportion of older people at risk of falling presenting to a healthcare professional who are referred for multifactorial falls risk assessment.
What was measured: Proportion of patients aged 50 years and over who had sustained a fragility fracture who received or were referred for a falls risk assessment.
Data collection end: December 2016
40%
Data collection end: December 2017
46%
Area covered: England and Wales
Source: Royal College of Physicians. Fracture Liaison Service Database (FLS-DB) clinical audit


Statement: 4

Older people who fall during a hospital stay are checked for signs or symptoms of fracture and potential for spinal injury before they are moved.

Quality standard measure: Evidence of local arrangements to ensure that hospitals have a post-fall protocol that includes checks for signs or symptoms of fracture and potential for spinal injury before the older person is moved.
What was measured: The proportion of hospital trusts/health boards who have a post-falls protocol.
Data collection end: May 2015
100%
Area covered: England and Wales
Source: Royal College of Physicians. National Audit of Inpatient Falls audit report.


Statement: 8

Older people living in the community who have a known history of recurrent falls are referred for strength and balance training.

Quality standard measure: Proportion of older people living in the community who report recurrent falls to a healthcare practitioner in hospital who are referred for strength and balance training.
What was measured: Proportion of patients aged 75 years and over (and prescribed anti-osteoporosis medication or referred for further clinical opinion or to their GP) who had sustained a fragility fracture who had started strength and balance training by 16 weeks post fracture.
Data collection end: December 2016
4%
Area covered: England and Wales
Source: Royal College of Physicians. Fracture Liaison Service Database (FLS-DB) clinical audit

Quality standard measure: Proportion of older people living in the community who report recurrent falls to a healthcare practitioner in hospital who are referred for strength and balance training.
What was measured: Proportion of patients aged 50 years and over (and prescribed anti-osteoporosis medication or referred for further clinical opinion or to their GP) who had sustained a fragility fracture who had started strength and balance training by 16 weeks post fracture.
Data collection end: December 2016
3%
Area covered: England and Wales
Source: Royal College of Physicians. Fracture Liaison Service Database (FLS-DB) clinical audit

Quality standard measure: Proportion of older people living in the community who report recurrent falls to a healthcare practitioner in hospital who are referred for strength and balance training.
What was measured: Proportion of patients aged 50 years and over who had sustained a non-hip fracture fragility fracture who had started strength and balance training within 16 weeks of their fracture
Data collection end: December 2017
4%
Area covered: England and Wales
Source: Royal College of Physicians. Fracture Liaison Service Database (FLS-DB) clinical audit



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