This guideline covers assessment of fall risk and interventions to prevent falls in in people aged 65 and over. It aims to reduce the risk and incidence of falls and the associated distress, pain, injury, loss of confidence, loss of independence and mortality.


This guideline includes recommendations on:

Who is it for?

  • Healthcare and other professionals and staff who care for older people who are at risk of falling
  • People aged 65 or older who fall or are at risk of falling in the community, and their families and carers
  • All hospital inpatients aged 65 or older
  • Hospital inpatients aged 50 to 64 who have been identified as being at higher risk of falling

Is this guideline up to date?

We reviewed the evidence in January 2016. We found nothing that affects the recommendations in this guideline.

Next review: 2017

Guideline development process

How we develop NICE guidelines

This guideline updates and replaces NICE guideline CG63 (March 2008).

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.

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