1. Care at Home Workshop The Falls Framework for Action Working Together to Prevent Falls for Health and Wellbeing Perth Concert Hall 27 th April 2014 Ann Murray National Falls Programme Manager ann.murray3@nhs.net

2. http://www.scotland.gov.uk/Publications/2014/10/9431 Up and About and the Framework for Action The Framework in Summary

3. Stage One Supporting health improvement and self management to reduce the risk of falls and fragility fractures Do you, or could you: Provide training so staff have a better of understanding of the causes and consequences of falls and basic steps they can take to support a person to reduce their risk? Give staff access to leaflets and other materials for your clients? Stage One is about… Providing easy to access information about falls and bone health, and Sign posting to relevant services which support falls prevention and management. This includes resources, equipment and services which aim to support health and well being, a safe home environment and a safer community. Stage One is about… Providing easy to access information about falls and bone health, and Sign posting to relevant services which support falls prevention and management. This includes resources, equipment and services which aim to support health and well being, a safe home environment and a safer community.

4. Stage Two Identifying individuals at risk of falls and/or fragility fractures Do you, or could you: Ask about falls when you are assessing a person’s care needs? Following discussion and with agreement, sign post or refer for intervention to find out why a person is falling and reduce risk of further falls? Have a conversation about falls if someone tells you they have fallen, and, following discussion and with agreement, take appropriate action? Stage Two is about… Through a conversation, identifying people at risk of recurrent falls who would benefit from a more personalised approach to prevention and management. Any older person who reports a fall, or an injury, loss of function or increased care needs due to a fall has the opportunity to access further assessment and support if it is necessary. Stage Two is about… Through a conversation, identifying people at risk of recurrent falls who would benefit from a more personalised approach to prevention and management. Any older person who reports a fall, or an injury, loss of function or increased care needs due to a fall has the opportunity to access further assessment and support if it is necessary.

5. Stage Three Responding to an individual who has just fallen and requires immediate assistance Do you, or could you: Have a procedure to identify and meet the needs of a person who falls while they are receiving care or if they are found on the floor? Follow this up by having a conversation about falls and, following discussion and with agreement, take appropriate action? Stage Three is about… Providing a rapid response to avoid a long lie on the floor, and An appropriate response, which provides both effective management of the immediate situation and consideration of further health and care needs. Stage Three is about… Providing a rapid response to avoid a long lie on the floor, and An appropriate response, which provides both effective management of the immediate situation and consideration of further health and care needs.

6. Stage Three Responding to an individual who has just fallen and requires immediate assistance Do you, or could you: Encourage, support or enable recovery following a fall? Stage Four is about… Intervention to: identify, then minimise, a person’s risk factors for falling and sustaining a fracture, and enable recovery and independence following a fall. Stage Four is about… Intervention to: identify, then minimise, a person’s risk factors for falling and sustaining a fracture, and enable recovery and independence following a fall.

7. The Prevention and Management of Falls in the Community A Framework for Action http://www.scotland.gov.uk/Publications/2014/10/9431

8. Up and About and the Framework for Action Self assessment tool for teams and services http://www.knowledge.scot.nhs.uk/fallsandbonehealth/the-national-falls-programme.aspx