The links and resources below will also assist providers with
implementing and working towards CQUIN CCG7 ‘Three
high impact actions to prevent Hospital Falls’.
Support for the new falls CQUIN
CQUIN is very welcome, as it ensures falls remain both in the spotlight and in
the thoughts of hospital exec teams. The three very relevant, critical and
effective interventions will enhance patient care greatly, support independence
and reduce falls. They are very achievable for most (if not all) Trusts and the
potential benefits are huge whilst promoting cross-skilling of professions.’
Christopher Tuckett, Falls Prevention Practitioner and Physiotherapist, NEC member for Agile, Chartered Society of Physiotherapy
‘It’s good to see that these fall risk reduction measures are being highlighted as important components of safe and effective care for inpatients.'
Julie Whitney, National
Audit of Inpatient Falls (NAIF) Clinical Lead, Royal College of Physicians
‘A nice balance between what is easy and what might actually work.’
Antony Johansen, National Hip Fracture Database. Clinical lead, orthogeriatrics.
'The BGS Falls and Bone Health Section consider
this to be a really valuable resource which will help local health
communities formulate pathways and guidance for reducing the risk of inpatient
Celia Gregson, Chair British Geriatrics Falls and Bone
Resources listed by organisation
Falls CQUIN - advice and FAQs presentation
Recorded PowerPoint presentation narrated by Julie Windsor, patient safety clinical lead – medical specialties and older people. Slideshow and audio play automatically when file is opened.
Patient falls improvement collaborative
Resources available as part of our Patient falls improvement collaborative include document templates, case studies, videos and links to educational material produced by the programme and also shared by the participating trusts.
Social media users can join the conversation on Twitter using the hashtag #improvefalls
The incidence and costs of inpatient falls in hospitals
This review is based on existing evidence and data, and provides an overview of the scale of inpatient falls and the benefits to the NHS if the rate of falls was reduced in hospitals.
Falls in older people: assessing risk and prevention - Clinical Guideline 161 2013
This guideline covers assessment of fall risk and interventions to prevent falls 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.
Falls in older people - Quality Standard 86
This quality standard covers prevention of falls and assessment after a fall in older people (aged 65 and over) who are living in the community or staying in hospital. It describes high-quality care in priority areas for improvement.
Hypnotic, anxiolytic and antipsychotic medication
British National Formulary Treatment Summary: Hypnotics and anxiolytics
Free online access to the UK BNF (British National Formulary) content published by NICE. This Treatment Summary includes indications and contraindications for prescribing and advice for the management of dependence and withdrawal.
NICE Key Therapeutic Topic KTT7 (Feb 2018) - Antipsychotics in people with dementia
This document summarises the evidence-base on antipsychotics in people with dementia. It is a key therapeutic topic which has been identified to support medicines optimisation.
NICE Clinical Guideline CG103 (March 2019) - Delirium: prevention, diagnosis and management
This clinical guideline describes methods of preventing, identifying, diagnosing and treating delirium. In particular, the guideline focuses on preventing delirium in people identified to be at risk, using a targeted, multicomponent, non pharmacological intervention that addresses a number of modifiable risk factors.
Royal College of Physicians
Measurement of lying and standing blood pressure: a brief guide for clinical staff
Lying and standing blood pressure assessment is considered by the Royal College of Physicians to be a core component of the cardiovascular assessment within NICE Clinical Guideline 161. The guide and resources (procedure posters, lanyard cards etc) are designed to assist clinical teams in standardising their approach to falls prevention in hospitals and assist in the process of measuring a patient's lying and standing blood pressure, and identifying abnormalities.
Bedside vision check for falls prevention: assessment tool
An assessment tool which enables ward staff to quickly assess a patient’s eyesight in order to help prevent them falling or tripping while in hospital.
National Audit of Inpatient Falls 2017
The National Audit of Inpatient Falls (NAIF) is designed to capture data from acute, community and mental health hospitals relating to falls, and is based on NICE guidance and advice from NHS Improvement.
Evaluation of the FallSafe quality improvement project
Article in Age and Ageing: Falls prevention in hospitals and mental health units: an extended evaluation of the FallSafe quality improvement project
FallSafe falls prevention resources
FallSafe resources including specific falls prevention quality improvement project development document templates, simple ‘how to’ guides, links to national evidence base, posters, guidance etc. Also includes clinical advice and guidance notes for prescribers on how to conduct a medicines review for older people at risk of falling which includes advice on hypnotics and anxiolytics.
Preventing falls in hospitals
Aimed at hospital based nurses, this module provides interactive information about patient assessment including lying and standing blood pressure, medications that increase falls risk, mobility assessment and the provision of walking aids also environmental falls risk factors and post fall management.
Endorsed by NICE this interactive inpatient e-learning tool designed by and for foundation year 1 and 2 doctors covers the knowledge needed to identify and modify patient risk factors including advice on medication review and orthostatic hypotension and covers the safe and effective management of a patient who falls and sustains a hip fracture or head injury in hospital.