Falls prevention and bone health

Service overview

Our teams work in the community to support people at risk of falls by helping them to maintain active, independent lives. We provide assessment, advice and exercise to older people who are at risk of falling to avoid fall related injuries, unnecessary hospital admissions and premature transfer to long term care. To find out more please download our leaflet.

Who is our falls and bone health service for?

  

Our falls teams are for people with a history of falls or near misses, those who lack confidence with balance and walking, or people with a diagnosis of osteoporosis or previous fragility fracture, particularly those involving the hip, spine and/or wrist.

The falls prevention teams work closely with community rehabilitation, community nursing, social care, GPs, primary care and secondary care services and the voluntary sector to provide a comprehensive falls and fracture prevention service.

A range of health care professionals can refer people to our falls teams, including GPs, district nurses, dieticians, community physiotherapists and occupational therapists.

  

What does our falls and bone health service do?

  

The falls service will complete a falls risk assessment to determine what each person's risk factors for falling are, and address those that can be changed. Then the therapists may provide the following interventions:

  • look at the causes of falls.
  • develop falls prevention action plans to increase confidence with walking and daily activities, increase confidence and  reduce fear of falling.
  • individually tailored home exercise programmes to improve balance, muscle strength and physical well-being.
  • group exercise and education classes within the community.
  • home environment assessments and recommendations and/or equipment to increase safety and reduce the risk of falls in and around the home.
  • teach people how to cope in the event of a fall (including how to get up off the floor or seek help if unable).
  • assess people's bone health and provide advice/education about keeping their bones as strong as possible.

The falls and bone health service also visit people in their communities to educate them on falls risk factors and to raise awareness.

A falls prevention team may include the following specialists:

  • occupational therapists
  • physiotherapists
  • rehabilitation assistants
  • podiatrist
  • pharmacist
  • dieticians
  • clinical psychologists
  

Barnet falls and bone health service

  

Our falls prevention teams work in community hospitals, health centres, residential and nursing homes, and peoples' homes across Barnet.

A range of health care professionals can refer people to our falls teams, including GPs, district nurses, dieticians, community physiotherapists and occupational therapists.

Barnet Falls Team
P: 020 8349 7528
F: 0845 389 0941

  

Tri-borough falls and bone health service

  

Our falls prevention teams work in community hospitals, health centres, residential and nursing homes, and peoples' homes across the tri-borough (Hammersmith & Fulham; Kensington & Chelsea and Westminster).

A range of health care professionals can refer people to our falls teams, including GPs, district nurses, dieticians, community physiotherapists and occupational therapists.

People in Hammersmith and Fulham can also self-refer themselves or someone they are concerned about to this service when they:

  • have had a fall
  • feel they are at risk of falling
  • are concerned about someone else falling

Tri-borough Falls Team contact point:
P: 020 8102 5494 (Team Line)
 

  

Service opening times

  

Finchley Memorial Hospital

Granville Road
London, N12 0JE

Open:
Monday-Friday 8am-5pm
Clinics Tuesday, Wednesday, Thursday 
Outreach days Monday-Friday

  
 

Referrers and self-referrals

This information is for GPs and other healthcare professionals who refer patients to our falls prevention service teams.

Harrow referrers

Merton referrers

Barnet falls and bone health service

  

Eligibility criteria:

  • Resident of Barnet
  • History of falls or near misses within the last 12 months
  • Fear of falling
  • Diagnosis of osteoporosis or previous fragility fracture
  • Decreased confidence due to falls

Ineligibility criteria:

  • Medically unstable for example client with an acute infection
  • Falls caused primarily by substance misuse including/or alcohol abuse
  • Acute uncontrolled mental health issues or problems

Our falls teams require a range of referral information including: 

  • Reason for referral
  • Basic demographic information
  • Any relevant notes and conditions
  • Medical conditions and current medication
  • Number of falls/near misses in the last 12 months
  • Risk factors for falls
  • GP contact details
  • Accommodation and household details

Referrers are requested to complete a referral form for each client and send to the appropriate referral desk according to the borough in which the patient lives.

Barnet Falls Team
P: 0845 389 0941
E: icsbarnet@nhs.net 

Core hours

The core hours of our falls prevention service are: 

Monday: 09.00 to 17.00
Tuesday: 09.00 to 17.00
Wednesday: 09.00 to 17.00
Thursday: 09.00 to 17.00
Friday: 09.00 to 17.00
Saturday: Closed
Sunday: Closed 

Bank holidays: Closed

The community rehabilitation team prioritise referrals according to need, endeavouring to meet the following response times:

Priority 1:  up to 72 hours    Priority 2:  up to 10 days   Priority 3:  up to 28 days

Service management contacts:

Referrers can contact our falls prevention and bone health service managers with any queries they have about our falls services.

Pat Smith
Operational Manager Intermediate Care Services
Barnet
P: 020 8349 7418
M: 078 6654 0923
E: pat.smith@barnet.nhs.uk

  

Tri-borough falls and bone health service

  

Eligibility criteria:

  • Resident of the tri-borough (Hammersmith & Fulham; Kensington & Chelsea; and Westminster)
  • History of falls or near misses within the last 12 months
  • Fear of falling
  • Diagnosis of osteoporosis or previous fragility fracture
  • Decreased confidence due to falls

Ineligibility criteria:

  • Medically unstable for example client with an acute infection
  • Falls caused primarily by substance misuse including/or alcohol abuse
  • Acute uncontrolled mental health issues or problems

Our falls teams require a range of referral information including: 

  • Reason for referral
  • Basic demographic information
  • Any relevant notes and conditions
  • Medical conditions and current medication
  • Number of falls/near misses in the last 12 months
  • Risk factors for falls
  • GP contact details
  • Accommodation and household details

Referrers are requested to complete a tri-borough referral form for each client and send to the appropriate referral desk according to the borough in which the patient lives.

Tri-borough Falls Team - queries and referrals/self-referrals

Queries relating to falls will be processed through a single telephone number - 0300 033 0333.

This 0300 033 0333 telephone number is to be used for queries only.

Referrals for falls should be sent to:

E-Fax: 0300 008 3251
Email: CLCHT.SPA.Referral@nhs.net
More information: Single Point of Access (SPA)
 

The core hours of our falls prevention service are: 

Monday: 09.00 to 17.00
Tuesday: 09.00 to 17.00
Wednesday: 09.00 to 17.00
Thursday: 09.00 to 17.00
Friday: 09.00 to 17.00
Saturday: Closed
Sunday: Closed 

Bank holidays: Closed

The community rehabilitation team prioritise referrals according to need, endeavouring to meet the following response times:

Priority 1:  72 hours    Priority 2:  10 days   Priority 3:  28 days

  

Needs Based Assessment

  

The falls prevention service has a response time of 30 days and is therefore unable to respond to urgent needs.

 

  
 

Resources: preventing falls

Locations

 
 
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