Falls- Reducing their harm- June 2013

Listed below is the high level evidence on Falls– reducing their harm produced by NICE, SIGN and NHS based organisations. Also included are the European Society guidelines where available. This list is produced and maintained by HEFT Library Services to support VITAL for Doctors core skills programme developed in the Trust.

HEFT Local Policies

Policy for the Prevention and Management of Inpatient Falls version 2.0

Bridget Leach, June 2011 Review date: 31st June 2013

Management and Prevention of Non-Clinical Slips, Trips and Falls Policy v6.0

Robert Anderson, August 2012 Review date: 31st August 2015

Bed Rails Policy and Procedure v3.0

Bridget Leach, December 2008 Review date: 31st December 2011

[Access to the above Policies is available through Trust PCs]

NICE guidelines and pathways

CG161 Falls: The assessment and prevention of falls in older people

NICE, June 2013

CG124 Hip Fracture

NICE, June 2011


Map of Medicine

Falls in Elderly People

Map of Medicine Care Pathway, January 2013. Valid until 29th February 2013

[Access the Map with your HEFT Login ID. Map of Medicine is a visual representation of evidence-based, practice –informed pathways on various conditions and treatment options]


National Guidelines & Non-UK Guidelines (includes Professional Bodies/Associations)

Guidelines on prevent falls - with a physiotherapy focus

The Chartered Society of Physiotherapists, August 2012

Up and about or falling short?

National Falls Programme in association with WorksOut as part of Delivery Framework for Adult Rehabilitation in Scotland, March 2012

This is a report of the findings of a mapping of services for falls prevention and management and fracture prevention in older people in Scotland.

Report of the 2011 inpatient falls pilot audit

Royal College of Physicians, February 2012

Fall and bone health management assessment proforma: Improving care across primary and secondary care

QIPP - NHS Evidence, 25 January 2012

Essential care after an inpatient fall

NPSA/2011/RRR001 January 2011

Falling standards and broken promises

Royal College of Physicians, 2011

Prevention of inpatient falls: systematic risk assessment and reduction programme

QIPP - NHS Evidence, 22 December 2011

The Fallsafe Project using a care bundle to reduce falls in hospital

Royal College of Physicians, 2011

Reducing harm associated with falls

Patient Safety First, 2010

This site highlights the falls prevention campaign that led to the development of ‘How to Guide’ on Reducing harm from falls; compilation of case studies from NHS Trusts; useful resources to use by local NHS Trusts for staff education; and access to the ProFaNE (Prevention of Falls Network Europe) Network dedicated to the prevention of falls in Europe and beyond.

American Geriatric Society/British Geriatric Society Clinical Practice Guideline: Prevention of Falls in Older Persons

American Geriatric Society/British Geriatric Society, 2010

Management of Hip Fracture in Older People

Scottish Intercollegiate Guidelines Network (SIGN), 2009

WHO Global Report on Falls Prevention in Older Age

World Health Organisation, 2008

Slips, trips and falls in hospital PSO report

National Patient Safety Agency, 2007

Staying safe, preventing falls – one of the High Impact Actions

NHS Institute for Innovation and Improvement

Clinical practice guideline for the assessment and prevention of falls in older people

Royal College of Nursing, 2004

How can we help older people not fall again? Implementing the Older People's NSF Falls Standard: support for commissioning good services.

Department of Health, 2003


Systematic Reviews – Cochrane Library

Interventions designed to prevent healthcare bed-related injuries in patients

Oliver Anderson*,  Piers R Boshier,  George B Hanna

Editorial Group: Cochrane Injuries Group

Published Online: 18 JAN 2012

Interventions for preventing falls in older people living in the community

Lesley D Gillespie1,*,  M Clare Robertson1,  William J Gillespie2,  Catherine Sherrington3,  Simon Gates4,  Lindy M Clemson5,  Sarah E Lamb4

Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group

Published Online: 12 SEP 2012 Assessed as up-to-date: 1 MAR 2012

Interventions for preventing falls in older people: an overview of Cochrane Reviews

Julie E Udell1,*,  Amy Drahota2,  Taraneh P Dean1,  Ruth Sander1,  Heather Mackenzie1

Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group

Published Online: 13 APR 2011

Interventions for preventing falls in older people in care facilities and hospitals

Ian D Cameron1,*,  Lesley D Gillespie2,  M Clare Robertson2,  Geoff R Murray3,  Keith D Hill4,  Robert G Cumming5,  Ngaire Kerse6

Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group

Published Online: 12 DEC 2012 Assessed as up-to-date: 30 JUN 2012

Population-based interventions for the prevention of fall-related injuries in older people

Roderick J McClure2,  Cathy Turner3,  Nancye Peel4,  Anneliese Spinks1,*,  Elizabeth Eakin5,  Karen Hughes6

Editorial Group: Cochrane Injuries Group

Published Online: 8 OCT 2008 Assessed as up-to-date: 15 MAY 2007

NHS Evidence

Review of the Evidence on Falls Prevention in Hospitals Task 4 Final Report

Hempel, Susanne, et al

Produced by RAND Corporation for the Agency for Healthcare Research and Quality, February 2012

Falls- Risk Assessment

Clinical Knowledge Summaries, June 2009

Todd C, Skelton D. (2004) What are the main risk factors for falls among older people and what are the most effective interventions to prevent these falls? Copenhagen, WHO Regional Office for Europe, Health Evidence Network report, April 2004.



Further information:

The following sources have been searched for evidence published in the previous 12 months: HEFT Policies, NICE, SIGN, NHS Evidence, Cochrane Library, British Geriatric Society, Department of Health, NHS Institute of Innovation and Improvement, Royal College of Physicians and World Health Organisation Please contact [email protected] for any further information.

For more information on how to make the most use of the HEFT Library Services, visit www.heftlibrary.nhs.uk

Visit NHS Evidence www.evidence.nhs.uk to access your guidelines, Cochrane systematic reviews, journals and databases.