The Falls & Fractures Alliance

1. The Falls & Fractures Alliance Reducing falls and fractures in the over 65s

2. Alison Raw • Board Member of FFAEB • Vice Chair Quality Standards Advisory Committee NICE • Board Member of College of OT • Head of Integrated Health & Social Care Services Lewisham • Twitter @alisonraw

3. Background to FFA • Formed by the National Osteoporosis Society and Age UK in 2012 from DH FFPB • Breaking Through Building Better Falls & Fractures services in England- Feb 2012 • Brings organisations together to try to reduce falls and fractures, specifically hospital admissions for hip fractures in over 65s • Lead by Executive Board- chaired by NOS

4. Background Continued • 23 Members so far, mostly National e.g. CSP,BGS, SCIE & WRVS • Members have signed declaration of interest to advocate for good practice with fragility fractures within wider scope – health & social care community, public, patients/carers and wider professional organisations

5. FFA – Areas of Work • Providing Alliance Members with overview of national policy in falls and fractures. (Includes scoping of key NHS & Social Care framework documents) • Progressively identifying gaps in national policy and changes to be made • Working together with new National Clinical Directors • Sharing best practice amongst members • Developing ideal care pathway for falls and fractures • Influencing commissioning of falls and fractures services, e.g FLS

6. FFA – Forthcoming work • FFA’s first Members’ Event on 22 October, hosted by Age UK • If you are an individual or organisation who works in the area of falls and fractures and would like to join the Alliance, please contact; Louise Madel, Political Relations Manager, The National Osteoporosis Society l.madel@nos.org.uk

7. Calm before….

8. ….. the storm

9. Falls and Fractures- Nationally • 33% of people over 65yrs and 50% of those over 85 yr old fall • Cost est £2.2B per annum and rising (est £6b by 2036) • No 1 serious incident in hospital • No 1 precipitating factor for Long term care • No 1 reason for 999 ambulance calls

10. Source: DWP

11. DH Systematic approach to falls and fracture care & prevention: four key objectives Objective 1: Improve outcomes and improve efficiency of care after hip fractures – by following the 6 “Blue Book” standards Hip fracture patients NSF, TA161, CG21, Blue Book & NHFD Objective 2: Respond to the first fracture, prevent the second – through Fracture Liaison Services in acute and primary care Non-hip fragility fracture patients NSF, TA161, CG21 & Blue Book Objective 3: Early intervention to restore independence – through falls care pathway linking acute and urgent care services to secondary falls prevention NSF, TA160 & CG21 Individuals at high risk of 1st fragility fracture or other injurious falls Objective 4: Prevent frailty, preserve bone health, reduce accidents – through preserving physical activity, healthy lifestyles and reducing environmental hazards NSF, LTC programmes Social care Older people

12. Across all the boundaries • NHS Mandate 2013-2015 Domain 3- Helping people recover from episodes of ill health or following injury • NHS Outcomes Framework 2013-2014 Domain 3- as above • Public Health Outcomes Framework 2013-2014 Domain 2 Health Improvement - injuries due to falls Domain 4 Health care public health & Preventing premature mortality • Adult Social Care Outcomes Framework 2013-2014 Domain 2 Delaying and reducing the need for care & support

13. Key factors in success within Falls Services • Clear strategy based on evidence and cost effectiveness • Using commissioning opportunities • Team work- across health, care and housing • Business plan • Innovation with Evaluation • Willingness to review and adapt • Leadership beyond authority • Clear support from Health & Wellbeing Boards