DEBBIE CROSSLAND

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DEBBIE CROSSLAND

• DISTRICT NURSE/FALLS CO-ORDINATOR
• NORTH BRADFORD PRIMARY CARE TRUST

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Aims of the programme

• To reduce the number of falls experienced by
  people aged 65 years and over.
• To reduce serious injury as a result of a fall.
• To improve or maintain the quality of life in the
  over 65 years

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My role

• Identify and implement an evidence based falls
  programme.
• Identify a fallers pathway.
• Raise awareness within the 12 practices of the
  PCT of the falls prevention work.
• Identify a nurse within the practice, train and
  develop their education in order to undertake the
  falls prevention work.
• Raise awareness with other professionals.
• Provide a co-ordinated seamless approach.

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A falls prevention programme should be

• Simple and easy to follow.
• Based on best practice and research.
• Be multi-factorial and have a multidisciplinary
  approach.
• Look at the internal and external risk factors
  that contribute to a fall.

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Research papers/ best practice

• Queen Mary and Westfield college (2000)
• Gillespie et al (1999) Cochrane library
• DTI (1999)
• Simpson and Harrington (1998)
• Oliver et al (1997)
• Effective Health care (1996)
• Williams and Nolan (1993)
• Plus lots of bed time reading!

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How to catch a faller.

• GPs/receptionists (PHCT)
• AE slips
• Discharge letters
• Home care district wide pilot with social
  services
• Handyman scheme
• Local fire station
• City wide pilot with WYMAS and Fast Response Team

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Reducing serious injury

• Calcium and vitamin D supplements.
• Osteoporosis drugs
• Hip protectors
• Care line

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