Falls and Bone Health
Aims and objectives of service
The Primary Care Falls and Bone Health Service aims to reduce the numbers of falls, and injuries caused by falls, in older people through services including specialist physiotherapy, occupational therapy and nursing assessment and to improve bone health and prevent fractures.
The service offers a comprehensive assessment in the patients’ own home, care home or clinic setting where risk factors to falling are present and an injurious fall has occurred. The assessment can include:
- Nursing assessment
- Physiotherapy assessment
- Occupational therapy assessment
- Medication review/rationalisation
- Bone health assessment
- Exercise programme and balance training
- Aids and adaptations
- Home safety assessment
- Postural stability classes
- Anxiety management
- Nurse led clinics in GP practices
- Virtual clinics with a community geriatrician
The service is staffed by a Clinical Specialist Nurse, specialist Falls & Bone Health Nurses, occupational Therapists, Physiotherapists, Specialist assistant Practitioners/ Postural Stability Instructors and Rehabilitation Support Workers, Postural stability instructors and Health Promotion Specialists.
Days/hours of operation
The service operates between 8am and 6pm, Monday to Friday. To contact the service please call 0300 300 970 + the number of the CDG the patient's GP or Care Co-Ordinator is in.
The service can be used by anyone registered with a NHS Nottingham City Clinical Commissioning Group GP. People can be referred to the Falls and Bone health service if they are over the age of 65 and have a City GP. The service will see patients under the age of 65 if their Falls and Bone Health assessment needs are complex (they continue to have falls despite intervention to reduce these). Referrals should be discussed with the team.
The service is available to people who are over 65, and have attended the Emergency Department at hospital as a direct result of an injurious fall in the last 6 months or have had multiple falls (2 or more falls) in the past year.