PHYSIOTHERAPY Note for 6 Months Physiotherapy Assistance ...
Integrating your service with falls, physiotherapy and primary care - Ali Doyle
32
Integrating your service with falls, physiotherapy and primary care Alison Doyle Frailty Programme Lead Birmingham Public Health
-
Upload
national-osteoporosis-society -
Category
Health & Medicine
-
view
46 -
download
0
Transcript of Integrating your service with falls, physiotherapy and primary care - Ali Doyle
Integrating your service with falls, physiotherapy and primary care
Alison DoyleFrailty Programme LeadBirmingham Public Health
Why do we need to integrate FLS, falls and Frailty?
Content of presentation• Ageing well• Current situation • Frailty risk stratification – eFi• Frailty vs. Ageing well – Language matters• Frailty, Fracture Liaison Services and STP• Can FLS services impact on patient falls?• What do patients say about holistic Fracture Liaison Services?
What is the number of people aged 65 years of age in England the next 17 years?• 5 million• 10 million• 16 million – correct answer
Public Health West Midlands Top 10 priorities
Current situation
Electronic Frailty Index
Score Frailty category
Frailty description
0 – 0.12 Fit People who have no or few long-term conditions that are usually well controlled. This group would mainly be independent in day to day living activities.
0.13 – 0.24 Mild People who are slowing up in older age and may need help with personal activities of daily living such as finances, shopping, transportation.
0.25 – 0.36 Moderate People who have difficulties with outdoor activities and may have mobility problems or require help with activities such as washing and dressing.
>0.36 Severe People who are often dependent for personal carers and have a range of long-term conditions/multimorbidity.
What % of people aged 65 years and over that will fall at least once a year?• 15%• 30% - correct answer• 50%
Feedback from Birmingham citizens who fell
• Over 50% fallers citywide fallen more than once in previous 12 months (16% more then 3 times).
• Over 50% in own home and a further fifth in the street.
16
Having an alternative discussion with your patients?What are the most important things you’d like to talk about today? •The pain in my feet•Difficulty sleeping •Getting out for a chat•I don’t like all these tablets and you are asking me to take more, do I really need them?
UK FLS Clinical Standards
• 100% outpatient had falls assessment• Falls risk assessed and information on prevention
given and referrals made as appropriate
• OPD 804 FRAT assessments
Intervene falls
What is the % of correctable sight loss in people in care homes• 25%• 50%• 75% - correct answer
Current InterventionsFalls Assessment
Recommendations
24hr Care? Under
Investigation?Treatment Required?
Lifestyle AdviceAdmission Required?
Not appropriate or required
Referrals
Birmingham FLS Database
SPA Referral SPA DetailsACAP
ReferralYes - New
Referral to ACAPTelecare Charity Referral Eye Test Recommended
Birmingham FLS Database
Advice Given
Clinic ReferralGP
Contacted?SPA
ReferralFalls Referral
Other Referral
FLS DB performance
FLS- DB Standard
Risk Asses By FLS5.01
Date FLS Assess1.10
Referrals onwards5.10
Smoker 2.05
FollowUp 12_166.01
QEHB 100 99.2 75.7 96.5 71.7
England 73.5 78.8 49.6 69.1 26.6
To be effective, older person exercise programmes should comprise a minimum of ? hours
• 25• 50 – correct answer• 75
Current situation
