Falls & fractures

The following selected 'Data sources', 'Guidance & reviews for professionals', 'Guidance for the public' and 'Other relevant topics' can be used to inform falls and fractures prevention: 

Data sources

• Productive Healthy Ageing Profile - includes comparisons and trends in emergency admissions due to falls and fractures in age over 65 and by age group, plus related prevention and condition management indicators, at local, regional and national level published by Public Health England
• Global Burden of Diseases data visualisation tool - includes contribution of falls to disability and deaths. International comparative data down to England local authority level and by age group published by the University of Washington. Includes a data download option.
• Projecting Older People Population Information (POPPI) System - includes projected falls and falls admissions and other relevant data by age group at national, regional and local authority level. Published by Oxford Brookes University and the Institute of Public Care.
• GP Patient Survey results - reports and analysis tool published by NHS England. Includes data on those who have had two or more falls that have needed medical attention and other relevant data at national, regional and CCG level
• Hospital Episode statistics (HES) including A&E and admissions data published by NHS Digital (may need to right-click, copy & paste link in an alternative browser). 
• National Hip Fracture Database - an audit of hip fracture care and secondary prevention in England, Wales and Northern Ireland published by the Royal College of Physicians
• Fracture Liaison Service Database - an audit of secondary fracture prevention in England and Wales published by the Royal College of Physicians
• Mortality statistics - underlying cause, sex and age - data interrogation tool published by the Office for National Statistics
  

Guidance & reviews for professionals

Publications by year

• Wider impacts of COVID-19 on physical activity, deconditioning and falls in older adults (2021) published by Public Health England
• The National Falls Prevention Coordination Group (NFPCG) Progress Report 2019/20- 2020/21 (2021) published by Public Health England
• The Falls Response Governance Framework for NHS Ambulance Trusts (2020) developed with input from NHS Ambulance Trusts and the National Falls Prevention Coordination Group chaired by Public Health England, and published by the Association of Ambulance Chief Executives
• Blog: Are you ready for the autumn and winter? Key questions for people providing and planning local falls prevention services during the time of COVID-19 (2020) published by the British Geriatrics Society
• Falls FAQs poster for Care Homes (2020) developed by the National Falls Prevention Coordination Group and supported by the British Geriatrics Society 
• Resources to support discharge of patients at risk from inactivity (during the Covid-19 pandemic) (2020) published by the Charted Society of Physiotherapy
• Patient Home Environment Checklist - Make your home 'falls-free' (2020) - leaflet provided by Sussex Health and Care Partnership
• All Our Health - Falls and Fractures e-learning (2020) 
• Guidance: Falls: applying All Our Health (2020) published by Public Health England
  
• A Menu of Interventions for Productive Healthy Ageing. For pharmacy teams working in different settings. Includes falls prevention interventions. (2019) published by Public Health England
• Strength & Balance Quality Markers (2019) published by Public Health England
• National Falls Prevention Coordination Group Evidence briefing: Multifactorial falls prevention interventions (2019) authored by Public Health England and published by the British Geriatrics Society
• Guidance - Falls prevention: cost-effective commissioning, including a Return on investment tool for the assessment of falls prevention programmes (2018) published by Public Health England
• NHS RightCare - Falls and Fragility Pathway (2017) published by NHS England (may need to right-click, copy & paste link in an alternative browser)
• Falls and Fractures: consensus statement and resources pack (2017) published by Public Health England
• Heading for a fall (2017) published by the Centre for Ageing Better
• The human cost of falls (2014) published by Public Health England

Publication websites 

• Falls related guidance published by the National Institute of Health and Care Excellence (NICE)
• Frailty resources published by NHS England (may need to right-click, copy & paste link in an alternative browser)
• Falls - Resources for nursing professionals on the prevention, treatment and management of falls in older people published by the Royal College of Nursing
• National Hip Fracture Database - Annual Report - an audit of hip fracture care and secondary prevention in England, Wales and Northern Ireland published by the Royal College of Physicians
• Fracture Liaison Service Database - Annual Report - an audit of secondary fracture prevention in England and Wales published by the Royal College of Physicians
• National Audit of Inpatient Falls - published by the Royal College of Physicians
• Stand Up, Stay Up - National Falls Prevention Programme - resources and signposting arising from the Department of Health funded programme 2016-19, published by the Royal Society for the Prevention of Accidents

Guidance for the public

• Active at Home. A guide to being active at home during the coronavirus outbreak (2020) - a booklet developed by Public Health England, Sheffield Hallam University (SHU), the National Centre for Sport and Exercise Medicine (NCSEM) and Sport England
• Wellbeing booklet with support and advice for older people isolating at home (2020) developed by the University of Manchester and the Greater Manchester Ageing Hub
• Falls overview and prevention published on the NHS website (may need to right-click, copy & paste link in an alternative browser)
• Falls prevention published by Age UK

Other relevant topics in this tool

• Healthy & risk behaviours - particularly the physical activity and strength & balance related resources
• Physical health conditions 
• Mental health & wellbeing
• Multi-morbidity & frailty