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Related Concept Videos

Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
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Related Experiment Video

Updated: Jun 30, 2026

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
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Published on: October 6, 2016

Fall prevention and the National Service Framework.

Michael Hughes1

  • 1Brunel University.

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|November 15, 2002
PubMed
Summary

Most London NHS services lack fall prevention strategies for older adults, with existing initiatives failing to meet national standards. Improved resources and multidisciplinary involvement are crucial for effective fall prevention in older people.

Area of Science:

  • Gerontology
  • Public Health
  • Healthcare Management

Background:

  • Falls are a significant cause of mortality and morbidity in adults aged 65 years and older.
  • Effective fall prevention strategies are essential for maintaining the health and independence of older populations.

Purpose of the Study:

  • To assess the current state of fall prevention activities within London's primary and secondary care NHS services for individuals aged 65+.
  • To understand the underlying reasons for the implementation or absence of these fall prevention initiatives.

Main Methods:

  • A quantitative, descriptive study design was employed.
  • Methods included a comprehensive literature review and a purposive survey of all 143 London NHS services.

Main Results:

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  • Nearly two-thirds of London NHS organizations do not have dedicated fall prevention strategies for older adults.
  • Existing fall prevention programs, where present, do not align with the National Service Framework for Older People guidelines.
  • Most implemented initiatives are limited in scope, lack substantial multidisciplinary collaboration, and primarily address extrinsic factors contributing to falls.

Conclusions:

  • Achieving compliance with the National Service Framework for Older People presents a significant challenge for London's NHS.
  • Increased allocation of resources is necessary for training, equipment, and environmental modifications to support fall prevention efforts.
  • Addressing intrinsic factors contributing to falls requires greater engagement from medical and paramedical professionals.