health & social care Training

Preventing Falls in Older People – Effective Service Delivery Present and Future

health & social care Training

09:15 - 16:15

Tuesday 21 January 2020

Central London


Falls are estimated to cost the NHS £2.3 billion a year. Falls can cause a loss of confidence, a loss of independence and also contribute to loss of lives. But this loss is preventable, with the right network of health services in primary and secondary care.

Our Preventing Falls in Older People course covers key topics including: causes of falls, national audit guidance and personalised interventions. As well as clinical guidance, attendees with also gain insight into networking services and presenting the case for preventative medicine.

Attend this training course, led by Professor Cameron Swift, to understand how to prevent falls and implement a successful falls prevention strategy within your organisation.

Learning Objectives:
  • Understand and implement the updated NICE Quality Standard for falls
  • Engage with the process of multifactorial assessment and intervention
  • Champion the commissioning of preventative services
  • Create a successful fall prevention strategy for primary and secondary care


Cameron Swift, Consultant Physician, Kings College London


David Dawson, Falls and Frailty Matron, Northumbria Healthcare NHS Foundation Trust

Julie Whitney, Physiotherapist, King’s College London

View the agenda and additional speakers




Trainer's Welcome and Clarification of Learning Objectives

Cameron Swift, Consultant Physician, Kings College London (CONFIRMED)


Understanding and Implementing the NICE Falls Quality Standard and National Audit Guidance

  • Understanding the development of clinical guidance on falls prevention
  • Evaluating the evidence behind an effective preventing falls service and understanding what works and why
  • Reviewing the recommended pathways for community and hospital settings
  • Learning the key factors in developing, implementing and maintaining an effective falls prevention service

Cameron Swift, Consultant Physician, Kings College London (CONFIRMED)


Morning Break


CQUIN CCG7: Three High Impact Actions to Prevent Hospital Falls

  • What is falls CQUIN and how can it help to drive improvement of falls prevention in hospitals
  • Discussing the frequency of inpatient falls and how they affect hospital stay
  • Discussing the 3 numerators for CQUIN for falls and tips on set up and delivery:
    1. Lying and standing blood pressure
    2. Hypnotics, antipsychotics or anxiolytics
    3. Mobility assessment

Julie Windsor, Patient Safety Clinical Lead, NHS Improvement (invited)


Case Study: Development of the ‘Avoiding Falls Level of Observation Assessment Tool’

  • Identified unwarranted variation in the practice of observation for patients who may be at risk of falling
  • Working with nursing staff and joined NHS England National Falls Collaborative to develop the AFLOAT – Avoiding Falls Level of Observation Assessment Tool
  • Discussing the QI methodology used in tool development including testing over several PDSA cycles
  • Measuring improvement: from 65% of patients being on an appropriate level of observation to 84% on the pilot wards
  • Implementing Trust-wide roll out in December 2018 as a part of our 5 year falls improvement work which has seen a sustained reduction in falls
  • Next steps…Since delirium is a key driver of requiring high levels of observation, can we improve delirium care on move from “observation” to “therapeutic intervention”

David Dawson, Falls and Frailty Matron, Northumbria Healthcare NHS Foundation Trust (CONFIRMED)




Effective Approaches to Fall Prevention and Patient Safety

  • Exploring the cause of falls and the impact of personalised interventions
  • Effectively identifying at risk persons and implementing a multifactorial assessment as a result of this
  • Implementing and delivering both effective hospital and care home settings that are able to prevent falls

Julie Whitney, Physiotherapist, King’s College London (CONFIRMED)


Afternoon Break


Workshop: Creating a Successful Fall Prevention Strategy

In groups, work with the Trainer and speakers to develop a clear action plan in response to your institutions role in preventing falls in older people

  • Discuss with other delegates and share knowledge between services
  • Strategic planning to help reduce the number, cost and impact of falls in your services
  • Engage key stakeholders to ensure your strategy is understood and supported
  • Overcome obstacles to networking services and maximising referrals
  • Create a falls prevention action plan in line with NICE standards to take back to your organisation

Cameron Swift, Consultant Physician, Kings College London (CONFIRMED)


Feedback, Evaluation & Close

*Programme subject to change

Cameron Swift

Consultant Physician, Kings College London

Professor Cameron Swift is a key member of the NICE Falls Clinical Guideline Development Group (GDG) and Quality Standards Advisory Committee that developed the core national guidance (CG24/161; 2004/2013) and updated Falls Quality Standard (QS86) (published in January 2017).

In the past, he served as Physician to the DOH External Reference Group for the England National Service Framework for Older People, and in this capacity chaired the Working Party for Standard 6 (Falls & Fractures).  He has also been Chairman of the NICE GDG, & subsequent Quality Standard Topic Expert Group for Hip Fracture (CG124, QS86) (2011, 2012).  He continues to serve as an expert member in current updates of NICE guidance (2014) and Quality Standards (2016-17) on both of these topics.

Cameron is a physician and clinical pharmacologist, Emeritus Professor of Health Care of the Elderly at King’s College London, and a past President of the British Geriatrics Society.  He served for 6 years on the Committee on Safety of Medicines, and a further five on the Medicines Commission. His NHS service and development work, focusing on the building of a credible clinical research and service base, entailed adopting both ‘age-related’ and ‘integrated’ speciality models to ensure delivery. He strongly advocates the demonstrable cost-effectiveness of the ‘comprehensive’ clinician-led service model bridging secondary, primary and social care.

David Dawson

Falls and Frailty Matron, Northumbria Healthcare NHS Foundation Trust

David has worked as a nurse for 29 years since starting his training in 1990.  He has worked in orthopaedic trauma, acute elderly medicine and elderly rehabilitation.

He qualified as a staff nurse with Northumbria before moving to London and working at St Mary’s Hospital in Paddington for 3 years.  Following this he worked at NHS Direct before returning to elderly medicine in 2009 working as a ward manager.

He has worked within the elderly medicine team as a matron for 7 years and in 2016 completed the King’s College Older Person’s Nurse Fellowship. For the last 2 years David has been the strategic lead for falls prevention.

Northumbria Healthcare have significantly reduced the number of patients who fall and come to harm in hospital.  Last year David and the falls team were involved in the NHS England National Falls Collaborative.  The project was a finalist in this years HSJ Safety Awards.

Julie Whitney

PhysiotherapistKing’s College London

Julie is a physiotherapist by training and currently works as a clinical academic. Clinically, she works at King’s College Hospital supporting the frailty pathway and her academic post is based in the department of academic physiotherapy at King’s College London. Julie is currently the clinical lead for the National Audit of Inpatient falls. 

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In-house Option

We can also run this course for you, at your organisation, at a time and date that suits you. Please email for more info.