Community Specialist Falls Service

Personalise and optimise care in Cornwall for older adults who fall

 

Contact information

Community Specialist Falls Service

Therapy Department

Camborne & Redruth Community Hospital

Barncoose Terrace

Cornwall

TR15 3ER

 

Telephone: 01209 318104

Email: cpn-tr.fallsreferrals@nhs.net

Availability 8.30am to 4.30pm

Falls Practitioners

We are a small team of highly qualified, experienced Falls Practitioners and Falls Technicians who:

  • Provide individual assessment and treatment for clinically complex people who have recurrent falls.
  • Provide long term falls prevention exercise programmes (Otago) for people that are independently mobile, have had an injury following a fall, have a history of 1 to 2 falls over the past 12 months.
  • Hold clinics every month at most community hospitals.
  • Provide multifactorial falls analysis. Treatment may include level 3 medication review, bone health review, gait and postural stability programmes, while always promoting healthy lifestyles and safety at home.
  • Integrate with many teams that deal with falls and injuries.
  • Provide bespoke teaching on falls prevention for all sectors.
  • Provide clinical advice and support; consultation and advice are available on a case-by-case basis.

Our aim is to work collaboratively with people who fall to reduce the risk of injury and maximise their ability to stay steady by ageing well.

 

Referrals

Referrals are welcomed from healthcare professionals.

Referral Form

 

Many services are involved in falls management, our criteria are:

A person over the age of 50 with one of the following:

  • Clinically complex person who has recurrent falls, who has had an MFRAT (multifactorial falls risk assessment) completed, interventions actioned and remains at risk.
  • Upper limb fragility fracture following a fall and history of 2 or more falls in the last 12 months.

Exclusion criteria

  • Less than 50 years of age
  • Greater than one blackout / temporary loss of consciousness in the last 12 months
  • Pathological fracture
  • Where an underlying condition is the main cause of the falls, for example, neurological condition, advanced cognitive impairment
  • Falls secondary to alcohol or substance abuse
  • Where needs are better met by another service, for example:

> Where a person is experiencing a health (or health and care) crisis and care/support is required within two hours to prevent hospital admission. An urgent crisis responder will visit a person at home (including a care home) within 2 hours to assess, provide urgent treatment and implement a care plan if required.

> Where a person may require reablement –  this is a short term programme to improve a person’s ability to live independently, reduce the necessity for an increase in package of care, or to reduce the requirement for a bed-based care provider e.g. care home or community hospital. Individuals will receive an assessment within 2 days of referral to determine their ability to participate in reablement.

Referrals for a 2-hour Urgent Crisis Response (UCR) or 2-day reablement are made via a SERF (single electronic referral form). Please mark 2-hour referrals as a ‘red referral’.

 

Eldercare Consultant Falls Clinic

If someone requires a medical consultation, please use the Referrals Management System (RMS) to refer to the Eldercare Consultant Falls Clinic.

Referral criteria:

  • Age over 60 with 2 or more falls in the past year
  • Unexplained falls
  • Benign paroxysmal positional vertigo (BPPV) like symptoms if not settling or other unexpected symptoms
  • Falls associated with dizziness or blackouts