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West Kent Health & Wellbeing Board Meeting 18 April 2017

Workshop: Towards a Whole Systems Approach to Falls Prevention

From Current State to Ideal Status

 

Hip Fractures in people aged 65 and over are higher than national rates in districts in West Kent. Injuries due to falls in people aged 65 and over in all four districts is higher than the national level.

 

Falls prevention and management services should be seen as an important

component of integrated services with specific outcomes for reducing the falls

related burden of ill health across health and social care sector. Commissioners need to work with stakeholders (providers and the voluntary sector) to identify the ‘at risk’ population for timely intervention).

The CCG has a role in managing falls; District and Borough councils  have a role in managing the environment to reduce falls and home hazards, whilst the Public Health role is to strengthen the system (which includes mobilising the population group and others such as the community and voluntary sector). West Kent Health & Wellbeing Board is seeking to stimulate discussion around developing a ‘framework’ for falls prevention and management for its population.

Current State

 

2010/11

2011/12

2012/13

2013/14

2014/15

DOT

(2 most recent)

Injuries due to fall in people aged 65 and over (persons, per 100,000. PHOF)

Ashford

1,626 (g)

1,771 (g)

1,774 (g)

1,909 (a)

1,939 (a)

ò

Canterbury

1,785 (g)

1,850 (g)

1,813 (g)

1,944 (a)

1,909 (g)

ñ

Dartford

2,269 (a)

2,515 (r)

2,814 (r)

2,804 (r)

2,800 (r)

ñ

Dover

1,737 (g)

2,039 (a)

1,717 (g)

1,926 (a)

1,992 (a)

ò

Gravesham

2,020 (a)

2,172 (a)

2,512 (r)

2,353 (r)

2,392 (r)

ò

Maidstone

2,230 (r)

2,300 (r)

1,949 (a)

2,415 (r)

2,438 (r)

ò

Sevenoaks

2,348 (r)

2,377 (r)

2,364 (r)

2,523 (r)

2,539 (r)

ò

Shepway

1,740 (g)

1,895 (a)

1,749 (g)

1,786 (g)

1,625 (g)

ñ

Swale

2,193 (a)

1,984 (a)

1,869 (a)

1,801 (g)

1,630 (g)

ñ

Thanet

1,904 (a)

2,166 (a)

2,085 (a)

2,324 (r)

2,307 (r)

ñ

Tonbridge & Malling

2,547 (r)

2,499 (r)

2,451 (r)

2,457(r)

2,473 (r)

ò

Tunbridge Wells

2,983 (r)

2,842 (r)

2,651 (r)

2,857 (r)

2,734 (r)

ñ

Kent

2,030 (r)

2,035 (r)

2,011 (r)

2,072 (r)

2,125 (r)

ò

National

2,088

2,175

2,096

2,224

2,201

ñ

Hip Fractures in people aged 65 and over (persons, per 100,000. PHOF)

Ashford

534 (a)

563 (a)

537 (a)

635 (a)

650 (a)

ò

Canterbury

631 (a)

612 (a)

547 (a)

648 (a)

556 (a)

ñ

Dartford

628 (a)

659 (a)

639 (a)

679 (a)

614 (a)

ñ

Dover

508 (a)

595 (a)

499 (a)

594 (a)

661 (a)

ò

Gravesham

560 (a)

522 (a)

581 (a)

451 (g)

634 (a)

ò

Maidstone

683 (r)

594 (a)

475 (g)

576 (a)

624 (a)

ò

Sevenoaks

591 (a)

611 (a)

516 (a)

622 (a)

540 (a)

ñ

Shepway

582 (a)

611 (a)

603 (a)

549 (a)

573 (a)

ò

Swale

792 (r)

578 (a)

607 (a)

523 (a)

568 (a)

ò

Thanet

646 (a)

633 (a)

548 (a)

601 (a)

649 (a)

ò

Tonbridge & Malling

524 (a)

612 (a)

505 (a)

543 (a)

514 (a)

ñ

Tunbridge Wells

521 (a)

579 (a)

522 (a)

542 (a)

604 (a)

ò

Kent

580 (a)

576 (a)

568 (a)

583 (a)

571 (a)

ñ

National

604

599

544

581

598

ò

 

 

 

 

 

 

West Kent Health & Wellbeing Board Meeting 18 April 2017

Workshop: Towards a Whole Systems Approach to Falls Prevention

From Current State to Ideal Status

 

A G E N D A

 

4.15pm

 

Presentations

 

Local Analysis  

 

 

Commissioning arrangements for Falls Management

 

 

Commissioning Adult Community Support

 

 

Considering the Needs of Older People

 

 

 

 

 

Karen Hardy Public Health  KCC

 

Natalie Rennie  West Kent CCG

 

Emma Hanson KCC

 

Ken Scott

 

4.35pm

 

 

Small Group Discussion

 

What might a ‘whole-system’ approach in West Kent look like?

Consider the Scope of Effective Falls Services - What are the Ingredients of an Effective Falls Prevention Approach?

What is the Contribution all Stakeholders Can Make?

How will we know that Changes have been made to improve Outcomes across West Kent?

 

 

 

All

 

5.05pm.

 

 

Feedback

 

Share Themes and Issues

 

Agree Actions for Delivering Change