Lanarkshire Falls Pathway + Smartcare Morag Hearty and Jill O’Boyle

Current pathway Referrers Destinations District Nurse Falls Clinic Alert Alarm GP A&E Social work Self/family Clinics Wards NHS24 Other health staff Falls Clinic Community teams (e.g. CARS/ICST) Physiotherapy (PT) clinics Community PT Social work : Community Occupational Therapists Falls screener Faller

Issues Duplication of referrals Multiple registration/databases Inadequate admin support Geographical differences Inconsistent processes

interventions offered which will support on-going self-management Proposed pathway Referrers Destinations District Nurse Alert Alarm GP A&E Social work Self/family Clinics Wards NHS24 Other health staff Falls Clinic Community teams (e.g. CARS/ICST) Physiotherapy (PT) clinics Community PT Social work : Community Occupational Therapists Falls screener Database Faller Initial screening/ telephone triage interventions offered which will support on-going self-management

Smartcare Solutions One database – accessed by Health and Social Work Common screening tool Agreed further assessment tools Common processes Scope for self assessment/management Links between community and hospital falls pathways Trigger for future referrals

Discussion Single screening tool? One register ? Self assessment? Self management? Use of web sites? Use of APPs? Use of personal electronic diary Any questions???