1. Welsh Ambulance Services NHS Trust
Integrated Falls Pathway

2. Integrated Falls Pathway
Older people who fall account for approximately 10% of all 999 calls to the Welsh Ambulance Services NHS Trust (WAST)
45% are managed at home by the attending ambulance crew without a recognised referral pathway
Many of those transported to A&E are subsequently discharged without further intervention
There is a risk that of those patients managed at home, a high percentage of patients potentially generate secondary 999 calls for subsequent falls

3. Integrated Falls Pathway
Working in collaboration with our healthcare partners, an Integrated Care Pathway for Older people who fall has been devised that will enable WAST Paramedics to refer patients with capacity to a Falls Assessment Team for further follow-up, rather than conveying them to an A&E department

4. The Referral Process
Has the Patient fallen more than 1 metre or 5 steps

5. Does the patient have a positive Face, Arm, Speech Test (FAST)
The Referral Process
Does the patient have a positive Face, Arm, Speech Test (FAST)

6. Has there been any altered level of consciousness
The Referral Process
Has there been any altered level of consciousness

7. Has the patient suffered any amnesia before or after the fall
The Referral Process
Has the patient suffered any amnesia before or after the fall

8. Has the patient vomited since the fall
The Referral Process
Has the patient vomited since the fall

9. Does the patient have any injuries that require treatment
The Referral Process
Does the patient have any injuries that require treatment

10. Is there any evidence of limb deformity
The Referral Process
Is there any evidence of limb deformity

11. What Happens When The Paramedic Gets There?
The crew make an assessment of the patient’s condition.
If none of the ‘Red Flag’ criteria are present, the crew make a ‘Fall Referral’
The patient is asked to sign the form?
A copy of both the Patient Clinical Record (PCR), and Fall Referral form is left with the patient
Information is passed to the Falls Team via Ambulance control

12. Where in Wales? Anglesey Conwy & Denbighshire Flintshire Wrexham Powys
Carmarthenshire
Neath Port Talbot
Swansea
Cardiff & Vale

13. Bridgend CIIS Watch This Space
Coming Soon
Bridgend CIIS Watch This Space