Falls Prevention

Falls and injuries associated with falls are common for people aged 65 years and over. The reason why a person falls can be due to physical, environmental and medical risk factors. Falling is NOT an inevitable part of getting older. Research has shown that by assessing for risks to an individual and then dealing with each, the risk of having a fall can be reduced and falls prevented.

The Falls Prevention Service offers:

• Level 2 multifactorial falls assessment
• Falls prevention advice – general advice can be found in the Falls Prevention Advice Booklet
• Onward referral to other services and professionals if required
• Access to strength and balance exercise programmes at various locations across the Trust

• Eligibility

  The service is available to individuals who meet the following criteria:

  • Age 65 years and over
  • Lives in the community (not residential or nursing home)
  • Lives within South Eastern HSC Trust area
  • Has had a recent fall/recurrent falls in the last year/very concerned about falling
  • Changes to your walking and balance
• Self- Referral Form

  Falls Prevention Service Referral Form

  • Who are you making this referral for?*
    Are you filling in the form for yourself or on behalf of someone else
    • Myself
    • Another person
  • What is your relationship to the person being referred ?*
  • Which organisation do you represent ?
  • Name of Person to be referred:*
    First Last
  • Address*
    Street Address Address Line 2 City County / State / Region
  • Postcode*
    NOTE: Applicants must live within the South Eastern Trust area
    ZIP / Postal Code
  • Contact Number*
  • Date of Birth*
    NOTE: Requests will only be accepted for persons aged 65 or above
    Day

    Month

    Year
  • Health & Care Number (if known)
  • GP
  • How have you become aware of the service?*
    If Other, please specify
    • GP
    • Pharmacist
    • Optometrist/Optician
    • District nurse
    • Friend/relative
  • How many falls have there been in the last 12 months?*
  • Additional Information
    Please add any other information you think may be relevant
  • Is an Interpreter required?*
    • Yes
    • No
  • Language
    Details about the language(s) the interpreter is required to speak
  • Contact name for Interpreter
  • Contact telephone for Interpreter
    (for arranging an appointment)
  • Phone
    This field is for validation purposes and should be left unchanged.
• Useful Links
  • Helping Older People Stay Independent
  • Keeping Moving and Preventing Falls