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Falls Prevention Care Pathway Overview

Please click the relevant flowchart box to be taken directly to textual information

Red Flags
If the person requires urgent management following a fall consider referral to:
Integrated Community TeamsRapid Response, Single Point of Clinical Access, 999
Primary Care Review

Falls Assessment and Education Service (FAES) - Clinical Specialist Physiotherapist

The Falls Assessment and Education Service (FAES) consists of five clinical specialist Physiotherapists, one based in each locality throughout the county. The Physiotherapists provide multifactorial specialist falls assessment with a focus on mobility, physical activity, balance and strength. This may be an outpatient appointment or may take place in the place of residence. For patients who:

  • have had two or more falls in the last 6 months

Prior to referral please ensure that a medication review has been completed

How to refer

Click here to access FAES referral form.

Cheltenham
Kerrie Hodges
Clinical Specialist Physiotherapist

T: 03004 223040
E: kerrie.hodges@nhs.net

Gloucester
Zoe Spencer
Clinical Specialist Physiotherapist

T: 03004 228547
E: zoe.spencer@nhs.net

Cotswold
Julia Bradbury
Clinical Specialist Physiotherapist

T: 07919571691
E: Julia.Bradbury@glos-care.nhs.uk

Tewkesbury and Forest of Dean
Jodie Bennett
Clinical Specialist Physiotherapist

T: Mobile: 07970878924
E: BennettJO@glos-care.nhs.uk

Stroud and Berkeley Vale
Meghan Martin
Clinical Specialist Physiotherapist

T: Mobile:07929 365976
E: meghan.martin@glos-care.nhs.uk

Medical Falls Assessment Clinic (FAC)

To be referred if

  • Recurrent (2+) falls in the past 6 months.
  • Aged 65 or over.
  • Needs further medical investigation (e.g. dizziness/blackouts/vertigo)
  • Complex medication issues

Consultant/medical led multi-disciplinary Falls Assessment Clinics (FAC) currently operate at Gloucestershire Royal, Cheltenham General, Tewkesbury and Dilke hospitals. These clinics provide specialist multi-disciplinary (MDT), multifactorial assessment and intervention to identify and reduce the risk factors for falls.

Suspected syncope should be referred directly to the specialist Syncope Clinic at GRH.

There is insufficient evidence to recommend interventions to prevent falls in older persons with known dementia, however we will see these patients if you feel they could benefit. 

  • Medical examination
  • Medication review and advice on de-prescribing
  • Vestibular assessment and therapy
  • Bone health assessment
  • Vision assessment
  • Height and weight measurement
  • Lying and Standing blood pressure measurement
  • Mobility, strength, gait and balance assessment with provision of walking aids as necessary
  • Assessment of activities of daily living
  • Relevant investigations such as an electrocardiogram (ECG), X-ray or blood tests 

Patients may be required to return to a follow-up clinic or have further tests. Patients may be taught exercises to improve their strength and balance, be referred to an active balance class or other relevant exercise programme. Patients will be given advice or equipment to help increase their physical activity.

The Doctor will write to the GP and the person who made the referral (if different), with a summary of the risk factors identified for falling and any recommendations to reduce the risk. 

Please include information on:

  • The history of the most recent fall
  • A history of other falls in the past 12 months
  • Past medical history
  • Medication review & current medication
  • Social history
  • Recent test results:
    • Electrocardiogram (ECG)
    • Lying and standing blood pressure
    • Routine bloods (additional tests where clinically indicated)
    • If no bloods within past three months, please arrange prior to appointment 

Patients can be referred by the FAC referral form.

Medical Falls Assessment Clinic referrals should be sent to:

Cheltenham General Hospital
Falls Clinic
Cheltenham General Hospital
Sandford Road
GL53 7AN

Gloucestershire Royal Hospital 
Falls Clinic
Gloucestershire Royal Hospital
Great Western Road
Gloucester
GL1 3NN

Tewkesbury Hospital
Medical Falls Clinic
Tewkesbury Hopsital
Barton Road
Tewkesbury
GL20 5GJ

Dilke Memorial Hospital 
Medical Falls Clinic
Dilke Memorial Hospital
Speech House Road
Cinderford
GL14 3HX

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