Extension of Falls prevention - Community Rehabilitation Volunteers (Kingston Hospital NHS Foundation Trust)

By Laura Shalev-Greene

Stage 1 Review

Project Extension of Falls prevention - Community Rehabilitation Volunteers (Kingston Hospital NHS Foundation Trust) By Laura Shalev-Greene

  • Title Extension of Falls prevention - Community Rehabilitation Volunteers (Kingston Hospital NHS Foundation Trust)
  • Setting Community
  • Objective To extend falls prevention into the following new areas: Pre operative patients and 4 weeks into recovery; Primary care patients within a community group class; Care home patients as a group class; Teddington memorial hospital patients within their homes. Ultimately reduce falls and fear of falling through improving balance, strength, mobility and coordination using a physiotherapy prescribed exercise program. Improve confidence / ability to do usual activities

Beneficiaries

  • Staff

    Primary care physio and care home staff see time saved / or time optimised for higher need patients

  • Organisation

    Care home patients experience less falls / less admissions to hospital / less severity of fall. Hospital see's fewer procedure cancellations

Audiences

  • Senior Leadership

    See evidence that the volunteer led community service is having a positive impact on patients and on demand for hospital services (reduction in A&E admissions and attendances due to falls)

  • Volunteers

    Need to see evidence that their role is having an impact and is valued by the Trust

Review Design

Project Extension of Falls prevention - Community Rehabilitation Volunteers (Kingston Hospital NHS Foundation Trust) By Laura Shalev-Greene

Outcome model

Outcome model

Data model

Data model

Data Collection Dashboard

Project Extension of Falls prevention - Community Rehabilitation Volunteers (Kingston Hospital NHS Foundation Trust) By Laura Shalev-Greene

This project has now completed. Please navigate to the 'Evaluate' stage.

Evaluation Dashboard

Project Extension of Falls prevention - Community Rehabilitation Volunteers (Kingston Hospital NHS Foundation Trust) By Laura Shalev-Greene

Evaluation findings - July 2024

Kingston Hospital NHS Foundation Trust set up an eight-week intervention in which trained volunteers visited patients' homes to deliver a rehabilitating exercise programme. The aims of the service were to reduce deconditioning and the risk of falling post-discharge, increase social connectedness, and improve quality of life for the elderly. This service was evaluated by Helpforce in February 2023.

Following the success of this service, the organisation expanded the project to include other organisations in the area, incorporating GP practices and an additional care home setting. The organisations involved in the extension of the programme include Acorn GP Practice, Holmwood Corner GP Surgery, Hampton Care Home, and The Willow Grange Care Home. Patients were identified by their GP surgery or their care home team as being eligible for the service based on criteria that suggest they are at risk of deconditioning.

This report focusses on evaluating the extension of the service into GP practices and care homes.

Please click here for the full evaluation report