This is a secondary driver from a people-led approach to the planning and delivery of safe care within the Falls driver diagram
Change ideas
The examples below show how this secondary driver can be implemented in practice. Additional change ideas can be found in the Falls driver diagram
Practitioner:
- Completion of person-centred care planning documentation reviewed following any changes
Team:
- Early initiation of Comprehensive Geriatric Assessment (CGA)
- Post-fall multidisciplinary team (MDT) review and updated care plan
Organisation:
- Ward round includes falls risk review, update of management plans and standardised medication review
- Decision support tool and local guidance for enhanced observations or 1:1 (starting, reviewing and stopping)
Evidence and resources
- Chief Medical Officer For Scotland. The Scottish Government. Our Path Ahead Chief Medical Officer for Scotland Annual Report 2025–2026 [online]. 2026
- Ellis G, Gardner M, Tsiachristas A, Langhorne P, Burke O, Harwood RH, et al. Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database of Systematic Reviews. 2017;9.
- Mental Welfare Commission for Scotland. Person centred care plans – new guide for mental health and learning disability services [online]. 2019
- NHS Education for Scotland. Having Realistic Conversations [online]. 2023
- O’Shaughnessy Í, Fitzgerald C, Hayes C, Leahy A, O’Connor M, Ryan D, et al. Stakeholders’ experiences of comprehensive geriatric assessment in an inpatient hospital setting: a qualitative systematic review and meta-ethnography. BMC Geriatrics. 2023;23(821)
- Royal College of Physicians. Modern ward rounds [online]. 2021