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:
- Engage with people, families and carers to gather falls history then document and act upon any concerns
Team:
- Identify concerns about falling using tools like the Short Falls Efficacy Scale (FES-I)
Evidence and resources
- Jardine R, Cherry K, Sparham E, Brockenshire N, Nichols-Boyd N, Burgess S, et al. Inpatients’ experiences of falls: A qualitative meta- synthesis. Journal of Advanced Nursing. 2025;81(1),4-19
- Kempen GIJM, Yardley L, Van Haastregt JCM, Zijlstra GAR, Beyer N, Hauer K, et al. The Short FES-I: a shortened version of the falls efficacy scale-international to assess fear of falling. Age and Ageing. 2008;37(1),45–50
- Montero-Odasso M, Van der Velt N, Martin FC, Petrovic M, Tan MP, Ryg J, et al. World guidelines for falls prevention and management for older adults: a global initiative. Age and Ageing. 2022;51(9)
- Morris M, Webster K, Jones C, Hill AM, Haines T, McPhail S, et al. Interventions to reduce falls in hospitals: A systematic review and meta-analysis. Age and Ageing. 2022;51(5)
NHS Education for Scotland Turas Learn. Shared Decision Making [online]. 2026