This is a secondary driver from leadership at all levels to support a culture of safety 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:
- Relevant falls e-learning module is completed and kept up-to-date
Team:
- Staff have access to learning around backward chaining for fall to standing
- Staff have up-to-date moving and handling training
Organisation:
- Protected time for staff to prioritise falls education and simulation to support learning, for example, multidisciplinary team (MDT) simulation card game
Evidence and resources
- Brazil V, Purdy E, Bajaj K. Simulation as an Improvement Technique. Cambridge University Press. 2023
- Kubik A, Gyombolai Z, Simon A, Kovacs E. Backward Chaining Method for Teaching Long-Term Care Residents to Stand Up from the Floor: A Pilot Randomized Controlled Trial. Journal of Clinical Medicine. 2025;14(15)
- NHS Inform. What to do if you fall [online]. 2026
- Royal College of Obstetricians and Gynaecologists. Teach or treat [online]. 2026
- Seeley SC, Skelton DA, Tan CW, Stansfield B, Dall PM. Comparing the impact of active floor-rise training with video demonstration on fear of falling and independent floor-rise ability in older adults living in the community: a pilot cluster randomised controlled trial. Age and Ageing. 2026;55(3)
