This is a secondary driver from promote safer mobility through safe, clinical and care processes 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:
- Use of personal activity diaries
- Polypharmacy reviews, for example use of 7-Steps review process
- Bedside vision check
- Assess and treat orthostatic hypotension
Team:
- Monitor patterns of movement and behaviour, using locally agreed tools
- Support individualised routines for personal care and dressing
Organisation:
- Provision of de-caffeinated drinks
Evidence and resources
- Deharo JC, Elliott P, Fanciulli A, Fedorowski A, Kenny R, Mart A, et al. 2018 ESC Guidelines for the diagnosis and management of syncope. European Heart Journal. 2018;39(21),18831948
- Francis E, Collins C, Constable I, Coombes S. ‘Decaf by Default’ and Its Wider Impact: Reducing Toileting Falls, Supporting Continence and a Positive Care Environment. British Geriatrics Society. 2025.
- Healthcare Improvement Scotland. 7-Steps review process [online]. 2026
- NHS Education for Scotland. Falls, frailty and bone health [online]. 2024
- Royal College of Physicians. Bedside vision check for falls prevention: assessment tool [online]. 2022
- Wieczorek M, Isler M, Landau K, Becker M D, Dawson-Hughes B, Kressig RW, et al. Association Between Visual Acuity and Prospective Fall Risk in Generally Healthy and Active Older Adults: The 3-Year DO-HEALTH Study. Journal of the American Medical Directors Association. 2024;25,789-795
