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 outcomes discussions for goal setting and treatment planning
- Family involvement in therapy sessions
Team:
- Signposting or referral to community resources, for example, strength and balance exercise programmes and leisure classes
- Deconditioning and reconditioning education with patient, family and carers
Organisation:
- Digital access for prescribed exercise programmes
- Group based exercise/activity programmes, where environment allows
Evidence and resources
- British Geriatrics Society. Deconditioning Hub: Hospital settings [online]. 2026
- Care Inspectorate. Care About Physical Activity (CAPA) improvement programme [online]. 2026
- Moving Medicine. Moving Medicine Scotland [online]. 2025
- GiveFit. OTAGO-based Falls Prevention Exercise Program [online]. 2019
- NHS 24. Falls Assistant [online]. 2023
- NHS Education for Scotland. Avoiding Deconditioning [online]. 2021
- Sherrington C, Fairhall N, Kwok W, Wallbank G, Tiedemann A, Michaleff ZA, et al. Evidence on physical activity and falls prevention for people aged 65+ years: Systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. International Journal of Behavioral Nutrition and Physical Activity. 2020;17(144)
