Focus on falls

Background

Across the UK, falls are the most common cause of hospitalisation for people aged over 65, and of accidental death in those aged over 75. Undetected and untreated visual impairment plays a significant role in the high incidence of falls among older people. This prompted us to investigate ways in which we could reduce vision-related falls and encourage better connections between local falls services and community optometrists.

The recommendations of the resulting College report, Focus on falls, have generated wide-ranging activity to raise awareness of the importance of regular eye examinations for those most at risk, and to support the inclusion of a vision check in the services offered by all UK falls teams.

I believe that there is much that can be done to support falls teams to reduce the unnecessarily high number of falls that could be related to vision. With a little effort we can make a huge difference to the safety and quality of life for our most vulnerable patients.

Olivier Deneve, College Policy Manager and Falls Project Lead

Supporting falls teams

We are working with the Thomas Pocklington Trust to distribute the easy-to-use Eyes Right tool for checking vision within a falls service. Contact olivier.deneve@college-optometrists.org to place your order.

We are looking at methods of reciprocal referral between falls services and optometrists and encouraging falls teams to use our member directory to find their local practice. We also have a falls directory which includes details of falls services teams. If you would like to be included in this directory, please contact olivier.deneve@college-optometrists.org.

Occupational therapists can download guidelines for the prevention and management of falls

Focus on falls report

Key findings:

Information gathered through interviews and an online survey suggested that around 50% of UK falls teams currently assess patients' vision as a standard part of their service, although there is variation in the frequency and method of these checks. This variation is generally due to a lack of resource and capacity within a team. Most falls teams contacted advised that they would welcome support in performing vision checks and that referral between falls teams and optometrists would help improve the patient pathway and foster greater levels of clinical continuity.

Download the full report:

Member resources

Reports and briefing

Collapsible toggler

Raising awareness in your community

If you are interested raising awareness in your community of the increased risk of falling with ageing vision, and to encourage older people to have their eyes examined by a member of the College, we have the following resources to help you:

Collapsible toggler

In practice support

Collapsible toggler

Taking action

We have been working with the Local Optical Committee Support Unit (LOCSU) to support local optical committees (LOCs) and local eye health networks (LEHNs) in prioritising falls awareness. Activities included:

Briefing parliamentarians, key stakeholders and falls leads in the four nations
Encouraging the development of a falls and vision pathway and recommending improved falls provision in the Map of Medicine for Low Vision
Working with Thomas Pocklington Trust to distribute an easy-to-use tool for screening older people for poor vision to falls services teams across the UK. Contact olivier.deneve@college-optometrists.org for more information and to place an order
Working with DOCET to incorporate findings from the report in their Ageing Eye CET materials
Encouraging falls team to register on the UK-wide falls directory. This will help our members make contact, provide support and refer any patients identified as needing falls teams services

Get involved

There are several ways in which members can get involved and help reduce the incidence of vision related falls among their most vulnerable patients:

Download and read the report
Get in touch with your local falls team to discuss ways in which you can support them, perhaps through encouraging referral in both directions. Some services are already listed on our falls directory
Download and display a Focus on falls poster to encourage elderly patients to book in for an eye examination
Consider the visual risk factors for falls when assessing your patients, and keep the checkist to hand during eye examinations as a useful prompt
Inform patients and their families and carers of the risks of falling and how they can significantly reduce these. This can be one-to-one or via community presentations - we have developed resources for both
Order your free copies of our Ageing eyes and falls patient leaflet, which provides invaluable advice for at-risk patients and those caring for them.You can also direct patients to our public health information website - lookafteryoureyes.com
Give us your comments, suggestions and ideas. Through your input we can refine and improve our campaigns and share best practice and successes.email olivier.deneve@college-optometrists.org

All resources are available in the member resources section under member resources.

The falls presentation I made with the College’s resources had a high impact and was very well received. I was able to put a local stamp on this work and, with the College’s support, I felt well equipped to discuss this important topic with a multi-disciplinary team working to prevent falls in my area.

Claire Roberts MCOptom

More on

Public health ( 20 ) Falls ( 11 )

Other resources of interest

21 June 2018 CPD

Video lectures

This series of video lectures from College conferences and regional events helps members stay up to date on important clinical topics.

11 June 2018 CET

Your patient, their health course

Your patient, their health can help improve your knowledge and skills in managing public health issues that affect your patients: dementia, falls and depression (1 non-interactive CET point).

23 November 2017 Guidance

Guidance for professional practice - member briefing

Download this member briefing for information on the headline changes to the guidance.

6 June 2017 Optometry in Practice

Optometric interventions to help prevent dizziness and falls, particularly in patients with visual impairment

22 February 2017 CET

DOCET - Open your eyes: Modern life and its effects on the eye: UV light

This course discusses the major impact of short wavelength and visible light upon the eye and surrounding tissues and considers the best approach to communicate this and to assess any impact.

22 February 2017 CET

DOCET - Open your eyes: Modern life and its effects on the eye: Nutrition

The aim of this course is to emphasise the link between poor nutrition and certain eye disorders and to establish how best to communicate accurate and relevant information.

22 February 2017 CET

DOCET - Open your eyes: Modern life and its effects on the eye: Smoking

This course discusses the major impact of smoking upon eye health and shows how optometrists can play an important role in helping people access cessation services in the UK.

22 February 2017

Better data, better care - ophthalmic public health data report

A report into the ophthalmic public health data available, and how it can be improved to be more useful. (1.3MB)

7 February 2017 CPD

Driving (older patient) case study

You can discuss this case study in practice as part of your CET. Key questions and sample answers are included.

26 January 2017 Report

NHS England's new care models - member briefing

NHS England's new care models aim to dissolve boundaries between primary care and community services, hospitals, social care and mental health services.

24 January 2017 CET

DOCET - Open your eyes: Modern life and its effects on the eye: Driving

Do you know your legal responsibilities with regards to patients' vision and driving?

24 January 2017 CPD

DOCET - The ageing eye: Vision and falls

DOCET video. In this programme, Professor Dave Elliot of the University of Bradford explains the important role optometrists can play in helping to prevent falls in older patients.