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. 2023 Mar 30;23:187. doi: 10.1186/s12877-023-03916-z

Table 1.

Intervention eligibility conditions by pathway and scenario

Pathway Usual care (UC) Recommended care (RC)
Reactive HAM for hospitalised fallers only (around 28% of MA fallers) Multifactorial intervention for all MA fallers
Proactive Multifactorial intervention for high falls risk individuals screened at routine GP contact, a who are: (i) cognitively intact; (ii) not receiving the reactive intervention that year; (iii) have not previously received the proactive intervention Multifactorial intervention for high falls riskb individuals screened at routine GP contact: (i) regardless of cognitive status; (ii) not receiving the reactive intervention that year; and (iii) regardless of proactive intervention historyc
Self-referred Self-financed exercise intervention for 0.1% of persons in the most privileged SES quartile not receiving reactive/proactive intervention that year Publicly funded exercise intervention for persons who are not receiving the reactive/proactive intervention that year

Abbreviation: ELSA English Longitudinal Study of Ageing, HAM Home assessment and modification, MA faller Faller requiring medical attention, SES Socioeconomic status

aAccording to ELSA: around 81% of older persons aged 60 + access routine GP contact each year; under usual care, only around 31% of persons receive falls risk screening at GP contact; around 34% of screened individuals receive the intervention. See Table B26 in Additional file 2: Appendix B for greater detail on access conditions

bAssessed using NICE CG161 criteria: high falls risk if had recurrent falls in past year and/or abnormal gait/balance [28]

cTo keep client flow to that compatible with 7 falls clinics, those with 3 previous re-receipts are excluded