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