Falls and Osteoporosis

National guidelines

Several documents have highlighted the need for the prevention and appropriate management of falls, fractures and osteoporosis.  They include (in date order):

  • 2007, the British Orthopaedic Association and British Geriatrics Society Blue Book on care of patients with fragility fracture
  • The National Hip Fracture Database (NHFD) was launched simultaneously with the Blue Book to improve hip fracture care and secondary prevention
  • 2008, NOGG Osteoporosis: Clinical Guideline for Prevention and Treatment provides a clinical guideline for the management of men and women at high fracture risk
  • 2011, NICE Technology Appraisal (TA) 160 provides guidance for the primary prevention of fragility fractures in postmenopausal women.
  • 2011, NICE TA161 provides guidance for the secondary prevention of fragility fractures in postmenopausal women.
  • 2012, Report to the Minister of State for Care Services: Breaking Through: Building Better Falls and Fracture Services in England reports on themes discussed at the Falls and Fractures summit in London in October 2011
  • 2013, NICE clinical guideline (CG) 161,’Falls: assessment and prevention of falls in older people’, is for healthcare and other professionals and staff who care for older people who are at risk of falling.
  • This guideline is an extension to CG 21 (published in November 2004) to include assessing and preventing falls in older people during a hospital stay.
  • The new recommendations sit alongside the original recommendations which remain just as relevant.
  • CG 161 is still considered to be the best available evidence base for the prevention and management of falls
  • 2015, the National Audit of Inpatient Falls (NAIF) audit report aims to improve inpatient falls prevention through audit and quality improvement
  • 2015, Falls and Fragility Fracture Audit Programme (FFFAP) is designed to audit the care that patients with fragility fractures and inpatient falls receive in hospital and to facilitate quality improvement initiatives – (in progress)
  • 2015 The NICE quality standard published in March 2015 presents a structured overview of potential quality improvement areas for falls.  It provides a basis for discussing and prioritising quality improvement areas for development into draft quality statements and measures for public consultation

Last updated Wednesday, 1st November 2017