The project is inviting people aged over 65, registered in one of the participating practices, who are identified as moderately frail on the Electronic Frailty Index (EFI) and have not yet had a recorded fall on the primary care system.
People identified as part of the project cohort will be invited into the practice to have their falls risk assessed by a trained Health Care Assistant using the Kinesis QTUGTM device. Those identified as having a score of over 70% (high risk) will be referred onto the Falls Pathway for a home assessment and intervention. The data from the assessment will be fed through to the Primary Care record and Community Team. At the end of their falls intervention period (6 months) the patient will be invited back to have their falls risk reassessed using the Kinesis QTUGTM device.
The Kinesis QTUG™ (Quantitative Timed Up and Go) is a medical device for assessment of falls risk and frailty. Each QTUG™ product kit contains two inertial sensors, worn on each shin, which stream data wirelessly via Bluetooth to a tablet device. It provides a method for objective assessment of mobility, falls risk and frailty. The device also provides identification of mobility impairment through automatic comparison against reference values for the service user’s age and gender.
For more information about how the QTUG assessment is carried out please go to: http://www.kinesis.ie/docs/QTUG_QuickStartGuide.pdf
Why are we doing this?
The rationale underlying the project is that QTUG gives primary care practitioners the ability to assess gait without requiring an expert. They can then make appropriate clinical decisions and referrals based on the information obtained.
The QTUG test is being introduced as part of a change to assessment processes. This provides an opportunity for clinicians to re-think their model of care and assess people at an earlier stage for their risk of falls. Previously people would have been assessed and accessed falls prevention services after they had fallen.
The assumption is that through early identification and management of falls risk and earlier referral onto the falls pathway for treatment we can improve people’s ability to self-manage – and thereby reduce their reliance on carers/ health and care professionals improving mental wellbeing of the person and their carers
It may also be that by early identification of falls risk we can reduced unplanned hospital admissions/use of A&E and reduced use of urgent primary care
Who’s involved in the project?
Lead Evaluation Partner: University of Sheffield (https://www.sheffield.ac.uk/scharr)
Lead for public engagement: Healthwatch Sheffield (http://www.healthwatchsheffield.co.uk/)
Sheffield Teaching Hospitals NHS Foundation Trust (http://www.sth.nhs.uk/)
Lead Innovator Partner: Kinesis (http://www.kinesis.ie/)
GP Practices involved:
- Pitsmoor Surgery
- Flowers Medical Centre
- Southey Green Medical Centre
What happens next?
Recruitment of patients into the programme will continue until the end of October 2017. The programme will formally end 31st March 2018 and a final evaluation report will be available from the end of June 2018