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The physical activity interventionin community-dwelling adults (PhISICAL) study: investigating the implementation of the FaME falls prevention exercise programme

What we are doing:

Improving the strength and balance of older people can be effective in reducing the number of falls people have. With an aging population and high healthcare costs associated with falls it is important that programmes to improve strength and balance are available locally. The Falls Management Exercise programme (FaME) is recommended by NICE as an effective intervention for this but has not been implemented widely yet across the UK. Our aim is to study the implementation of FaME into routine practice in two very different areas of the East Midlands in order to understand the factors that make such a programme a success or not.

Why are we doing it:

A study in 2014 showed that FaME increased physical activity levels and significantly reduced falls by 26 percent. Falls are an important cause of disability and loss of independence in older age. It is thought about one in three adults, aged over 65, fall each year. In England, fall admissions account for 4 million hospital bed days each year, costing the NHS £2 billion. Falls can lead to loss of confidence, increased social isolation and severe injuries which for some people mean they must move into high cost residential care. As the number of older people is increasing in the UK, this problem is set to get worse.

What the benefits will be:

Findings from this study will be used to develop an implementation toolkit for CCGs and local authorities to inform the planning, commissioning and delivery of strength and balance falls prevention exercise programmes.

Who we are working with:

The following CCGs have agreed to support the research:

  • Leicestershire County Council
  • Rutland County Council
  • Derby City Council
  • University of Derby Move More consortium
  • Derbyshire Fire and Rescue Service
  • Derby County Community Football Association
  • East Leicestershire and Rutland CCG
  • West Leicestershire CCG
  • Southern Derbyshire CCG
  • The AHSN Patient Safety Collaborative and with the CLAHRC

Study lead:

Dr Elizabeth Orton, Associate Professor and Consultant in Public Health, University of Nottingham


Yvonne R Price

Useful links: