Falls Management Exercise (FaME) - Digital Programme

Falls are a leading cause of mortality and morbidity in older adults aged over 65, impacting both physical and mental health. Around a third of people aged 65 years and over fall each year, increasing to half of those aged 80 and over.

Approximately 5% of those who fall will suffer from fractures and be admitted to hospital. Falls, and fear of falling, have a significant individual human cost, and in terms of health care services. In Cornwall, hospital admissions due to hip fracture in people aged over 65, and 80 year olds are broadly similar to average rates across England, with a higher rate amongst women in both age groups. However, there is substantial variation across communities.

After a hip fracture, an estimated 50% of people nationally can no longer live independently.

To prevent falls, NICE and NHS Right Care recommend the provision of strength and balance exercise programmes for community dwelling older adults who are at a higher risk of falling.

Chief Medical Officer physical activity guidelines for adults and older adults currently recommend strength, balance and coordination activities on at least two days per week.

FaME is an evidence-based, community-based postural stability programme aiming to improve strength and balance. Clinical trials have shown that a FaME programme can increase physical activity and prevent falls, and is recognised as a cost-effective falls prevention programme by Public Health England.

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