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The following Falls studies are now recruiting in Nottinghamshire Healthcare NHS Foundation Trust.

FINCH: Falls in Care Homes

Principal Investigator: City - Marie Ward, Clinical Specialist nurse in falls Prevention; County - Kate Robertson, Consultant OT

Study Summary: A multi-centre cluster randomised controlled trial to evaluate the Guide to Action Care Home fall prevention programme in care homes for older people.

Many older people living in care homes fall and sustain injuries leading to hospital admissions and reduced independence. The NHS provides falls prevention interventions in care homes. Success is questionable as 80% of residents are cognitively impaired and unable to engage with treatments. We believe care home employees are in an excellent position to provide falls prevention interventions. The Guide to Action for Care Homes (GtACH) is a falls prevention and training intervention designed to be implemented in care homes. It comprises of a risk assessment, and involves delivery of individualised evidence based specific interventions and appropriate referral to external services. We have tried its use with care home staff and residents. This study will evaluate whether GtACH reduces falls rates in care home residents and the costs to the NHS.

Inclusion criteria:

Care Homes:

  • Long stay patients – elderly/ or dementia registration
  • 10 or more potential eligible recruits
  • Routinely record Falls risk and incidents
  • Consent of CH manager to comply with protocol.


  • All long term Care Home residents.

Exclusion criteria:

Care Homes:

  • Care Homes’ participation in GtACH pilot previously
  • Homes that are exclusively for LD or substance dependency
  • CH’s subject to safeguarding investigations / CQC special measures


  • Residents on short term care
  • Residents identified on end of life pathway.

All Carer staff are also being recruited (for process evaluation).

Lead Research Delivery Officer: Clare Litherland, This email address is being protected from spambots. You need JavaScript enabled to view it.07771 944298