First place went to a project to increase early identification and fast-track at-risk people to an exercise intervention

Winner: Guy’s and St Thomas’ Foundation Trust

In 2012-13 there were 13,039 falls-related attendances and ambulance callouts by the registered population of Lambeth and Southwark, and 3,029 hospital admissions. This amounts to a whole system cost in one year of £8.4m.

While existing falls services provided good support which was compliant with best practice, identification of people at risk of falling was law. Primary prevention community exercise classes were run but were undersubscribed.

A project was therefore launched to increase early identification and to fast track at risk individuals to exercise intervention. A strength and balance public helpline was launched, and non-qualified clinical assistants trained to run a telephone clinical triage system.This was successful in directly allocating patients to the correct falls intervention more than 99 per cent of the time.

While existing falls services provided good support which was compliant with best practice, identification of people at risk of falling was law

Community exercise classes were expanded to meet new demand and demonstrated very positive outcomes. Three quarters of patients had improvements in one or more clinical measures, and around the same amount reported improvements in their quality of life, function and confidence.

Judges’ comment: Creative and innovative in their approach to service delivery. Great model and creative use of workforce and wider community organisations. Good use of community assets.

Highly commended: Herts Valleys CCG