Staying Steady Bristol Community Health (BCH) University Hospitals Bristol (UHB) (AHP Led Clinic - NO Medical Intervention) Low to medium risk of Medium risk, secondary Higher risk, secondary prevention Cohort – primary prevention, early prevention & rehabilitation intervention Access Open access - self referral Referral from health care Referral from health care Signposting from non-health care professional only - following professional (HCP) only professionals and health care multifactorial falls risk assessment professionals - no referral (MFRA) necessary led by Postural Stability Instructor (PSI) Physiotherapist/physiotherapy Physiotherapist and OT qualified 3 Exercise assistants x 2 professional x 2 Class size Up to 20 Up to 12 Up to 6 Programme duration Unlimited people can attend for 12 6 weeks + Education Discussion – as long as they need Session Instructor to Person ratio 1:10 1:6 1:3 Joining participants can join whenever 4 x 12 week cycles per Start at the beginning of a 6 week – they like participants join at start of 12 cycle week cycle Triage Person contacts Staying Steady Completed by physiotherapist- Completed by Physio Staff provider of their choice and is assessment offered if referral invited for an assessment with criteria is met the PSI Assessment By PSI before joining. Completed by physiotherapist Full assessment completed by Reassessment at 12-16 weeks to before joining and after Physio Patient then offered – measure outcomes and completing group individual treatment, or targeted determine progression.
Staying Steady Bristol Community Health (BCH) University Hospitals Bristol (UHB) (AHP Led Clinic - NO Medical Intervention) Cohort Low to medium risk of – primary prevention, early intervention Medium risk, secondary prevention Higher risk, secondary prevention & rehabilitation Access Open access - self referral Signposting from non-health care professionals and health care professionals - no referral necessary Referral from health care professional only - following multifactorial falls risk assessment (MFRA) Referral from health care professional (HCP) only led by Postural Stability Instructor (PSI) qualified 3 Exercise professional x 2 Physiotherapist/physiotherapy assistants x 2 Physiotherapist and OT Class size Up to 20 Up to 12 Up to 6 Programme duration Unlimited – people can attend for as long as they need 12 6 weeks + Education Discussion Session Instructor to Person ratio 1:10 1:6 1:3 Joining participants can join whenever they like 4 x 12 week cycles per – participants join at start of 12 week cycle Start at the beginning of a 6 week cycle Triage Person contacts Staying Steady provider of their choice and is invited for an assessment with the PSI Completed by physiotherapist- assessment offered if referral criteria is met Completed by Physio Staff Assessment By PSI before joining. Reassessment at 12-16 weeks to measure outcomes and determine progression. Completed by physiotherapist before joining and after completing group Full assessment completed by Physio – Patient then offered individual treatment, or targeted
integrated-strength-and-balance-pathway-bristol-20.docx