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Wider impacts of COVID-19 on physical activity, deconditioning and falls in older adults
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2021
- Pagination:
- 70
- Place of publication:
- London
This report looks at how the wider impacts of COVID-19 have affected older people (65 years and over), with a focus upon deconditioning and falls. Estimates of these impacts on physical activity levels and rates of falls in older people are provided. The report also summarises recommendations aimed at mitigating these impacts and to improve older adult mental and physical health. The technical appendix provides detailed information on the methods that have been used in the study. Key findings were: 32% of older people were inactive (did either no activity or less than 30 minutes of moderate activity per week) between March to May 2020 – this has increased from 27% in the corresponding period in 2019; average duration of strength and balance activity decreased from 126 to 77 minutes per week in March to May 2020 compared to the corresponding period in 2019; inequalities in physical activity have persisted, older people in the most deprived group were more likely to be inactive than those in the least deprived group in both 2019 and 2020; older people experienced a considerable reduction in strength and balance activity between March to May 2020, with the greatest change in the 70 to 74 age group with a 45% (males) and 49% (females) decrease observed in activity. Without mitigation, modelling predicts that: 110,000 more older people (an increase of 3.9%) are projected to have at least one fall per year as a result of reduced strength and balance activity during the pandemic; for each year that the lower levels of strength and balance activity observed during the pandemic persist, there is projected to be an additional cost to the health and social care system as a result of the change in predicted related falls of £211 million (incurred over a 2 and half year period). (Edited publisher abstract)
Productive healthy ageing profile
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2021
- Place of publication:
- London
This tool provides data and links to relevant guidance and further information on a wide range of topics relevant to healthy ageing. Indicators can be examined at local, regional or national level. The aim of this tool is to support PHE productive healthy ageing policy and inform public health leads and the wider public health system about relevant key issues. This release contains a new indicator relating to homelessness in older people, and updated indictors relating to: inequality in life expectancy; smoking prevalence; abdominal aortic aneurysm screening; shingles vaccination; cancer screening; cancers diagnosed at stages 1 and 2; self-reported wellbeing; winter fuel payments; diabetic eye screening; dementia; falls and hip fractures; independent living support; social care service user experience, including social isolation; admissions to residential and nursing care homes. (Edited publisher abstract)
A structured literature review to identify cost-effective interventions to prevent falls in older people living in the community
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2018
- Pagination:
- 156
- Place of publication:
- London
Summarises the findings from a literature review to identify cost-effective interventions in preventing falls in older people living in the community in England. The review was conducted to inform an economic model to estimate the return on investment of the cost effective interventions across communities in England. The review identified 26 studies, of which 12 were judged to be directly applicable. These included 6 types of interventions: exercise, home assessment and modifications, multifactorial programmes; medicines review and modification to drugs; cardiac pacing and expedited cataract surgery. Based on the evidence, the review recommends interventions to be included in the economic model. (Edited publisher abstract)
Beat the heat: keep residents safe and well
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2017
- Pagination:
- 2
- Place of publication:
- London
A quick guide for care home staff on how to respond to high temperatures, including actions they may need to take to keep residents safe. Keeping cool in hot weather is very important for health. In previous hot weather in the UK and Europe, people in residential and nursing homes were at particularly high risk of illness and death. The guide highlights specific measures to help: identify residents at highest risk; keep resident cool; keep the building cool; and take action in the event of a heat-related illness. Includes a checklist to help ascertain whether staff and the care home are prepared for hot weather. (Edited publisher abstract)
Falls and fracture consensus statement: supporting commissioning for prevention
- Authors:
- PUBLIC HEALTH ENGLAND, NATIONAL FALLS PREVENTION COORDINATION GROUP
- Publisher:
- Public Health England
- Publication year:
- 2017
- Pagination:
- 22
- Place of publication:
- London
This document outlines interventions and approaches that local commissioners and strategic leads in England should consider in order to help prevent falls and fractures in older people. It has been produced by the National Falls Prevention Coordination Group (NFPCG), which was set up with the aim of coordinating falls prevention activity in England and encourage ‘whole-system’ local commissioning for falls prevention. It highlights interventions which cover the whole of the patient pathway, from risk reduction to providing care for older people who have suffered injury following a fall. These include risk reduction, risk assessment, strength and balance exercise programmes, healthy homes, and interventions in high-risk care environments such a hospitals, care and nursing homes. It also explains how commissioning for falls and fracture prevention involves working across the health, social care and housing sectors. It provides advice on how falls prevention can be supported at all stages of the commissioning cycle, including - assessing needs, designing services, sourcing providers, delivering to service users, monitoring and evaluation, and in the governance frameworks that oversee and assure this activity. It also sets out the future commitments of the National Falls Prevention Coordination Group. (Edited publisher abstract)
Heatwave plan for England: making the case: the impact of heat on health: now and in the future
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 19
- Place of publication:
- London
This document provides a background to the 'Heatwave plan for England'. The purpose of the plan is to avoid the adverse health effects of excessive heat by raising public awareness and triggering actions by those in contact with people who are most at risk. This, in turn, helps reduce pressures throughout the health and social care system. The document outlines key health issues associated with heatwaves, explains why long-term planning is essential and gives some examples of medium term and longer term actions which can be taken to mitigate or ameliorate some of the effects of future heatwaves and hot weather. (Edited publisher abstract)
Heatwave plan for England: supporting vulnerable people before and during a heatwave: advice for health and social care professionals
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 18
- Place of publication:
- London
This factsheet is part of a national programme to reduce the health risks by alerting people to the dangers of severe heat and encouraging them to plan in advance what to do in the event of a heatwave. Heatwaves can happen with little warning and illness and death can occur within the first couple of days. This leaflet offers advice both on caring for people most at risk during a heatwave, and on organising others who provide care. Example advice cards for commissioners of health and social care, Directors of Public Health and health and social care staff are also included. (Edited publisher abstract)
Heatwave plan for England: supporting vulnerable people before and during a heatwave: advice for care home managers and staff
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 14
- Place of publication:
- London
This factsheet is part of a national programme to reduce the health risks by alerting people to the dangers of severe heat and encouraging them to plan in advance what to do in the event of a heatwave. Heatwaves can happen with little warning and illness and death can occur within the first couple of days. This fact sheet contains action cards outlining the roles and responsibilities required of care home managers and staff at each level. (Edited publisher abstract)
Heatwave plan for England: supporting vulnerable people before and during a heatwave: advice for health and social care professionals
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2014
- Pagination:
- 16
- Place of publication:
- London
This factsheet is part of a national programme to reduce the health risks by alerting people to the dangers of severe heat and encouraging them to plan in advance what to do in the event of a heatwave. Heatwaves can happen with little warning and illness and death can occur within the first couple of days. This leaflet offers advice both on caring for people most at risk during a heatwave, and on organising others who provide care. Example advice cards for commissioners of health and social care, Directors of Public Health and health and social care staff are also included. (Edited publisher abstract)
Heatwave plan for England: supporting vulnerable people before and during a heatwave: advice for care home managers and staff
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2014
- Pagination:
- 12
- Place of publication:
- London
This factsheet is part of a national programme to reduce the health risks by alerting people to the dangers of severe heat and encouraging them to plan in advance what to do in the event of a heatwave. Heatwaves can happen with little warning and illness and death can occur within the first couple of days. This fact sheet contains action cards outlining the roles and responsibilities required of care home managers and staff at each level. (Edited publisher abstract)