{"id":17167,"date":"2023-10-31T10:57:38","date_gmt":"2023-10-31T10:57:38","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=17167"},"modified":"2025-12-10T09:23:44","modified_gmt":"2025-12-10T09:23:44","slug":"east-lothian-falls-pathway","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/rehabilitation\/east-lothian-falls-pathway\/","title":{"rendered":"East Lothian Falls Pathway\u00a0"},"content":{"rendered":"\n<p><strong>Information<\/strong><\/p>\n\n\n\n<p>The East Lothian Falls pathway is hosted within the East Lothian Rehabilitation Service (ELRS) and is delivered by a team of physiotherapists, exercise specialists, and community care workers.<\/p>\n\n\n\n<p>Our team provides specialist therapy for individuals who have experienced a fall, are at risk of falling, or have a fear of falling. We focus on early, targeted interventions to help prevent avoidable falls and reduce associated risks.<\/p>\n\n\n\n<p>We offer falls prevention, education, and management through two pathways: 1-1 outpatient clinic and \u2018steady-on\u2019 falls prevention classes.<\/p>\n\n\n\n<p>All referrals will be triaged by the team and directed to the appropriate service. Classes and clinic appointments are available across the county.<\/p>\n\n\n\n<p><strong>The core hours of the service are Monday \u2013 Friday 8am \u2013 4pm<\/strong><\/p>\n\n\n\n<p><strong>1:1 Outpatient Clinic Appointments<\/strong><\/p>\n\n\n\n<p>For individuals requiring personalised assessment and intervention to reduce their risk of falling.<\/p>\n\n\n\n<p>Interventions provided:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Multifactorial assessment identifying risk factors associated with falls including environment, mobility and transfers, balance, technology, footwear\/footcare, hearing\/eyesight, equipment, medication, bone health, cognition, and continence.<\/li>\n\n\n\n<li>Education and advice on falls prevention and management.<\/li>\n\n\n\n<li>Gait and balance rehabilitation including tailored exercise programmes to improve strength and balance.<\/li>\n\n\n\n<li>Referrals to appropriate services, including audiology, occupational therapy, vestibular services, social work, third sector organisations, and community exercise classes.<\/li>\n<\/ul>\n\n\n\n<p><strong>\u2018Steady On\u2019 Falls Prevention Group<\/strong><\/p>\n\n\n\n<p>Is an evidence-based,13-week structured programme combining exercise and education to improve strength, balance, confidence, and understanding of falls. This group setting supports participants in managing and reducing their risk and fear of falling.<\/p>\n\n\n\n<p>These sessions will also include an education session to enable discussion and learning, often delivered by external speakers e.g. pharmacy, podiatry, etc.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"552\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/East-Lothian-Falls-Pathway-1024x552.png\" alt=\"flowchart of the East Lothian Falls Pathway stepwise\" class=\"wp-image-25866\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/East-Lothian-Falls-Pathway-1024x552.png 1024w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/East-Lothian-Falls-Pathway-300x162.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/East-Lothian-Falls-Pathway-768x414.png 768w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/East-Lothian-Falls-Pathway-1536x828.png 1536w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/East-Lothian-Falls-Pathway-1520x819.png 1520w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/East-Lothian-Falls-Pathway.png 1572w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">East Lothian Falls Pathway<\/figcaption><\/figure>\n\n\n\n<p><strong>M.A. &amp; C.D.F. 09-12-25<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\"><strong>Who can refer:<\/strong><\/h4>\n\n\n\n<p><strong>Primary Care:<\/strong><\/p>\n\n\n\n<p>GP\u2019s, Practice Nurses, ANP\u2019s with SCI Gateway access<\/p>\n\n\n\n<p><strong>Secondary Care:<\/strong><\/p>\n\n\n\n<p>MOE Consultants<\/p>\n\n\n\n<p><strong>AHP\u2019s:<\/strong><\/p>\n\n\n\n<p>Acute Physiotherapists, Community AHP\u2019s within the wider East Lothian Rehabilitation Service<\/p>\n\n\n\n<p><strong>Patients\/Carers\/Family members:<\/strong><\/p>\n\n\n\n<p>Self-referral is available to all East Lothian residents<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who to refer:<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Residents of East Lothian<\/li>\n\n\n\n<li>Had a fall<\/li>\n\n\n\n<li>At risk of falling<\/li>\n\n\n\n<li>Fear of falling<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who not to refer:<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients who are undergoing extensive investigation for a medical cause to their falls<\/li>\n\n\n\n<li>Patients who are acutely unwell and at immediate risk of admission, these referrals should be directed to our Prevention of admission service<\/li>\n\n\n\n<li>Patients with potential undiagnosed significant injury (e.g. acute onset significant back pain with risk of potential fracture)<\/li>\n\n\n\n<li>Patients with a LD diagnosis or complex MH diagnosis \u2013 please refer to appropriately aligned teams for input<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>How to refer:<\/strong><\/h4>\n\n\n\n<p><strong>Primary Care Pathway:<\/strong><\/p>\n\n\n\n<p>Referrals should be made via SCI Gateway:<br>AHP &#8211; Physiotherapy<br>East Lothian &#8211; East Lothian Rehabilitation Service<br>LI Physiotherapy<br>FAO: Falls Team<\/p>\n\n\n\n<p><strong>Secondary Care:<\/strong><\/p>\n\n\n\n<p>MOE consultants can refer via email to <a href=\"mailto:eastlothianphysioreferrals@nhslothian.scot.nhs.uk\" target=\"_blank\" rel=\"noreferrer noopener\">eastlothianphysioreferrals@nhslothian.scot.nhs.uk<\/a><\/p>\n\n\n\n<p><strong>AHPs:<\/strong><\/p>\n\n\n\n<p>Email referrals accepted to: <a href=\"mailto:eastlothianphysioreferrals@nhslothian.scot.nhs.uk\" target=\"_blank\" rel=\"noreferrer noopener\">eastlothianphysioreferrals@nhslothian.scot.nhs.uk<\/a><\/p>\n\n\n\n<p><strong>Patient Self-Referral:<\/strong><\/p>\n\n\n\n<p>Patient\/family member\/carer can call ELRS Single Point of Contact Phoneline on 0300 3690680 to self-refer for a falls assessment<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><a href=\"https:\/\/abetterlife.eastlothian.gov.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Home &#8211; Access to a Better Life in East Lothian<\/a> \u2013 ELRS Digital Platform with advice, resources and external links to support self-management and self-assessment for equipment.<\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Information The East Lothian Falls pathway is hosted within the East Lothian Rehabilitation Service (ELRS) and is delivered by a team of physiotherapists, exercise specialists, and community care workers. Our team provides specialist therapy for individuals who have experienced a fall, are at risk of falling, or have a fear of falling. We focus on<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4364,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[1031],"class_list":["post-17167","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-east-lothian-falls-pathway"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/rehabilitation\/https-apps-nhslothian-scot-refhelp-east-lothian-rehabilitation-service-elrs\/https-apps-nhslothian-scot-refhelp-east-lothian-falls-pathway\/\" rel=\"tag\">East Lothian Falls Pathway<\/a>","rttpg_excerpt":"Information The East Lothian Falls pathway is hosted within the East Lothian Rehabilitation Service (ELRS) and is delivered by a team of physiotherapists, exercise specialists, and community care workers. Our team provides specialist therapy for individuals who have experienced a fall, are at risk of falling, or have a fear of falling. We focus on","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17167","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=17167"}],"version-history":[{"count":6,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17167\/revisions"}],"predecessor-version":[{"id":25872,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17167\/revisions\/25872"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4364"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=17167"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=17167"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}