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Falls  

  • Falls represent a significant public health challenge, with incidence increasing by 2% each year. [1] Falls worsen long-term outcomes and are a major precipitant of people moving from their own home to long-term residential or nursing care. Lacking physical ability or confidence to leave their homes can lead to patients becoming at risk of social isolation. [2] Falls are very costly to health and social services.
  • After adjusting for age, the rate of emergency admissions for injuries due to falls in people 65 years of age or older is significantly higher in Gateshead than in England overall.   [Chart - Injuries due to falls]. [3]  It is predicted that there will be a 37% increase to 14,065 in the number of people aged 65+ affected by falls between 2017 and 2035. It is also predicted that there will be a 42% increase to 1,149 in the number aged 65+ admitted to hospital as a result of falls between 2017 and 2035. [4]
  • The rate of hip fractures in people 65 years of age or older is similar to the England average; there were 251 admissions for hip fracture in this age group in 2015/16. [Chart - Hip fracture hospital admissions]. [3] For every 100 emergency hospital admissions due to hip fracture that would be expected (based on the England average), there are 201 in Bridges ward, and 165 in Birtley ward, which is significantly higher than Gateshead's ratio of 116 to 100 that would be expected [Map - Ward hip fracture emergency hospital admissions]. [5] After a hip fracture, more than 30% of older people die within a year, 20% enter a care home, and only 46% return to their usual residence or previous level of independence.Hip fractures 65+
  • It is thought that one third of falls can be prevented. [1] Poor housing can lead to serious falls; Gateshead has a higher than average proportion of private rented dwellings and there remains a high level of poor housing in the private sector – see the section on Housing. Simple repairs or adaptations to dwellings can significantly reduce the risk of falls in the home as was found in the Gateshead Housing and Falling Prevention project, which identified housing that was increasing the risk of falls and provided remediation.
  • In 2015/16 502 people (0.3%) aged 50+ in Newcastle and Gateshead CCG area had osteoporosis. This is the same as the England average [Chart - Prevalence of osteoporosis aged 50+] [6]

    Injuries

  • In 2015/16 there were 429 hospital admissions caused by unintentional and deliberate injuries in children (aged 0-14). As a rate there were 129.6 per 10,000 which is significantly higher than the England average of 104.2 and has remained consistently higher in recent years [Chart - Hospital admissions caused by injuries in children aged 0-14]. However, Gateshead's rate is significantly lower than the North East average of 148.8. [7]
  • For childen aged under 5 there were 179 hospital admissions caused by unintentional and deliberate injuries. As a rate this equates to 154.9 per 10,000 which is significantly higher than the England average, but the rate has been reducing in recent years and the gap to England has narrowed [Chart - Hospital admissions caused by injuries in children aged 0-4] [7] 

    The wards with the highest rates are Blaydon, Chowdene, Winlaton & High Spen, and Windy Nook & Whitehills - all of which are significantly higher than the Gateshead average [Map - Ward hospital admissions caused by injuries in children aged 0-4]. [8]


     

    [1] Gateshead Falls Prevention Strategy and Action Plan, October 2013

    [2] Falls Prevention Scheme Evaluation

    [3] HES/ONS, 2015/16 (PHOF website)

    [4] Projecting Older People Population Information System 2014 based population projections for 2017 estimate (POPPI website)

    [5] Hospital Episode Statistics, HSCIC 2010/11-14/15 (Local Health website)

    [6] Osteoporosis QOF Prevalence, 2015/16 (Disease and risk factor prevalence website)

    [7] Hospital Episode Statistics, HSCIC, 2015/16 (Children and Young People's Benchmarking Tool website)

    [8] Hospital Episode Statistics, HSCIC, 2012/13 - 2014/15 (Local Health website)