How to refer patients in Adur & Worthing

AHS Wellbeing have been appointed to manage the new Falls Prevention Programme service on behalf of Adur & Worthing Councils.

Commencing in December 2019 the community-based referral programme will be targeted at people identified to have a mild to moderate level of frailty, but are below the level of need for specialist care.

The referral-based programme will consist of funded strength and balance training delivered over 24 weeks via 1-2-1 Appointments and Group Classes across Adur and Worthing, commencing in December 2019.

NICE compliant and based on the LLT/ProFane model, the programme is managed by AHS Wellbeing on behalf of Adur & Worthing Councils to deliver their strength & balance programme called the Wellbalanced Programme.

Here are some commonly asked questions to provide you with further information on our programme:

Who can attend the Wellbalanced Classes?

The programme is for patients who….

  • Have been referred by a health professional or falls service
  • Feel unsteady on their feet
  • Want to prevent a fall
  • Can rise from a chair without help

Medical Exclusions

  • Unstable angina or uncontrolled heart disease
  • Tachycardia or uncontrolled arrhythmia
  • Resting systolic BP>200mmHg or diastolic BP >110mmHg
  • Severe Parkinson’s disease
  • Severe breathlessness or dizziness
  • Uncontrolled or poorly controlled epilepsy
  • Uncontrolled or poorly controlled asthma / COPD
  • Unmanaged pain
  • Acute systemic illness (e.g. cancers)
  • Severe Visual Impairment (under investigation)
  • Any other uncontrolled condition
  • Four or more medications not checked by GP >6mths

Functional Exclusions

  • Functional limiting diseases: such as severe stroke
  • Cognition: Dementia, Alzheimer’s or severe cognitive impairment (unable to follow simple instructions)
  • Sit to Stand: Patient is unable to rise from a chair independently, without assistance and stand unaided
  • Mobility: Patient is unable to mobilise independently.
  • Patient is immobile or walks with an aid and the support of two Carers

If any of the above apply, your patient is NOT suitable for this programme at this time. It is advisable to refer your patient to another service.

How do I refer a Patient?

Wellbalanced is a referral-only programme. Patients can be referred using the following form:

AHS WELLBALANCED STRENGTH & BALANCE PROGRAMME REFERRAL FORM

Referrals are triaged for the most appropriate level of the programme.  For further information please call 01444 657099.

How often do the classes take place?

The classes are held once per week and, once referred, participants will be able to attend 1 class per week for 24 weeks.

For 1-2-1 Appointments a programme of home visits will be agreed with the participant. A minimum of 8 instructor visits will be carried out in a 24-week period. The participant will be asked to carry out a programme of exercises throughout the time in between appointments.

Where and when do the classes take place?

The programme will launch in December 2019, details to follow.

How much does each session cost?

Each session costs 50p.

What qualifications do class instructors hold?

Our classes are delivered by Postural Stability Instructors (PSI) supported by an assistant who has a minimum Otago training qualification.  There are a minimum 2 instructors per class.

Do you provide transport?

There is a range of accessible community transport available, please click here for details.

How is the programme evaluated?

Participants are assessed at week 1, 12 and 24 using the following methods;

Results are evaluated quarterly in conjunction with the Adur & Worthing Wellbeing Team.

What happens at the end of the 24-week programme?

We encourage participants to keep exercising and will advise them of suitable follow on classes they can attend.

Where can I find out more about Falls Prevention?

Here some links to useful resources:

NICE

Later Life Research Papers

Otago Exercise Manual

Please contact us for further information.