Breaking Through: Building Better Falls and Fracture Services in England – Report to the Minister of State for Care Services by Age UK and the National Osteoporosis Society – February 2012

Posted on February 29, 2012. Filed under: Aged Care / Geriatrics | Tags: , |

Breaking Through: Building Better Falls and Fracture Services in England – Report to the Minister of State for Care Services by Age UK and the National Osteoporosis Society  – February 2012

“Executive summary

Falls and fractures in older people are a costly and often preventable public health concern. Government has taken steps to try to mitigate their impact. The National Institute for Health and Clinical Excellence (NICE) has published clinical guidance on the assessment and prevention of falls; the primary and secondary prevention of osteoporotic fractures in post-menopausal women; and the management of patients with hip fracture. NICE is also developing a clinical guideline on the identification of people at risk of osteoporosis or fractures. The Government has published a Prevention Package for Older People: this contains template care pathways and health economic models to help Primary Care Trusts (PCTs) commission falls and fracture prevention services. Osteoporosis has been included in the Quality and Outcomes Framework (QOF). Fracture prevention is included in the 2011/12 NHS Operating Framework and fracture rehabilitation indicators have been incorporated in the 2012/13 NHS Outcomes Framework.

Yet evidence from national audits of falls and bone health show that the fundamental assessment and treatment of patients recommended by NICE is too frequently not delivered – in a way which would be intolerable in equally common and costly conditions such as heart disease or stroke.”

… continues on the site

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Fracture prevention services: An economic evaluation – UK Department of Health – November 2009

Posted on December 22, 2009. Filed under: Health Economics, Orthopaedics | Tags: , |

Fracture prevention services – An economic evaluation – UK Department of Health – November 2009

“This economic evaluation assesses the costs and benefits of services to reduce fractures among older people. Local communities can use this to develop their own proposals.

There is strong evidence about the impact and cost benefit arguments for fracture prevention interventions, based on systematic implementation of national guidance on secondary prevention of osteoporotic fractures and other interventions for a targeted at-risk population.

The following is a summary of the main findings of an economic model for the impact of a fracture liaison service, as described in the guide Falls and fractures: effective interventions in health and social care1.

In this model, over a 5 year period £290,708 is saved in NHS acute and community services and local authority social care costs, against an additional £234,181 revenue costs (falling both in year 1 and covering drug therapy for five years spent by the NHS on this patient cohort). This is for an annual patient cohort of 797 hip, humerus, spine and forearm fractures, anticipated from a 320,000 population.

At a national level, this equates to approximately £8.5 million saving over 5 years.”  … continues

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