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In an effort to understand how Christian nationalists deal with a very frightening and insecure time, my wife and I sat in on a Call 2 Fall service at a full gospel church in the DC suburbs of Northern Virginia.
Cascade approach to sampling, followed by telephone survey with senior member of the fall service.
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Given current uncertainties in the evidence base[ 13, 14], we suggest that future refinements to fall services should be underpinned by randomised evaluations to determine effectiveness and cost-effectiveness of competing service delivery models.
The next stage of the patient's journey through the health service following their initial Falls service appointment is noted from Falls service reports.
We are purposively sampling 20 participants in each site attended by intervention paramedics following a fall, to include patients transferred to the ED, patients referred to the falls service and patients neither transferred or referred.
In addition, we recruited users of a post-fall service provided by the National Health Service (NHS) as they tend to represent frailer older people who have experienced an injurious fall requiring medical treatment.
In conclusion there is a need to improve falls service provision[ 16].
There is a need to improve the quality and reach of falls service provision in the UK.
The main finding of this survey is that multi-factorial assessment and intervention is the most common form of NHS falls service.
All participants stated that handover should include consultants, the middle grade in charge, junior doctors, nurse in charge, admissions ward physician, occupational therapists and elderly falls service.
Patients are eligible for the trial if they are aged 65 or over; resident in a participating falls service catchment area; and attended by a trial paramedic following an emergency call coded as a fall without priority symptoms.
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