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A new way of working

We’re building partnerships at national and local health system level. This includes District Health Boards (DHBs), Primary Health Organisations (PHOs), non-Governmental Organisations (NGOs) and a shared commitment to develop innovative and improved services within the health system for older people.

We’re also working with new and existing providers to:

  • co-design and deliver new models of care
  • identify people at risk of a fall or fracture
  • target interventions that are know to have a significant impact in terms of future risk.

We’re creating and testing new funding approaches to redesign pathways for older people that reflect the whole patient journey, rather then individual episodes of care. And we’re measuring outcomes collectively.

In-home strength and balance programmes

Description

Clinician led strength and balance exercise targeted at highest risk population of people 75 years and over who can't attend group based community programmes.

Evidence of benefit

Reduced falls by 36 percent 1, 2.

Group based community strength and balance programmes

Description

Group based strength and balance exercise targeted at younger less frail population over 65 years and over.

Evidence of benefit

Reduced falls by 29 percent 3, 4.

Fracture Liaison Services (FLS)

Description

FLS is a capability where older people with a fragility fracture are identified, treated for osteoporosis, and referred to strength and balance programmes.

Evidence of benefit

Osteoporosis medication: 28% risk reduction for subsequent fractures in those identified with osteoporosis 5.

In-home strength and balance programmes

Description

Clinician led strength and balance exercise targeted at highest risk population of people 75 years and over who can't attend group based community programmes.

Evidence of benefit

Reduced falls by 36 percent 1, 2.

Group based community strength and balance programmes

Description

Group based strength and balance exercise targeted at younger less frail population over 65 years and over.

Evidence of benefit

Reduced falls by 29 percent 3, 4.

Fracture Liaison Services (FLS)

Description

FLS is a capability where older people with a fragility fracture are identified, treated for osteoporosis, and referred to strength and balance programmes.

Evidence of benefit

Osteoporosis medication: 28% risk reduction for subsequent fractures in those identified with osteoporosis 5.

1See http://www.hqsc.govt.nz/our-programmes/reducing-harm-from-falls/10-topics/topic-9/

2Gillespie LD, Robertson MC, Gillespie WJ et al. 2012. An intervention for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews (9): CD007146.

3See http://www.hqsc.govt.nz/our-programmes/reducing-harm-from-falls/10-topics/topic-9/

4Gillespie LD, Robertson MC, Gillespie WJ et al. 2012. Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews (9): CD007146.

5Harpreet S. Bawa, MD, Jack Weick, BS, and Douglas R. Dirschl, MD: Anti-Osteoporotic Therapy After Fragility Fracture Lowers Rate of Subsequent Fracture Analysis of a Large Population Sample. Journal of Bone and Joint Surgery, 2015.