Prevention of Ill Health in Older People 2013

UPDATE - Falls Prevention Chapter Refresh

This chapter is a refresh of the falls prevention chapter within the JSNA ‘Prevention of Ill Health in Older People’, 2013, which built on the information published in the JSNA ‘Older People including Dementia’, 2010. The 2013 chapter included a review of the evidence base for falls prevention, leading to a strengthening of recommendations for reducing falls, falls related injuries and concomitant health and social care costs.

This refresh provides updated data, and increased detail on guidance for prevention pathways, and mapping of current local assets, to inform local service and pathway development.

Falls Prevention - Chapter Refresh December 2014 (426.99 KB)



The purpose of this JSNA is to bring together information to inform how cross-sector partners and local communities can best work together to prevent ill health and achieve priority two of the Cambridgeshire Health and Wellbeing Strategy, 2012-2017: 'support our older people to be independent, safe and well'.
In Cambridgeshire in 2011, there were 101,400 people aged 65 or over.   People in Cambridgeshire are living longer and the number of people over 65 is set to grow by approximately 19% in the next four years and 33% in the next nine years.  Preventative approaches are important to ensure older people remain healthy and independent in the community for longer, and to reduce the unsustainable cost of health and social care services for this growing population.  This report aims to inform local discussions to help shape the planning and commissioning of preventative services.

The Prevention of Ill Health in Older People JSNA has been developed to complement and build on the JSNAs for Older People produced in 2008 and 2010 and the Older People Financial Services Review (2012), as well as specific JSNAs on prevention, housing, physical impairments and long term conditions.   The Older People JSNA steering group agreed this JSNA would initially focus on secondary and tertiary prevention approaches for older people with a view to updating information on primary prevention approaches in future JSNA phases.

This report therefore reviews early interventions which can enable older people to remain well and live independently at home, or in a community setting where appropriate, and prevent or reduce unnecessary hospital admissions.


Priority Needs

The group identified five priority areas to review which are important for the prevention of ill health in older people of Cambridgeshire:

  • Integrated care and joined-up working to provide person-centred care and sharing of information.
  • Identification of frail older people and those at risk of avoidable hospitalisation, and targeted multi-disciplinary interventions to provide support and prevent crisis eg active case management, rehabilitation and falls prevention.
  • Early interventions to prevent or treat mental health problems in older people and initiatives to support and enhance mental wellbeing, including tackling social isolation and loneliness.
  • Housing and social care support services tailored to the individual needs of older people.
  • Community support and information, including the supportive roles of voluntary organisations and informal carers.

This JSNA has been produced in collaboration with key stakeholders, local voluntary organisations and the Older People’s Partnership Board.  The report presents views from our local communities collected from the Ageing Well Consultation (2011) and the draft Cambridgeshire Health and Wellbeing Strategy consultation (2012).  It also informs the future planning of a number of key community engagement events including focus groups, to seek the views of local older people and community groups to ensure our assessments, services and interventions are responsive to local needs.