Sue Robb of 4Children talks to Julie Laughton and Alison Britton from the Department for Education about the role of childminders in delivering the 30 hours free entitlement.
Elderly falls set to cause 1,000 admissions a day
The Local Government Association (LGA) has warned that the number of hospital admissions due to an older person falling is set to rise to nearly 1,000 a day by the end of the decade.
There were 316,669 hospital admissions of people aged 65 and over due to falling in England last year, amounting to two thirds of all fall-related admissions. Falls have a significant impact on older people, possible leading to considerable distress, pain, injury, loss of confidence, loss of independence and even death.
Prompting renewed calls by council leaders for more funding for adult social care to invest in cost-effective prevention work to reduce falls, the research shows that falls prevention programmes run by councils reduce the number of falls requiring hospital admission by 29 per cent and produce a financial return on investment of more than £3 for every £1 spent.
The association says that extra council funding would help the NHS by reducing the need for people to be admitted to hospital after a fall and cut costs to the public purse, with current costs believed to be draining over £2 billion a year of NHS budgets. The LGA is therefore urging for the government to put adult social care on equal footing to the NHS.
Izzi Seccombe, chairman of the LGA’s Community Wellbeing Board, said: “Council-run fall prevention schemes, such as home assessment and modification programmes, have shown to significantly reduce the number of falls requiring hospital admission and to offer a good return on investment, saving money from the public purse. But some councils are being forced to stop such fall prevention services due to funding reductions, which has seen spending on prevention work from adult social care budgets reduced by more than £60 million in the past year.
“To reduce demand and cost pressures on the NHS, the government needs to switch its focus from reducing delayed discharges from hospital to preventing admissions in the first place and put adult social care and the NHS on an equal footing. Older people may be at a greater risk of falling but in many cases falls can be prevented by making a few simple changes either to a person’s lifestyle or in the home. This could be anything from having regular eye tests, checking a rug is fitted correctly, replacing a pair of worn out slippers or doing moderate exercise. Councils want to raise awareness of these straightforward prevention tips to help reduce trips and falls, including while at home, and the unwanted consequence of ending up in a hospital bed.”