FallNCT07818200
Developing Post-falls Management Principles in Care Homes
An observational study of Fall and Fall Accident, run by Nottingham University Hospitals NHS Trust at 1 site in United Kingdom.
Trial summary
Falls are common among older people living in care homes and can cause serious injuries. After a fall, older people require post-falls management. This involves timely risk assessment and immediate action to manage potential injuries and reduce risk of further falls. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Fall, Fall Accident
- How many people
- 138 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 28 Jun 2026to Aug 2028
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patient journey mapping: older people living in care homes who have experienced a fall Interviews: older people and relatives taking part in the patient journey mapping, care home and healthcare staff with experience of post-falls management in care homes. Delphi: care home and healthcare staff with experience of post-falls management in care homes.
Who may be able to join
- Patient journey mapping:
- Resident living in a care home in Nottinghamshire or Lincolnshire
- Aged 65 or over
- Has experienced a fall in the last six months
- Has not fallen within the last two weeks
- Is capable of providing written or verbal informed consent as assessed by the researcher in line with the Mental Capacity Act or has a diagnosis of dementia and has a personal or nominated consultee who can advise on the person's feelings and wishes
Show all 16Show fewer
- Interviews:
- Resident or relative of a resident taking part in the patient journey mapping
- Care home staff in England with experience of post falls management with older people in care homes
- Healthcare staff in England working in primary, community, emergency and acute settings with experience of post falls management with older people in care homes
- Ability to communicate verbally
- Delphi:
- Care home staff in any role or healthcare staff in any role working in a primary, community, emergency and acute settings
- Work in a care home or healthcare setting in England
- Has any previous experience in supporting older people immediately after a fall in a care home as part of their role
- Aged 18 years or over
Who cannot join
- Patient journey mapping:
- Outside of stated location
- Outside of stated age range
- No falls in the last six months
- Fallen within the last two weeks
- Unable to provide written or verbal informed consent and a personal or nominated consultee cannot be identified for residents with a diagnosis of dementia
Show all 18Show fewer
- Interviews:
- Residents or relatives who did not take part in the patient journey mapping
- Care home and healthcare staff outside of England
- Staff working outside of stated settings
- Care home and healthcare staff with no experience of post falls management with older people in care homes
- Residents who do not have mental capacity to provide informed consent (written or verbal) and do not have a personal consultee who can advise on the person's feelings or wishes.
- Unable to communicate verbally
- Delphi:
- Care home and healthcare staff working outside of England
- Staff working outside of stated settings
- No experience in supporting older people immediately after a fall in a care home as part of their role
- Under 18 years of age
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United Kingdom1 site, 1 recruiting
- Recruiting
Nottingham University Hospital NHS Trust
Nottingham
Fran Hallam-Bowles, 07595284862, nuhnt.postfalls@nhs.net
About this study
Official title: Development of Post-falls Management Principles for Older People in Care Homes
Falls are common among older people living in care homes and can cause serious injuries. After a fall, older people require post-falls management. This involves timely risk assessment and immediate action to manage potential injuries and reduce risk of further falls. Residents may need support from several organisations. However, coordinating post-falls management can be challenging. Organisations may have different ways of working. There may be differences in opinions about the best course of action. Care home residents, relatives, staff and health professionals have highlighted that post-falls management guidance is needed.
This research aims to develop principles for post-falls management for older people in care homes. The principles are intended to support a consistent approach and shared understanding across health and social care organisations. The first component (an online national survey) is already underway to map current post-falls management organisational processes for older people who fall in care homes and is not included in this protocol. This protocol includes the final three components of the research: 1) patient journey mapping to understand decision making process after a fall, 2) semi-structured interviews to explore different perspectives on factors affecting post falls decision-making and key areas for inclusion in the principles, and 3) an online modified Delphi to develop a consensus on key principles for consistent post-falls management in care homes. The research follows an implementation science approach and the Behaviour Change Wheel will be used to structure the work.
Read the detailed description
A mixed methods, sequential exploratory design will be used to co-develop principles. This study includes 3 components:
- Retrospective patient journey mapping
- Semi-structured interviews
- Online modified Delphi method using cross-sectional surveys at 3 time points.
- Conditions
- Fall, Fall Accident
- Keywords
- falls, post-falls management, care homes, long-term care
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| People receiving or supporting post falls management of older people in care homes in England | This includes older people aged 65 years and older living in care home settings, relatives of care home residents, care home and healthcare staff. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Identification of principles for consistent post-falls management with older people in care homes using the Behaviour Change Wheel.
Principles will be classified to the relevant level of the Behaviour Change Wheel: sources of behaviour, intervention functions, policy categories. The classification of principles will be recorded.
Measured: 18 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Sep 2026
- Study start28 Jun 2026
- Primary completionAug 2027 (estimated)
- Study completionAug 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for FallStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Other
- Enrolment
- 138 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Nottingham University Hospitals NHS Trust
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07818200
- Sponsor's protocol ID
- 26HC001
- Status last verified
- May 2026
- First submitted
- 8 Sep 2026
- Last updated
- 25 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Development of Post-falls Management Principles for Older People in Care Homes
- ClinicalTrials.gov ID
- NCT07818200
- Acronym / sponsor ID
- 26HC001
- Conditions
- Fall, Fall Accident
- Keywords
- falls, post-falls management, care homes, long-term care
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 138 participants (estimated)
- Lead sponsor
- Nottingham University Hospitals NHS TrustUniversity, hospital or other
- Study start
- 28 Jun 2026 (actual)
- Primary completion
- Aug 2027 (estimated)
- Study completion
- Aug 2028 (estimated)
- First posted
- 14 Sep 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Falls are common among older people living in care homes and can cause serious injuries. After a fall, older people require post-falls management. This involves timely risk assessment and immediate action to manage potential injuries and reduce risk of further falls. Residents may need support from several organisations. However, coordinating post-falls management can be challenging. Organisations may have different ways of working. There may be differences in opinions about the best course of action. Care home residents, relatives, staff and health professionals have highlighted that post-falls management guidance is needed.
This research aims to develop principles for post-falls management for older people in care homes. The principles are intended to support a consistent approach and shared understanding across health and social care organisations. The first component (an online national survey) is already underway to map current post-falls management organisational processes for older people who fall in care homes and is not included in this protocol. This protocol includes the final three components of the research: 1) patient journey mapping to understand decision making process after a fall, 2) semi-structured interviews to explore different perspectives on factors affecting post falls decision-making and key areas for inclusion in the principles, and 3) an online modified Delphi to develop a consensus on key principles for consistent post-falls management in care homes. The research follows an implementation science approach and the Behaviour Change Wheel will be used to structure the work.
Detailed description
A mixed methods, sequential exploratory design will be used to co-develop principles. This study includes 3 components:
- Retrospective patient journey mapping
- Semi-structured interviews
- Online modified Delphi method using cross-sectional surveys at 3 time points.
Study design
- Observational model
- Other
- Time perspective
- Other
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| People receiving or supporting post falls management of older people in care homes in England | – | –This includes older people aged 65 years and older living in care home settings, relatives of care home residents, care home and healthcare staff. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patient journey mapping: older people living in care homes who have experienced a fall Interviews: older people and relatives taking part in the patient journey mapping, care home and healthcare staff with experience of post-falls management in care homes. Delphi: care home and healthcare staff with experience of post-falls management in care homes.
Key inclusion criteria (16 listed)
- Resident living in a care home in Nottinghamshire or Lincolnshire
- Aged 65 or over
- Has experienced a fall in the last six months
- Has not fallen within the last two weeks
- Is capable of providing written or verbal informed consent as assessed by the researcher in line with the Mental Capacity Act or has a diagnosis of dementia and has a personal or nominated consultee who can advise on the person's feelings and wishes
Key exclusion criteria (18 listed)
- Outside of stated location
- Outside of stated age range
- No falls in the last six months
- Fallen within the last two weeks
- Unable to provide written or verbal informed consent and a personal or nominated consultee cannot be identified for residents with a diagnosis of dementia
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Identification of principles for consistent post-falls management with older people in care homes using the Behaviour Change Wheel.
Time frame: 18 months
Principles will be classified to the relevant level of the Behaviour Change Wheel: sources of behaviour, intervention functions, policy categories. The classification of principles will be recorded.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Sep 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Fall and Fall Accident, run by Nottingham University Hospitals NHS Trust at 1 site in United Kingdom.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 16 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 25 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Fran Hallam-Bowles (07595284862, nuhnt.postfalls@nhs.net), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Identification of principles for consistent post-falls management with older people in care homes using the Behaviour Change Wheel. (time frame: 18 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2026.