Working together to prevent falls and fractures

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Multiple people exercising in the gym 

Text appear: “Working together to improve falls and fracture service outcomes for older people.” 

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Professor Matthew Parsons – “We expected life expectancy to plateau about 10 to 20 years ago.”

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Professor Matthew Parsons in an office setting 

Text appear: “Professional Matthew Parsons” – “Clinical Chair in Gerontology” – University of Auckland” 

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Professor Matthew Parsons – “It hasn’t, it’s continuing to go up, every day we live a little longer, that’s important, it must be celebrated. However, old age also has some challenges. One of them is obviously falls.”

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Man, with a walking stroller walking with another man on the street 

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Narrator - “For ACC, falls are the most significant and costly cause of injury for those over the age of 65. We know that a fall can mean loss of confidence and potentially a loss of independence. For some people it can be catastrophic.” 

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Professor Matthew Parsons in an office 

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Professor Matthew Parsons – “Around 30% of people over the age of 65 fall over at least once a year. As you grow older – over 75, this doubles to 60%. So, given that we’ve got a significant increase if the number of people over the next 20 years”

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Woman walking a dog in the park 

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Professor Matthew Parsons – “and particularly a tripling in the numbers of people over 75, that begins to have an impact.”

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Woman playing with the dog at a park with another woman 

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Narrator – “Unless we do something to support people to live well in their own homes and remain physically active, the demands on the health system including ACC, will be significant.” 

Text appear: “The lifetime costs of falls for people over 65 years, to ACC, are $556m” 

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Group of people stretching whilst sitting on the chair 

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Narrator – “The fall and fracture system is where all parties focus on a common agenda, reducing falls and fractures and their impact.”

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Instructors instructing people on some rehab exercises 

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Narrator – “It’s where we all carry out mutually reinforcing activities that bring together, or integrate primary prevention, secondary prevention and rehabilitation and measure the outcomes collectively. That’s what’s going to make a real difference for older New Zealanders.” 

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Group of people stretching whilst sitting on the chair 

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Nan Robinson - “We’re trained in what to do.”

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Nan Robinson sitting on a kitchen setting 

Text appear: “Nan Robinson” – “Community Strength and Balance” – “Peer leader – Katikati” 

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Nan Robinson – “What are the dangers that are there for you and how you can counteract them” 

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Group of people stretching whilst sitting on the chair

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Nan Robinson – “and become aware of them and get confidence,” 

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Woman coming out of her house into the front lawn 

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Nan Robinson – “so whatever you do you are in control.” 

Text appear: “In the next 3-4 years investment in the falls programme will prevent” – “7,163 falls” – “2,966 fractures” – “89 deaths”

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Professor Matthew Parsons in an office 

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Professor Matthew Parsons – “To stop people falling over or to reduce the risk of people falling over in later life needs not just one discipline, not just one person, but a community and a range of health services. It’s complex and it needs to be complex in order to be successful.” 

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Dr Phil Wood in a park setting 

Text appear: “Dr Phil Wood” – “Chief Advisor – Health of Older People Ministry of Health” – “Senior Clinical Advisor – Older Persons Health Waikato DHB” 

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Dr Phil Wood – “We need to share the models of care so there is consistency of quality and that makes it easy for clinicians to do the right thing. We need to be prepared to share information better and learn from that.” 

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Dr Shankar Sankaran in a gym setting 

Text appear: “Dr Shankar Sankaran” – “Consultant Geriatrician – Clinical Leader” – “Whole of Systems – Health for Older People” – “Middlemore Hospital” 

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Dr Shankar Sankaran – “As clinicians, what we need to do is drive this programme. We need to work in partnership with the management team to get these programmes underway.” 

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Benedict Hefford in an office setting  

Text appear: “Benedict Hefford” – “Director Primary & Community Services” – “Counties Manukau Health” 

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Benedict Hefford – “If we join forces we can reach more of those older people sooner to prevent some of those catastrophic events and help them stay well at home. We can definitely go further, faster together.” 

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Carolyn Gullery sitting in an office 

Text appear: “National DHB Planning and Funding – Chair” – “General Manager Planning” – “Funding and Decision support” – “Canterbury Clinical Network”

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Carolyn Gullery – “And it makes a difference not only for our old people, but it uses our resources in the health system much better and it also makes a big difference for society.” 

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Logos of ACC, live strong for longer, approved strength and balance performance, ministry of health and heath quality & safety commission New Zealand appear. 

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