To ask the Scottish Executive how many patients died in each of the last five years where a fall in hospital was a contributory factor, broken down by NHS board.
Data on deaths relating to falls in hospitals are not held centrally.
Information from death registrations can identify where a fall was involved, but it is not possible to accurately separate out whether or not falls took place in hospital. Table 1 shows number of deaths where a fall was the (main) underlying cause of death. Table 2 shows number of deaths where a fall was a contributory factor, but not the (main) underlying cause of death.
Table 1: Deaths where a Fall was the Underlying Cause of Death - Scotland, by NHS Board of Residence, 2002-06
| 2002 | 2003 | 2004 | 2005 | 2006 |
Scotland | 668 | 668 | 690 | 676 | 642 |
Ayrshire and Arran | 38 | 33 | 45 | 47 | 40 |
Borders | 28 | 28 | 27 | 15 | 20 |
Dumfries and Galloway | 24 | 29 | 23 | 25 | 15 |
Fife | 50 | 35 | 61 | 41 | 46 |
Forth Valley | 37 | 36 | 55 | 30 | 43 |
Grampian | 59 | 56 | 55 | 68 | 57 |
Greater Glasgow and Clyde | 166 | 159 | 138 | 136 | 139 |
Highland | 50 | 54 | 54 | 73 | 54 |
Lanarkshire | 58 | 83 | 60 | 71 | 60 |
Lothian | 95 | 89 | 98 | 108 | 96 |
Orkney | 1 | | 6 | 2 | 4 |
Shetland | 4 | 2 | 5 | 6 | 5 |
Tayside | 54 | 60 | 63 | 50 | 60 |
Western Isles | 4 | 4 | | 4 | 3 |
Table 2: Deaths where a Fall was a Contributory Event but not the Underlying Cause of Death “ Scotland, by NHS Board of Residence, 2002-06
| 2002 | 2003 | 2004 | 2005 | 2006 |
Scotland | 570 | 642 | 542 | 654 | 587 |
Ayrshire and Arran | 52 | 46 | 48 | 47 | 51 |
Borders | 15 | 25 | 20 | 20 | 16 |
Dumfries and Galloway | 14 | 20 | 18 | 23 | 19 |
Fife | 34 | 43 | 45 | 44 | 31 |
Forth Valley | 36 | 39 | 28 | 48 | 44 |
Grampian | 52 | 53 | 46 | 60 | 55 |
Greater Glasgow and Clyde | 128 | 121 | 104 | 123 | 131 |
Highland | 40 | 44 | 29 | 41 | 30 |
Lanarkshire | 56 | 62 | 50 | 84 | 55 |
Lothian | 98 | 128 | 90 | 114 | 97 |
Orkney | 0 | 0 | 5 | 2 | 5 |
Shetland | 2 | 2 | 1 | 1 | 0 |
Tayside | 40 | 56 | 56 | 43 | 51 |
Western Isles | 3 | 3 | 2 | 4 | 2 |
Source: General Register Office for Scotland.
Following the work of the Falls Prevention Group, the Scottish Government published guidance earlier this year for health boards, community health partnerships and others on actions to prevent falls by older people and improve bone health. The guidance is available on the Scottish Government website at http://www.scotland.gov.uk/Topics/Health/care/OlderPeopleCare/fallsgroup.
Research evidence indicates that up to 30% of falls amongst community-based older people could be prevented through comprehensive multidisciplinary assessment.