{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:24:40Z","timestamp":1791822280260,"version":"4.3.4"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The new National Institute for Health and Care Excellence (NICE) Falls Guideline (NG249) updates CG161 (2013). NG249 aims to reduce the risk and incidence of falls, associated clinical consequences and loss of confidence or independence. The scope has expanded to include people aged 50\u201364 at higher risk of falls, identified by their medical condition and people in hospital or residential care. The intended audience includes health, social care and local authority commissioners and practitioners, care home providers and people at risk of falls. The Quality Standards (QS86) have been updated and simplified. The 39 recommendations on identifying people at risk, comprehensive falls risks assessment, interventions, maximising participation, information and education, are intended to be feasible and cost-effective in the UK national health and care system. Risk assessment tools are not recommended in any setting; however, a welcome change is tiered intervention responses dependent on initial risk assessment, which roughly aligns to the World Falls Guidelines. Will NG249 generate new actions to reduce population falls rates? Two aspects suggest perhaps not. The general description of recommended exercise is not strengthened with details on dose and lacks a clear statement discouraging low intensity\/untargeted exercise; such programmes are likely more prevalent than those based on level one evidence. Linked to this, the guidance statement that most recommendations, including exercise, have no cost implications as they reflect current practice is highly contestable. With no reliable audit data and much anecdotal evidence to refute it, the danger is that commissioners and funders will see no case for review or reinvestment. An opportunity lost?<\/jats:p>","DOI":"10.1093\/ageing\/afaf322","type":"journal-article","created":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T05:46:37Z","timestamp":1762667197000},"source":"Crossref","is-referenced-by-count":2,"title":["Commentary on NICE guidance 249\u2014falls: assessment and prevention in older people and in people 50 and over at higher risk"],"prefix":"10.1093","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7133-0478","authenticated-orcid":false,"given":"Sara","family":"Vandervelde","sequence":"first","affiliation":[{"name":"KU Leuven , Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, Centre of Expertise for Falls and Fracture Prevention Flanders, Kapucijnenvoer 7 bus 7001, Leuven, 3000,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6223-9840","authenticated-orcid":false,"given":"Dawn A","family":"Skelton","sequence":"additional","affiliation":[{"name":"School of Health and Life Sciences, Glasgow Caledonian University - Research Centre for Health , Cowcaddens Road, Glasgow G4 0BA ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9230-1246","authenticated-orcid":false,"given":"Koen","family":"Milisen","sequence":"additional","affiliation":[{"name":"KU Leuven , Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, Centre of Expertise for Falls and Fracture Prevention Flanders, Kapucijnenvoer 7 bus 7001, Leuven, 3000,","place":["Belgium"]},{"name":"Division of Geriatric Medicine , University Hospitals of Leuven,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Treml","sequence":"additional","affiliation":[{"name":"Department of Healthcare for Older People, Queen Elizabeth Hospital Birmingham , Birmingham ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6911-3498","authenticated-orcid":false,"given":"Finbarr C","family":"Martin","sequence":"additional","affiliation":[{"name":"King's College London Faculty of Life Sciences & Medicine - Population Health Sciences , Addison House, Guy's Campus \u00a0","place":["Newcommen Street, London, SE1 1UL, UK"]},{"name":"Guy's and St Thomas' Hospitals NHS Trust - Ageing and Health , Westminster Bridge Road, London SE1 7EH ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,11,6]]},"reference":[{"key":"2025110900463174300_ref1","volume-title":"Falls: Assessment and Prevention in Older People and in People 50 and over at Higher Risk. NG249","author":"National Institute for Health and Care Excellence (NICE)","year":"2025"},{"key":"2025110900463174300_ref2","volume-title":"Falls: Assessment and Prevention of Falls in Older People. CG161","author":"National Institute for Health and Care Excellence (NICE)","year":"2013"},{"key":"2025110900463174300_ref3","doi-asserted-by":"publisher","first-page":"afaf157","DOI":"10.1093\/ageing\/afaf157","article-title":"Epidemiology of falls in community-dwelling older adults in Europe: a systematic review and meta-analysis","volume":"54","author":"Rommers","year":"2025","journal-title":"Age Ageing"},{"key":"2025110900463174300_ref4","doi-asserted-by":"publisher","first-page":"afac205","DOI":"10.1093\/ageing\/afac205","article-title":"Task force on global guidelines for falls in older adults. World guidelines for falls prevention and management for older adults: a global initiative","volume":"51","author":"Montero-Odasso","year":"2022","journal-title":"Age Ageing"},{"key":"2025110900463174300_ref5","doi-asserted-by":"publisher","first-page":"afad129","DOI":"10.1093\/ageing\/afad129","article-title":"The use of the world guidelines for falls prevention and Management\u2019s risk stratification algorithm in predicting falls in the Irish longitudinal study on ageing (TILDA)","volume":"52","author":"Hartley","year":"2023","journal-title":"Age Ageing"},{"key":"2025110900463174300_ref6","doi-asserted-by":"publisher","first-page":"CD012424","DOI":"10.1002\/14651858.CD012424.pub2","article-title":"Exercise for preventing falls in older people living in the community","volume":"2019","author":"Sherrington","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"2025110900463174300_ref7","doi-asserted-by":"publisher","first-page":"afae104","DOI":"10.1093\/ageing\/afae104","article-title":"Effectiveness of dance interventions for falls prevention in older adults: systematic review and meta-analysis","volume":"53","author":"Lazo Green","year":"2024","journal-title":"Age Ageing"},{"key":"2025110900463174300_ref8","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1186\/s13012-022-01257-w","article-title":"Strategies to implement multifactorial falls prevention interventions in community-dwelling older persons: a systematic review","volume":"18","author":"Vandervelde","year":"2023","journal-title":"Implement Sci"},{"key":"2025110900463174300_ref9","doi-asserted-by":"publisher","first-page":"afae123","DOI":"10.1093\/ageing\/afae123","article-title":"Determinants influencing the implementation of multifactorial falls risk assessment and multidomain interventions in community- dwelling older people: a systematic review","volume":"53","author":"Vandervelde","year":"2024","journal-title":"Age Ageing"},{"key":"2025110900463174300_ref10","volume-title":"Falls: Applying all our Health","author":"Office for Health Improvement & Disparities","year":"2022"},{"key":"2025110900463174300_ref11","volume-title":"Providing Proactive Care for People Living in Care Homes \u2013 Enhanced Health in Care Homes Framework","author":"NHS England","year":"2023"},{"key":"2025110900463174300_ref12","volume-title":"Don\u2019t Stop Moving: Optimising Safety while Staying Active in Hospital. The 2024 National Audit of Inpatient Falls (NAIF) Report on 2023 Clinical Data","author":"Royal College of Physicians","year":"2024"}],"container-title":["Age and Ageing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/54\/11\/afaf322\/65235052\/afaf322.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/54\/11\/afaf322\/65235052\/afaf322.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T05:46:39Z","timestamp":1762667199000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ageing\/article\/doi\/10.1093\/ageing\/afaf322\/8315878"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,30]]},"references-count":12,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,10,30]]}},"URL":"https:\/\/doi.org\/10.1093\/ageing\/afaf322","relation":{},"ISSN":["0002-0729","1468-2834"],"issn-type":[{"value":"0002-0729","type":"print"},{"value":"1468-2834","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,11]]},"published":{"date-parts":[[2025,10,30]]},"article-number":"afaf322"}}