AIM: To co-produce a novel model for implementation of falls management for older people living in care homes

SECONDARY OBJECTIVES

Component One Objectives:

Primary :To co-produce a novel model for the implementation of falls management in care homes Secondary

• To facilitate a series of co-production workshops with representation of key stakeholders
• To co-produce a novel implementation model for falls management
• To co-produce an outcomes framework to evaluate the implementation model
• To explore the feasibility of delivering the model and using the outcomes framework across Nottingham and Nottinghamshire Integrated Care Systems (ICSs)

Component Two Objectives:

• To evaluate how and the extent to which co-production occurs during the process of developing a novel model and an outcomes framework for the implementation for falls management in care homes
• To reflect on challenges and facilitators of using co-production approaches in this context
• To evaluate how care home residents can be supported to voice their priorities within the process.

Component One: Co-production of the implementation model and outcomes framework A series of co-production workshops will be undertaken using a systemic action research methodology to develop and explore the feasibility of a novel implementation model and outcomes framework. This will involve three small workshop groups consisting of residents and relatives, care home staff only, and representatives from ICS partner organisations. All participants will be invited to attend a multi-stakeholder workshop in the later stages of the process to share ideas. Data collected for component one will be collected by the PI and PhD student. The novel model will be co-produced as part of this project but may include activities such as a care home audit programme, a reporting process, training and education and a community of practice. Following co-production of the model it will be delivered across Nottinghamshire ICB and refined in line with the systemic action research process.

Component Two: Evaluating the co-production process A process evaluation will be undertaken to explore how and the extent to which co-production occurs in component one, including reflection on challenges and facilitators, and how resident involvement is supported. Data collected for component two will be collected by the PhD student.

Inclusion Criteria:

- Key stakeholders within an ICS system including: carers, registered health professionals, managers and owners/executives from care homes commissioners, health care professionals and regulators involved in care home and falls management pathways, residents living in care homes relatives of residents living in care homes

• 18 years and over (no upper age limit)
• Any member of staff working in the 10 case study care homes in Nottinghamshire

Exclusion Criteria:

• Unable to read and understand written English
• Lack of capacity to give informed consent

Care home staff, residents and ICS stakeholders

Due to the small number of participants