System challenges

The system challenge of falls prevention on our communities is illustrated below. This work describes the causes and effects of falls and how these interact with each other. The deep structure of the falls system map appears to be the de-conditioning loop. This describes the interactions that lead to people to spending time being inactive, which results in de-conditioning and increased frailty. This increases the risk of falling which continues the cycle of de-conditioning.

Various interactions can lead to increased risk of falling such as physical and mental health conditions, medication effects, home environment and the impact of nutrition and hydration.

The embedded Kumu map, below, is interactive:

• hover the mouse over an element of interest to see its immediate relationships
• left click and hold to refocus the map on that element
• to return to the wider map, left click and hold on any ‘white space’ in the map.

For greater interactivity and access to side panels containing additional information and links, follow the link under the embedded Kumu map (how do I read a systems map).

Falls Prevention systems challenges in Kumu

Logic model

This is a logic model of our theory-of-change for food insecurity related services provided by Local Authorities and non-governmental organisations. These services and the outcomes they are trying to achieve are illustrated here at a high level.

This work in progress identifies several key services and a wide range of sought after outcomes including positive environmental and economic outcomes.

This model suggests that there is an central management and engagement activity in the delivery of a wide range of deliverables.

The embedded Kumu map, below, is interactive. Hover the mouse over an element of interest to see its immediate relationships; left-click-and-hold to refocus the map on that element. To return to the wider map, left-click-and-hold on any ‘white space’ in the map. For greater interactivity and access to side panels containing additional information and links, follow the link under the embedded Kumu map (how do I read a logic model).

Falls Prevention logic model in Kumu

Triangle of need

The number of people across Our Dorset who are at risk of having a fall has not yet been represented by the Triangle of Need.

Evidence base

Desired system change

Status: This Panel has not yet articulated what system changes it is trying to effect.

Additional input: We welcome further input from Panel Members.

Key questions

Status: This Panel currently has no pending questions - see JSNA Process Flow Chart:

Additional input: We welcome further input — both from Panel and non-panel members.

Filling knowledge gaps