Integrating GaitSmart® into Primary Care: A Novel Approach to Falls Prevention

Introduction

Older adults with mobility impairment are at increased risk of falls, often accompanied by fear of falling, frailty, and reduced independence. Within Chiltern Hills Primary Care Network (PCN), a strategic priority is to support older patients with mobility difficulties to reduce falls risk, prevent frailty, and improve overall wellbeing. In 2024, we introduced the GaitSmart digital gait assessment solution to proactively identify and address mobility decline before falls occur or health significantly deteriorates.

Methods

One Care Coordinator was trained to deliver the GaitSmart programme, completing three hours of system training. Patients were identified using frailty flags within our clinical system, and invited to participate. Those who consented completed four gait assessments at four-week intervals.

At each assessment, wearable sensors were applied and patients undertook a 10-metre walk, using walking aids as required. Gait reports were reviewed with patients, highlighting changes over time. Individually tailored exercises were demonstrated and practised to ensure understanding. Reports were provided either in print or electronically. Each participant required approximately two hours of Care Coordinator time across the programme.

Results

To date, 171 patients have completed the programme, with a further 18 currently enrolled. Engagement was high, with 79% of participants demonstrating measurable improvement. Mean gait speed increased by 0.12 m/s.

Improvements in physical performance were accompanied by enhanced confidence and mental wellbeing. Patients reported feeling more in control of their mobility and more confident in carrying out activities of daily living. The programme also generated objective mobility data to support clinical monitoring and reporting.

Conclusions

GaitSmart has provided meaningful benefits for older patients within our PCN, improving mobility, confidence, and wellbeing. The programme was delivered effectively by a Care Coordinator, demonstrating a scalable and cost-effective approach to falls prevention in primary care.