Remote Otago Falls Prevention Exercise Programme (Falls prevention)

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City and Hackney CCG have commissioned a remotely delivered Falls Prevention programme that launched 1st Jan 2021.

Based on the internationally recognised Otago home-based strength and balance exercise programme we are trialling a novel way of delivering the programme to older people as an alternative to the traditional face to face setting. The Remote Otago programme consists of a small number of face to face visits to establish a baseline and complete risk assessments followed by a series of remote sessions delivered either via Zoom, over the phone or using a DVD with telephone support.

We are offering participants internet connection, DVD players and support with how to use IT so please don’t let the lack of resources or access to the internet deter you from making a referral.

Key outcomes of the Otago programme include a reduced risk of falls, increased strength and balance and reduced fear of falling. Patients will be supported to access community-based exercise provision following Otago.  

The programme is most effective in those who: 

  • Have fallen in the last 12 months
  • Are over 75 and/or transitioning to frailty
  • Are motivated to exercise at home
  • Are unable to attend community-based exercise classes. 

Eligibility criteria


  • Identified at risk of falls - with history of fall/s (injurious or non-injurious)
  • Over 75 (some exceptions will be allowed)
  • Fear of falling
  • Feeling unstable
  • Low bone density and / or family history of osteoporotic fracture.


  • Uncontrolled angina
  • Uncontrolled resting systolic blood pressure >180mmHg or resting diastolic blood  pressure >100mmHg  Uncontrolled tachycardia >100bpm
  • Uncontrolled acute systemic illness (cancer / pneumonia)
  • Uncontrolled visual or vestibular disturbance
  • Uncontrolled pain
  • Significant drop in blood pressure during exercise to below 100mmHg
  • Unstable or acute heart failure
  • Unable to maintain seated upright posture due to neurological deficits
  • Impaired cognition (to the extent of being unable to follow simple movement  instructions)
  • People who place themselves or others at risk
  • Participants who are unable to monitor or modify their exercise level or technique or follow advice.

How to refer

The following clinicians can refer to this service: GPs

Editable PDF / Word document Download Form

Referral methods: Email

Self referrals and professional referrals are accepted. Referral forms should be emailed to or posted to Unit W9, 8 Woodberry Down, London N4 2TG. Referrals will generally be acknowledged within two working days.