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Sheffield Memory Service & Geriatric Care Dr Pravin Jha · Consultant Geriatrician & Memory Specialist
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Falls and mobility

Falls assessment in Sheffield

Falls in older adults are common, but they are not a normal part of ageing. They usually have causes that can be found and treated: balance problems, medicines, blood pressure, heart rhythm or other medical conditions. I’m Dr Pravin Jha, a consultant geriatrician. I find out why falls are happening and put a plan in place to prevent the next one. No GP referral is needed, and I can usually see you within 24–48 hours. A new clinic consultation is £400, including a written report.

Why falls matter

Why falls matter

Falls are one of the most common reasons older adults lose independence. Even one fall can lead to injury, loss of confidence and fear of walking.

Many people become less active after a fall. That leads to weakness and more falls. Early assessment breaks this cycle.

The facts

  • About 1 in 3 people over 65 fall each year
  • Falls can cause fractures, head injury and hospital admission
  • Recurrent falls usually have treatable causes

Causes

What are the common causes of falls?

Falls are rarely “just ageing”. They are usually caused by several things together: dizziness and balance problems, medicine side effects, drops in blood pressure, muscle weakness, poor eyesight, and conditions such as Parkinson’s disease, arthritis or memory problems.

  • Balance, strength and walking
  • Medicines and side effects
  • Blood pressure and heart rhythm
  • Dizziness and blackouts
  • Memory, attention and judgement
  • Parkinson’s disease and other neurological conditions
  • Bone strength and fracture risk
  • Hazards at home and footwear

When to seek help

When to seek specialist help for falls

Seek an assessment if:

  • you have had more than one fall
  • the cause of a fall is unclear
  • a fall came with dizziness or a blackout
  • you were injured or hit your head
  • your walking or confidence has got worse

Get urgent help

If a fall comes with sudden weakness, speech difficulty, a severe head injury or chest pain, call 999. After a head injury, anyone taking blood-thinning medicines should be checked urgently the same day.

A structured process

What a falls assessment involves

  1. Detailed clinical assessment

    • full history of each fall: circumstances and triggers
    • medicines review
    • heart, blood pressure and neurological examination
  2. Balance and mobility

    • how you walk and turn
    • strength, balance and everyday function
  3. Memory and thinking, if needed

    Changes in memory or attention can contribute to falls.

  4. Targeted tests

    • blood tests
    • ECG or heart rhythm monitoring
    • scans, if required
  5. What you get

    • a clear explanation of why falls are happening
    • a personalised plan to reduce future risk
    • changes to medicines where helpful
    • advice on mobility, safety and independence

Independence

How falls affect independence

Many people limit walking or avoid going out after a fall. This leads to reduced mobility, isolation and further loss of strength and balance. Early assessment is about preventing injury, and also about keeping independence and quality of life.

Can falls be prevented?

Yes. Most falls can be reduced by finding and treating the underlying causes: adjusting medicines, improving strength and balance, managing blood pressure, protecting bones and treating medical conditions.

Questions about falls

How do I book a falls assessment?

Use the booking form or call. You can also book clinic appointments directly with Spire Claremont, Circle Thornbury or LivingCare. A GP referral can help but is not required.

How quickly can I be seen privately?

Usually within 24–48 hours for a clinic appointment, and often the same day for a home visit.

Are falls a normal part of ageing?

No. Falls are common, but they usually point to an underlying problem that should be assessed.

What is the most common cause of falls in older adults?

Most falls come from a combination of balance problems, medicines and blood pressure changes, rather than one cause.

When should I worry about a fall?

Seek an assessment if falls keep happening, are unexplained, or come with dizziness or a blackout.

Can falls be prevented?

Yes. Identifying and treating the underlying causes can substantially reduce future falls.

How much does a falls assessment cost?

A new clinic consultation is £400 for 60 minutes. A new home visit is £500 for 60 minutes plus travel. Both include a report to your GP.

Do you offer home visits in Sheffield?

Yes. Seeing someone at home also shows me the practical risks, such as stairs, lighting and rugs.

Appointments

Book a falls assessment

Most people are seen within 24–48 hours, and home visits can often be arranged the same day. Choose the place that suits you, or send the booking form and I’ll arrange it.

  • Home visits

    Within 50 miles of Sheffield, often the same day.

    New visit £500 (60 minutes). Travel included up to 10 miles.

    About home visits

  • Video consultations

    By secure video link, UK-wide.

    New consultation £300 (30 minutes). Includes a written report to you and your GP.

    About video consultations

Sources and further reading

Written and reviewed by Dr Pravin Jha, Consultant Geriatrician & Memory Specialist. Last reviewed: September 2026.