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Auckland DHB Falls Prevention Strength and Balance Programme (In-home)

Public Service


This programme is offered in partnership with ACC and is delivered by our community physiotherapy service. It is based on the Otago Exercise Programme, which has been shown in trials to reduce falls in older adults by over a third.

Referral Expectations

Inclusion criteria

  • Maori and Pacific Island people aged 65 years and over, and all aged 75 years and over living in the community (not in residential care or hospital) who respond positively to any one the following:

           - Have you slipped, tripped or fallen in the past year?

           - Do you have to use your hands to get out of a chair?

           - Have you avoided some activities because you are afraid you might lose your balance?


  • Cognitive ability to participate in a strength and balance programme (can be with family/carer support to practise exercises)
  • The individual must be motivated and willing to participate in a strength and balance programme and consent to a referral.
  • Too frail to access a community group programme safely usually indicated by:

            - Use of a walking aid indoors and/or

            - Receiving a personal care package and/or

            - Transitioning from a community based hospital discharge programme.


Exclusion criteria

  • Wheelchair or bed bound
  • Receiving end of life care or has a terminal illness (<12 months)
  • New complex frailty issues that require addressing by GP and/or DHB funded services prior to commencing a programme.


Please specify "Falls: Strength and Balance" in 'Reason/Provisional Diagnosis' heading of eReferrals (Community Allied Health, Physiotherapy, or Older Adults Health) or on paper referrals for those not yet using eReferrals.

A falls prevention pathway including referral criteria is now available on the Auckland Regional Health Pathways

Contact Details

This page was last updated at 9:39AM on October 14, 2019. This information is reviewed and edited by Auckland DHB Falls Prevention Strength and Balance Programme (In-home).