{"id":7381,"date":"2026-09-15T14:36:29","date_gmt":"2026-09-15T14:36:29","guid":{"rendered":"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/?p=7381"},"modified":"2026-09-15T14:38:39","modified_gmt":"2026-09-15T14:38:39","slug":"should-an-older-person-go-to-hospital-after-a-fall","status":"publish","type":"post","link":"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/should-an-older-person-go-to-hospital-after-a-fall\/","title":{"rendered":"Should an older person go to hospital after a fall?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"7381\" class=\"elementor elementor-7381\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2607b910 e-flex e-con-boxed e-con e-parent\" data-id=\"2607b910\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d2e8bff elementor-widget elementor-widget-text-editor\" data-id=\"d2e8bff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h1><b>Should an older person go to hospital after a fall?<\/b><\/h1>\n<p><\/p>\n<h3><b>Quick summary<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Not always. Go to A and E or call 999 if they hit their head, take blood thinners, cannot put weight through a leg, or seem confused. Otherwise ring 111 and let a clinician decide. A fall with no injury usually needs a GP appointment rather than a hospital, but it does need one.<\/span><\/p>\n<p><\/p>\n<h3><b>What actually decides it?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Typically four things:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Did they hit their head.<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Are they on a medicine that thins the blood.<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Can they put weight through both legs.<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Are they behaving like themselves.<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">A yes to the first two together, or a no to either of the last two, points at hospital. Everything else tends to be a 111 conversation.<\/span><\/p>\n<table>\n<thead>\n<tr>\n<th>\n<p><strong>Sign<\/strong><\/p>\n<\/th>\n<th>\n<p><strong>What to do<\/strong><\/p>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\n<p><span style=\"font-weight: 400;\">Knocked out, or cannot stay awake<\/span><\/p>\n<\/td>\n<td>\n<p><span style=\"font-weight: 400;\">999<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><span style=\"font-weight: 400;\">Hit the head and takes warfarin, apixaban, rivaroxaban or similar<\/span><\/p>\n<\/td>\n<td>\n<p><span style=\"font-weight: 400;\">999 or A and E, even if they seem fine<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><span style=\"font-weight: 400;\">Cannot put weight through a leg, or a leg looks shortened or turned out<\/span><\/p>\n<\/td>\n<td>\n<p><span style=\"font-weight: 400;\">999. Do not try to walk them<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><span style=\"font-weight: 400;\">New confusion, slurred speech, weakness down one side<\/span><\/p>\n<\/td>\n<td>\n<p><span style=\"font-weight: 400;\">999<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><span style=\"font-weight: 400;\">Clear fluid or blood from an ear, or a black eye with no blow to the eye<\/span><\/p>\n<\/td>\n<td>\n<p><span style=\"font-weight: 400;\">999<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><span style=\"font-weight: 400;\">Sore, shaken, bruised, but up and talking normally<\/span><\/p>\n<\/td>\n<td>\n<p><span style=\"font-weight: 400;\">111<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p><span style=\"font-weight: 400;\">No injury at all, and they got up unaided<\/span><\/p>\n<\/td>\n<td>\n<p><span style=\"font-weight: 400;\">GP within a few days<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">Sources: <\/span><a href=\"https:\/\/www.nhs.uk\/conditions\/falls\/\"><span style=\"font-weight: 400;\">NHS, Falls<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.nhs.uk\/conditions\/head-injury-and-concussion\/\"><span style=\"font-weight: 400;\">NHS, Head injury and concussion<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><\/p>\n<h3><b>Why do blood thinners change the answer?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Because they change what a minor bump can turn into.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Anticoagulants stop the blood clotting as it normally would. A small bleed inside the skull that would seal itself in anyone else can keep going, and the symptoms can appear hours later, long after everyone has decided it was nothing. The NHS lists anticoagulant medicines specifically as a reason to seek advice after a head injury.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This is the single most common reason a family gets this decision wrong. Somebody looks fine at eight in the evening, goes to bed, and is not fine at two in the morning. <\/span><b>If they take a blood thinner and they hit their head, they get assessed the same day.<\/b><span style=\"font-weight: 400;\"> Say the drug name when you call.<\/span><\/p>\n<p><\/p>\n<h3><b>How do I know if they have broken a hip?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">You can never know for certain. What you are looking for is enough to justify the call.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The classic signs are pain in the hip, groin or thigh, inability to stand or bear weight, and a leg that looks shorter or rotated outwards compared with the other one. But hip fractures do not always look like that. Some people with an impacted fracture can still walk, badly, which is exactly how they get missed on the day and diagnosed a week later.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Over 70,000 people in England, Wales and Northern Ireland break a hip each year, and most are older people who have fallen (<\/span><a href=\"https:\/\/www.rcp.ac.uk\/improving-care\/national-clinical-audits\/falls-and-fragility-fracture-audit-programme-fffap\/national-hip-fracture-database-nhfd\/nhfd-annual-report-2025\/\"><span style=\"font-weight: 400;\">National Hip Fracture Database, 2025<\/span><\/a><span style=\"font-weight: 400;\">). If the pain is in that area and it is getting worse rather than settling, that is a hospital job even if they walked to the sofa.<\/span><\/p>\n<p><\/p>\n<h3><b>What if they seem confused?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Treat new confusion as urgent, whether or not they hit their head.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Confusion that comes on over hours or days is usually delirium, and the common causes are infection, dehydration, pain and medication. It is a frequent reason older people fall in the first place, so it can be the cause rather than the consequence. Either way it needs assessing the same day.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The distinction that matters: a person with dementia who is confused in their usual way is not the same as a person who is more confused than yesterday. Families spot the second one instantly and then talk themselves out of it. Do not.<\/span><\/p>\n<p><\/p>\n<h3><b>The argument against going<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Worth stating plainly, because most articles pretend it does not exist.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">An emergency department is a hard place to be in, especially with the elderly. Trolleys are uncomfortable, waits are long, and time spent lying still, out of routine and without proper food or sleep, can leave a frail person weaker and more confused than the fall did.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is a reason to use 111 properly rather than defaulting to A and E for everything, and to say clearly on the call that the person is frail, so they can be routed to an urgent care response at home if one is available. It is not a reason to sit on a head injury.<\/span><\/p>\n<p><\/p>\n<h3><b>What if they refuse?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">An adult with capacity can refuse hospital, and that includes refusing unwisely.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ask what specifically they are afraid of. It is nearly always one concrete thing, usually being kept in, losing the car, or a care home being raised. It often helps to say that paramedics assess at home and frequently leave people where they are.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If they have a head injury, are on blood thinners, or seem confused, call anyway and explain the refusal. Confusion may mean they cannot make that particular decision at that moment, and that is for a clinician to judge rather than you.<\/span><\/p>\n<p><\/p>\n<h3><b>They did not go. What now?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Watch the next 48 hours, then book the GP either way.<\/span><\/p>\n<p><b>Things that change the decision after the event:<\/b><span style=\"font-weight: 400;\"> a headache that keeps building, repeated vomiting, drowsiness at a normally alert time, new confusion, weakness on one side, or hip, groin or thigh pain that worsens rather than settles. The NHS notes that symptoms after a head injury can last up to two weeks, and anything beyond that should go to a GP.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">NICE guidance from April 2025 says anyone aged 65 and over who has fallen should have their gait and balance assessed, and that a fuller falls assessment should be offered to anyone injured, knocked out, living with frailty, or unable to get up alone (<\/span><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng249\/chapter\/Recommendations\"><span style=\"font-weight: 400;\">NICE NG249<\/span><\/a><span style=\"font-weight: 400;\">). Skipping hospital does not mean skipping that.<\/span><\/p>\n<p><\/p>\n<h3><b>Which hospital, if they do go?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Across Cheshire East and the High Peak, it depends where they live. Macclesfield, Wilmslow, Knutsford, Prestbury and Bollington go to <\/span><b>Macclesfield District General<\/b><span style=\"font-weight: 400;\">. Alsager goes to <\/span><b>Leighton Hospital<\/b><span style=\"font-weight: 400;\"> in Crewe. Whaley Bridge and Chapel-en-le-Frith often route to <\/span><b>Stepping Hill<\/b><span style=\"font-weight: 400;\"> in Stockport. Kidsgrove and Biddulph go to <\/span><b>Royal Stoke<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cavendish Hospital in Buxton and Leek Moorlands Hospital are community hospitals without emergency departments, so an ambulance will not take someone there.<\/span><\/p>\n<p><\/p>\n<h3><b>Frequently asked questions<\/b><\/h3>\n<p><\/p>\n<p><b>If an old person falls should they go to the hospital?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Only if there are signs that need hospital assessment: a head injury, blood thinners, inability to bear weight, new confusion, or an obvious deformity. A shaken but uninjured person is usually better served by 111 and then their GP.<\/span><\/p>\n<p><b>Can I drive them to A and E myself?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Only if they can walk and get in and out of a car without pain. If there is any chance of a hip, spine or neck injury, call 999 and wait, because moving them yourself can make the injury worse.<\/span><\/p>\n<p><b>How long should I watch someone after a head injury?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Somebody should be with them for the first 24 hours, and you should keep an eye out for two weeks. It is fine to let them sleep, but they should be rousable, and you should be able to wake them and get a sensible answer.<\/span><\/p>\n<p><b>They went to A and E, were checked and sent home. Is that the end of it?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">No. A and E rules out the immediate injury; it does not investigate why the fall happened. That is the GP&#8217;s job, and it usually means a lying and standing blood pressure check and a medication review.<\/span><\/p>\n<p><b>What if they fall again the same week?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Treat it as more urgent than the first one and say &#8220;second fall this week&#8221; when you ring. A cluster of falls in a short period suggests something acute, such as an infection, a new medicine or a heart rhythm problem, rather than a stumble.<\/span><\/p>\n<p><\/p>\n<h3><b>About Visiting Angels Cheshire East<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Visiting Angels Cheshire East provides care at home across Macclesfield, Wilmslow, Congleton, Knutsford, Alsager and the villages of East Cheshire, along with Buxton, Whaley Bridge and the Staffordshire border towns.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>You choose your caregiver.<\/b><span style=\"font-weight: 400;\"> You meet them before care starts, and if it is not right you say so and we send someone else.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>No visit is ever shorter than an hour.<\/b><span style=\"font-weight: 400;\"> There is no such thing as a fifteen minute call here.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Short term packages stay short term.<\/b><span style=\"font-weight: 400;\"> Care after a fall should reduce as someone recovers, and we will tell you when it can.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Carers trained<\/b><span style=\"font-weight: 400;\"> in stroke recovery, Parkinson&#8217;s, dementia and complex care.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Live-in care available<\/b><span style=\"font-weight: 400;\">, up to full time, for the first weeks home if that is what is needed.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Val had support at home after her hip replacement:<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">&#8220;Super service, very pleasant and caring staff that came to see me when I had my hip replacement done. Will miss our tea and chat now.&#8221;<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Valerie Hewitt, Google review<\/span><\/p>\n<p><\/p>\n<h3><b>Not sure what you need yet? Start with a free assessment<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Our free home care assessment is a visit at a time that suits you, with no obligation afterwards.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In it we will:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Work out what is actually difficult<\/b><span style=\"font-weight: 400;\">, and which times of day, which is usually what a visit should be built around.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Talk through a realistic package<\/b><span style=\"font-weight: 400;\">, and what it would cost.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Look at the money with you<\/b><span style=\"font-weight: 400;\">, and point you towards the funding, benefits and grants you may be entitled to, including the ones most families are never told about.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tell you honestly if you do not need us yet<\/b><span style=\"font-weight: 400;\">, or if someone else is a better fit.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If someone is coming home from hospital and you are working out what they will need, call us on 01625 720157. You can also <\/span><a href=\"https:\/\/docs.google.com\/document\/d\/1ee41LrsOAFE8A7dZ2LkP_3UeNXWX_V6Sq2cyp1UVZkU\/edit#bookmark=id.40o9aqjxxbzb\"><span style=\"font-weight: 400;\">WhatsApp us<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/enquire-now\/\"><span style=\"font-weight: 400;\">send an enquiry<\/span><\/a><span style=\"font-weight: 400;\">, and you can see <\/span><a href=\"https:\/\/www.visiting-angels.co.uk\/cheshire-east\/services\/home-care-services\/\"><span style=\"font-weight: 400;\">what our services cover<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Authored by Dr Niall Jawad, Director, Visiting Angels Cheshire East.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Published 13th September 2026. Last updated 13th September 2026.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">This article is general information, not medical advice, and no substitute for a professional who knows the person. It cannot tell you whether a particular person needs hospital; if you are unsure, ring 111, and call 999 in an emergency. The author is a director of the company and is not acting in a clinical capacity, and Visiting Angels Cheshire East provides personal care at home rather than medical or nursing care. Information correct at the date of publication. To the fullest extent permitted by law, GB Care at Home Ltd accepts no liability for any loss or injury arising from reliance on it.<\/span><\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Should an older person go to hospital after a fall? Quick summary Not always. Go to A and E or [&hellip;]<\/p>\n","protected":false},"author":81,"featured_media":7382,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[36,37],"tags":[],"class_list":["post-7381","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-falls"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Should an older person go to hospital after a fall? | Cheshire East<\/title>\n<meta name=\"description\" content=\"Not always. 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