Lay summary
As our population ages rapidly, falls in community dwelling older persons, already highly prevalent, are expected to dramatically increase demand on New Zealand’s Emergency Medical Services (EMS). While non-transported fall-related calls can limit EMS resources available to respond to higher need cases, it can also present an opportunity for EMS referral pathways to preventive programmes, such as evidence-based strength and balance classes known to reduce the likelihood of falls in the community. This cohort study will evaluate the clinical and cost efficacy of a pilot EMS-referred Falls Prevention Pathway (FPP) with an uncertain future funding status. The evaluation will consider aspects of access, efficacy, acceptability and equity of the FPP for all vulnerable groups. Findings will influence future investments in EMS-referred FFP and improvements in a new model of service delivery.