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ID-492: Prescribed Opioids, Polypharmacy and Falls: a Population Retrospective Cohort Study

Safe People

Organisation name

Imperial College NHS Healthcare Trust

Applicant name(s)

Professor Azeem Majeed

Funders/ Sponsors

Safe Projects

Project ID

ID-492

Lay summary

This study examines how opioids and other fall-risk drugs contribute to falls in the UK, focusing on polypharmacy, prescribing patterns, and health inequalities, to inform safer prescribing and targeted fall-prevention strategies.

Public benefit statement

This project will help patients by identifying how commonly prescribed medicines—particularly opioids and other drugs that increase the risk of falls—contribute to serious injuries, particularly in older people. By understanding which combinations of medicines and patient characteristics (such as age, other illnesses, or number of prescriptions) place people at the greatest risk, we can highlight opportunities to make prescribing safer. The findings will directly support doctors, pharmacists, and care teams to review medications more effectively, reduce unnecessary or harmful prescribing, and tailor treatment to each patient’s needs. In turn, this will lower the risk of preventable falls, hospital admissions, and long-term disability. Importantly, the project will also highlight inequalities, helping ensure that safer prescribing and fall-prevention strategies reach those patients and communities who need them most.

Other approval committees

Project start date

01/10/2025

Project end date

01/04/2026

Latest approval date

16/10/2025

Safe Data

Dataset(s) name

Data sensitivity level

De-Personalised

Release/Access date

20/10/2025

Safe Setting

Access type

TRE

Safe Outputs

Link to research outputs