Can an enhanced balance training programme improve mobility & reduce falls in elderly patients presenting to Health Services

INTERVENTION: 1. Intervention group will receive therapy specific to functional balance consisting of repetition and progressive grading of tasks to narrow the base of support and retraining dynamic balance. 2. Conventional treatment will consist of general transfer and mobility skills as currently prescribed. CONDITION: Injury, occupational diseases, poisoning: Musculoskeletal injury ; Injury, Occupational Diseases, Poisoning PRIMARY OUTCOME: Timed 3 metre walk; Self Perception Questionnaire (SPQ); Berg Balance Scale (incorporating the 180 degree turn); Balance Performance Monitor (BPM); Falls Efficacy Scale; Frenchay Activities Index; Euroqual; patient satisfaction. SECONDARY OUTCOME: Not provided at time of registration INCLUSION CRITERIA: 200 patients over 60 years of age who present with falls/deteriorating mobility to outpatient clinics, A & E departments and outpatients therapy services on 3 sites.