Falls among older adults represent a significant public health challenge due to their consequences, including serious injuries, increased morbidity and mortality, decreased quality of life, and heightened healthcare costs. The World Falls Guidelines (WFG), published in 2022, offer a robust framework for evidence-based interventions; however, the uptake of these guidelines into clinical practice across Europe remains inconsistent. Key barriers to implementation include insufficient resources, a lack of trained healthcare professionals, and limited integration into existing healthcare systems. This position paper by the EuGMS Special Interest Group (SIG) on Falls and Fractures addresses the implementation of the WFG among community-dwelling older adults and falls prevention across Europe by providing an overview of the current status of WFG adoption in Europe and discusses the challenges and opportunities for implementation. We provide an overview of the current resources to support the clinical practice of falls prevention, implementation guides, and educational programs. Additionally, we discuss what is necessary for the future development of these resources and for advancing research. The EuGMS SIG on Falls and Fractures advocates for a commitment of healthcare providers as well as insurers, policymakers, and other stakeholders to collaborative European initiatives-such as developing a standardised falls prevention strategy, promoting evidence-based implementation plans, establishing a European-wide research agenda, and creating under- and postgraduate curricula-which are essential for advancing falls prevention efforts across Europe.

2nd Physical Medicine and Rehabilitation Department National Rehabilitation Center EKA Athens Greece

Amsterdam Public Health Research Institute Amsterdam the Netherlands

CIBER of Frailty and Healthy Aging Instituto de Salud Carlos 3 Madrid Spain

Cooperatio 34 Department of Internal Medicine 3rd Faculty of Medicine Charles University Prague Czech Republic

Department for Scientific Research in Rehabilitation Pension Insurance Austria Vienna Austria

Department of Clinical Research University of Southern Denmark Odense Denmark

Department of Community Medicine and Rehabilitation Umeå University Umeå Sweden

Department of Emergency Medicine Wexford General Hospital Wexford Ireland

Department of Epidemiology and Biostatistics University of Western Ontario London Canada ON

Department of Family Medicine Faculty of Medicine University of Ljubljana Korytkova ulica 2 Ljubljana Slovenia

Department of Geriatric Medicine and Rehabilitation Research Center On Autonomy and Longevity University Hospital Angers France

Department of Geriatric Medicine University Hospital of Iceland Reykjavík Iceland

Department of Geriatrics Healthy Ageing Research Centre Medical University of Lodz Pomorska 247 249 92 209 Łódź Poland

Department of Healthcare of Older People Nottingham University Hospitals NHS Trust Nottingham NG72UH UK

Department of Internal Medicine and Gerontology Jagiellonian University Medical College Kraków Poland

Department of Internal Medicine Division of Geriatrics TR Ministry of Health Eskisehir City Hospital Eskisehir Turkey

Department of Medical Biophysics Schulich School of Medicine and Dentistry Robarts Research Institute The University of Western Ontario London ON Canada

Department of Medical Science University of Ferrara Ferrara Italy

Department of Public Health and Primary Care Academic Centre for Nursing and Midwifery KU Leuven Leuven Belgium

Department of Trauma and Orthopaedics Nottingham University Hospitals NHS Trust Nottingham UK NG72UH

Division of Geriatric Medicine Department of Internal Medicine Istanbul Training and Research Hospital Samatya Istanbul Turkey

Faculty of Medicine and Life Sciences Hasselt University Diepenbeek Belgium

Faculty of Medicine University of Iceland Reykjavík Iceland

Faculty of Rehabilitation Sciences REVAL Rehabilitation Research Centre Hasselt University Diepenbeek Belgium

Gait and Brain Lab Parkwood Institute and Lawson Health Research Institute London ON Canada

Geriatric Department Montpellier University Montpellier France

Geriatric Division Holy Family Hospital Bar Ilan University Nazareth Israel

Geriatric Medicine Departement CHU UCL Namur Yvoir Belgium

Geriatric Research Unit Department of Geriatric Medicine Odense University Hospital Odense Denmark

Geriatrics Department Universitario de Navarra C Irunlarrea s n 31008 Pamplona Spain

Gerontology and Geriatric Section Department of Medicine and Surgery University of Perugia Perugia Italy

Institute of Health and Society and Clinical Pharmacy and clinical Pharmacoepidemiology Research Group Louvain Drug Research Institute Université Catholique de Louvain Brussels Belgium

Internal Medicine Section of Geriatric Medicine Amsterdam UMC Location University of Amsterdam Amsterdam The Netherlands

Manchester Academic Health Science Centre Manchester M13 9NQ UK

Manchester University NHS Foundation Trust Manchester M13 9WL UK

National Institute for Health and Care Research Applied Research Collaboration Greater Manchester School of Health Sciences Faculty of Biology Medicine and Health Manchester M13 9PL UK

National Institute for Health and Care Research Policy Research Unit in Healthy Ageing School of Health Sciences Faculty of Biology Medicine and Health The University of Manchester Manchester M13 9PL UK

Navarra Institute for Health Research Pamplona Spain

Nottingham University Hospitals NHS Trust Nottingham UK

Oulunkylä Rehabilitation Centre Helsinki Finland

Population Health Sciences Faculty of Life Sciences and Medicine King's College London London SE1 9RT UK

Population Health Sciences Institute Newcastle University Newcastle Upon Tyne UK

Preventive Medicine and Public Health Institute Faculty of Medicine University of Lisbon Hospital Cuf Descobertas Lisbon Portugal

Protein Research Chair Biochemistry Dept College of Science King Saud University Riyadh Kingdom of Saudi Arabia

Research Unit for Aging and Life Long Health Medical University of Graz Graz Austria

Royal Stoke University Hospital University Hospitals North Midlands Stoke On Trent UK

School of Health and Life Sciences Glasgow Caledonian University Glasgow UK

School of Health Sciences Faculty of Biology Medicine and Health The University of Manchester Manchester M13 9PL UK

School of Medicine Keele University Newcastle Under Lyme UK

Schulich School of Medicine and Dentistry Department of Medicine and Division of Geriatric Medicine University of Western Ontario London ON Canada

Servicio de Geriatría Hospital Universitario Ramón y Cajal Madrid Spain

UNIV ANGERS UPRES EA 4638 University of Angers Angers France

University Center for Geriatrics University of Antwerp ZAS Antwerp Belgium

University Hospital Královské Vinohrady Prague Czech Republic

University of Helsinki Helsinki Finland

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