ISTUMBLE vs React to falls
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
ISTUMBLE
This medical assessment tool helps care providers determine the best course of action after a fall. It guides decisions on whether to lift a fallen person or call for an ambulance, aiming to reduce the time a person remains on the floor. The app is accredited for NHS use and works with lifting cushions for safe patient handling.
- Fall assessment algorithm
- Decision support for lifting or ambulance
- NHS accredited tool
- Works with Mangar Lifting Cushions
- Reduces time on floor
- Safe and dignified lifting
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Winncare has collaborated with the Welsh Ambulance Services NHS Trust to develop ISTUMBLE ®, an algorithm and app used to determine the appropriate course of action in the occurrence of a fall. ISTUMBLE® empowers care providers to make good decisions around when to lift a fallen person and when to call an ambulance. A nationally recognised tool, the ISTUMBLE ® app is accredited by Orcha for use within the NHS. Used in conjunction with Mangar Lifting Cushions, the combination safeguards a fallen person by providing a safe and dignified lift, whilst protecting healthcare workers and carers from injury acquired through manual handling. Importantly, the ISTUMBLE® algorithm has been demonstrated to reduce the length of time that a fallen person is on the floor.
React to falls
This app offers practical, research-backed tips and guidance to help reduce falls in care home residents. It prompts users to tailor actions, identify risk factors, and supports an active lifestyle for individuals and their families.
- Practical suggestions for fall prevention
- Tailored action prompts
- Identification of risk factors
- Support for active lifestyles
- Bite-sized information pieces
- Research-backed evidence
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"We know that all care home residents are at high risk of falls, we know that families and care home staff work hard to keep residents healthy, safe and happy. We also know that falls have a huge financial and personal impact. That's why researchers at the University of Nottingham have worked with care home residents and staff on this falls prevention app, to help people reduce the number of times they fall over. This app, designed using our research evidence, will guide you through different areas that might cause a fall, giving practical tips in bite size pieces of information that have been shown to reduce falls and reduce the effects of falling over. This app can be used by anyone wanting to prevent someone they know having a fall, including residents themselves and their families. It does the following: - Provides realistic and practical suggestions of what you can DO - Prompts you to tailor the actions to support each individual resident - Provides detail that will give you confidence that you are doing the right things - Helps you identify risk factors for falling to react to falls before they happen - Supports residents to remain active and make their own lifestyle choices - Enhanced recognition that managing falls is a continuing process We know you will find this a useful resource, any feedback to help improve any future versions is welcome."
Screenshots
Verdict
The clearest difference is review sentiment: React to falls at 100% against ISTUMBLE's 0%. ISTUMBLE's advantage is update cadence (every 10 months vs every 31 months). On price, ads, in-app purchases and monetization model there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Neither carries in-app purchases, so what you see is what you pay.
ISTUMBLE ships an update every 10 months, React to falls every 31 months. The most recent releases landed on September 22, 2026 and August 29, 2026 respectively.
| Parameter | ISTUMBLE | React to falls |
|---|---|---|
| Price | Free | Free |
| Positive reviews | 0.0% of reviews | 100.0% of reviews — better |
| Update frequency | Every 10 months — better | Every 31 months |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Free | Free |
| Devices | iPhone, iPad, iPod — better | iPhone, iPod |
| Requires iOS | 15.1 | 15.1 |
| Further details — not scored | ||
| Size | 38 MB | 26 MB |
| Age rating | 12+ | 12+ |
| Developer | MANGAR INTERNATIONAL LIMITED | The University of Nottingham |
Customer experience
ISTUMBLE
React to falls
In-app purchases
ISTUMBLE
No in-app purchases
React to falls
No in-app purchases









