A system is provided which, in at least some embodiments, can read the vital signs of the body of a user utilising a sensing device such as a smartwatch or smart phone (for example utilising the iOS, Android or Pebble operating systems) and apply algorithms to interpret the vital signs and then send a notification with an escalation process to nominated carers if the patient is interpreted as having a fall or fit or seizure. In at least some embodiments doctors or other parties can log in to a secured dashboard and check a patient data in real time. Also in at least some preferred forms doctors or other parties can analyse the history of the patient. In at least some embodiments users/patients can also use data to keep track of fall or fit or seizure episodes and monitor their progress. Embodiments of the invention can be applied for example in situations where the patient/user suffers from a medical condition such as epilepsy and which may predispose the patient/user to falls and related events.