Focus on Frailty @ Front Door Breakout Session 1 Focus on Frailty @ Front Door

Frailty Pathway @Frontdoor Patients screened on admission AU1/ attendance ED. 7.00am triage begins of all patients with positive screen and prioritisation system followed. IAT board round – tasks allocated according to skill mix. Team assesses priority patients. 11.00am Frailty Huddle – real time case conference and pathway determined and whole MDT aware. IAT activity continues, ED and GP Assessment phone with additional referrals and dedicated 30min response time. 2.30pm Frailty Huddle – further MDT discussions and pathway decisions made with re: prioritisation of IAT caseload.

Frailty ANP Role Reaching consensus regarding ANP competence

New Trainee Frailty ANP Role Working towards advanced clinical decision making and independent non-medical prescribing Targeting patients within GP Assess Area with future sight on ED and surgical assessment University links and possible partnership with RCN to create Scottish Frailty Competence consensus Building capability and capacity for improvement . Specialist in Older People & Frailty Responsible for development and supervision of Band 4 Assistant Practitioners

New Assistant Frailty Practitioner role Under development Generic role – falls pathway, cognitive screening, functional and mobility assessment. Provide direct clinical treatments to patients as directed by qualified Practitioner. Can assess patients identified as Frailty positive who have been triaged by a qualified member of the team and meets AFPs scope of practice. Plan, implement and manage a treatment plan within scope of their skills and training under supervision of a registered Practitioner Support Band 6 Practitioners with more complex tasks ( can perform ECGs, venipuncture, catheterisation ) Teaching and educational role for patients, relatives and other members of MDT.