1. Princess Alexandra Hospital Frailty Assessment Service (FAS)
Dr Alfa Sa’adu
Dr David Tideswell

2. Aim of the Frailty service @ PAH
To provide a more comprehensive specialty focused service for our older patients
To reduce the number of our older population spending a long time in the Emergency Department
To facilitate a reduction in length of stay for patients and enable them to return home sooner with the right care

3. Inclusion Criteria over 75 years Clinical Frailty Score of ≥4.
Patients presenting with falls/reduced mobility/breakdown of package of care/dehydration/UTI/Constipation/SOB/COPD/ chest infection/confusion/dementia
Patients requiring pain/pharmacy management
Patients who can be discharged same day or requiring up to 72 hours inpatient care

4. Exclusion Criteria
Patients who can be treated within the community via Single Point of Access
Patients who clinically need an acute admission ie #NOF, head injury
Patients who could be directly admitted to a Community hospital

5. What is a CGA?
Comprehensive geriatric assessment (CGA) is a multidimensional, interdisciplinary diagnostic process to determine the medical, psychological, and functional capabilities of a frail elderly person in order to develop a coordinated and integrated plan for treatment and long-term follow-up.

6. Including . . Cognition Emotional Motivation Health Attitude
Communication
Strength
Exercise
Social
Balance
Mobility
Nutrition
Elimination
ADLS
IADLS
Sleep Alertness

7. The Frailty Score
PAH Frailty Service is for patients with a >4 frailty score

8. Frailty Assessment Unit
Service commences Monday 17th October 2016
Located within PAH on ward B40
Open 09:00 – 17:00 Monday – Friday
Patients accepted via GP Co-ordinator or from PAH Emergency Department via bleep 755
The team:
Frailty Lead – Janice Bernardo (3/10/16)
Frailty Consultant – Dr Azad Harripaul
Frailty General Manager – Ali Hearn
Ward Manager – Peter Robinson
Therapies support – Susan Fullen

9. How do you refer?
Contact PAH GP hotline – and ask for the medical GP Co-ordinator. You will need the following information regarding your patient:
What is their Frailty score?
What are their current obs?
What is the referral reason?
Is the patient able to make their own way to PAH?
Have you considered all alternative community pathways via single point of access?

10. QUESTIONS?