Frailty Clause Samples
Frailty. The NWL ambition is to establish acute frailty services in emergency departments across NW London with the aims of identifying and managing older frail patients who require specialised frailty support as soon as possible. This will ensure frail patients are not admitted unnecessarily and be supported at home with full wrap around services. Target is to reduce 75+ rate of admission by 3%. The Trust is looking to strengthen its MDT approach in the Emergency Departments, working with system partners to enable more people to go home directly from ED and therefore to avoid unnecessary admissions to an acute bed. We are currently piloting a number of different models and pathways particularly focused on older, frail patients that will inform how we develop a more dedicated front door service for winter and beyond. The aim of the pilot which commenced in August 2019, is to prevent inappropriate admissions by earlier identification and therapy assessment with the ED department at West Mid. The pilot is staffed by a therapist 8am-4pm Monday to Friday which has been provided from within the existing staffing envelope. The model sees patients identified as a ▇▇▇▇▇▇ within 30 minutes and a full functional assessment undertaken, and initial results have identified that this has increased discharges from ED, avoiding admissions.