Making a difference to patients with frailty

Assessment of older people with frailty through Comprehensive Geriatric Assessment is known to improve outcomes, including mortality in hospital and the community. The inpatient Older People’s Advice and Liaison service at the Royal Surrey County Hospital was created to improve access to specialist geriatric input across non-geriatrician led wards.

By admin On 7 Jan 2019 Last updated 6 Oct 2022

Frailty is a biological syndrome of decreased physiological reserve shown to cause disability, independent of clinical conditions.1 Systematic review of the literature has shown frailty in older adults is associated with adverse outcomes and decreased survival.2 Identification of frail patients in order to optimise management has been shown to improve outcomes.3 The gold standard for assessing older people with frailty is the “Comprehensive Geriatric Assessment” (CGA),4 an evidence-based intervention associated with better outcomes in mortality, readmissions and institutionalisation5 supported by Cochrane systematic review.6 The Royal Surrey County Hospital (RSCH) NHS Foundation Trust is a 500-bed single-site district general hospital (DGH)

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