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Frailty ‘silver’ phone

The frailty ‘silver’ phone is available Monday to Sunday, 8am to 8pm on 07971 037 491.

We are here to support with:

  • People with complex co-morbidities
  • Frequent users of GP or acute services
  • Complex medical/social problems including cognitive impairment and capacity issues
  • Frail; unwell older people with unexplained illnesses or decline in function who you feel might need admission if not assessed quickly, including fallers
  • Anything else the GP requires support with.

We can provide:

  • Advice and guidance where this would avoid unnecessary hospital admission
  • Support in decision making
  • Signposting to alternatives to admission

Patients with ? stroke or ? fractured hip

Specialist OPD

  • Parkinson’s and Movement Disorder
  • Syncope and Transient Loss Of Consciousness
  • Falls and Bone Health
  • via email at ldhtr.dmesecretaries@nhs.net

Same day emergency care

  • Urgent review by MDT
  • Rapid access to diagnostic and investigations
  • Comprehensive Geriatric Assessment

Person must be able to tolerate sitting for at least 4 hours. Person must be able to transfer either independently or need +1 support.

Virtual MDT

  • Available 1-2pm Monday to Friday via Microsoft Teams
  • Available for any patient requiring multi-professional discussion for complex care
  • Support with complex case management.

Virtual follow up

  • With community support and a dedicated Geriatrician to review all investigations and test, then a follow up by Frailty Nurses.

ED Frailty Pathway

  • 90 year old
  • 75 year old with 2 Frailty Syndrome
  • 65 year old from care home or nursing home.

BGS: Fit for Frailty

Consider referral to geriatrician when:

  • Significant complexity
  • Diagnostic uncertainty
  • Challenging symptom control.