Between 5% and 10% of all people attending emergency departments (ED) and 30% of patients in acute medical units (AMU) are older people with frailty. Identifying frailty must become an embedded part of the acute assessment of people aged over 65 to enable earlier targeted assessment and intervention.
Frail older people usually present a range of issues to hospitals, not just medical, and require a thorough and multidisciplinary management plan. This guide has been developed to support organisations with type1 EDs to deliver acute frailty in reach services for 70 hours per week.
This guide offers practical tools available to optimise outcomes for older people with frailty in urgent care.
We have developed this guidance in collaboration with the ambulatory emergency care steering group, NHS England, Ambulatory Emergency Care Network and Acute Frailty Network as part of a series of publications supporting providers to deliver ambulatory emergency care and/or same day emergency care services.