Borders Ref Help Toolkit
Who to refer
Patients over the age of 65 years needing urgent comprehensive geriatric assessment to prevent deterioration in clinical condition/admission to hospital
Patients with frailty syndromes such as:
- Multiple comorbidity
- Falls
- New onset confusion
- Immobility
- Reduced ability with activities of daily living
Who not to refer
Patients who do not require urgent assessment as above - these patients can be referred to the routine DME outpatient clinics in the usual way via SCI Gateway (under the General Medicine category, mark letter ‘for DME’).
How to refer
Phone DME consultant (bleep 7019) 08:00 – 16:00 Mon – Fri
Patients requiring urgent admission which cannot wait until Frailty Consultant next available, should be admitted via the Medical SpR (bleep 6006) in the usual manner.
Patients who have been admitted to the BGH who have a Clinical Frailty Score of >/=5 will automatically be screened by the frailty team including consultant, specialist nurses and AHPs.
Inpatients in wards other than MAU and ward 9 should be referred by email from the ward team to the Medicine for the Elderly inbox: