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Frailty Service (formerly Specialist Older People's Team)

Support for frail older people

Frailty Service (formerly Specialist Older People's Team)

About the service

This service reviews frail older people through Comprehensive Geriatric Assessment - a holistic assessment of physical, mental and social needs. Recommendations are then made to support pro-active management and advance care planning to enhance well-being.

Complex Frailty Clinics

Clinics are held at in Weston-super-Mare and at North Somerset Community Hospital Outpatients Department.

Domiciliary Visits

On occasion we are able to offer home visits to patients who are housebound and unable to attend the clinics.

Multi-Disciplinary Meetings (MDMs)

The Frailty Service regularly supports GPs and other healthcare professionals at multidisciplinary meetings by providing specialist advice.


Ad-Hoc Advice

The Frailty Service can provide specialist advice to support clinicians to manage patients in the community without a specialist appointment. This is available by telephoning the Frailty Service on 01275  885778 or emailing nscp.frailtyservice@nhs.net and requesting clinical advice from the team. The service operates Monday to Friday, 9am-5pm.

We aim to respond promptly, however, please note that we are not an urgent service. If your enquiry is urgent consider contacting Community Rapid Response on 01275 888801.

Parkinson’s Disease

Our Consultant Geriatrician can provide specialist advice for Parkinson’s disease patients. This includes new diagnosis and medication reviews for housebound patients.

Please note: this does not replace the Specialist Parkinson’s / Movement Disorders Clinic at Weston General Hospital.

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Who is this service for?

Any patient aged 75, or younger with several co-morbidities, registered to a North Somerset GP can be referred. This includes GPs, Community Matrons and other practitioners from health and social services. Please ensure that consent has been sought prior to submitting your referral.

Referrals

If you are a healthcare professional and need to refer a patient to the Frailty Service, please complete the referral form. Please note that we require a completed referral form and Edmonton Scale in order to triage your referral. Completed forms should be emailed to nscp.frailtyservice@nhs.net. We will confirm receipt of your referral by return email.

Rejected / delayed referrals

Referrals may be rejected or delayed if we do not have sufficient information or if the referral is more appropriate for another NSCP service. We will contact you to inform you of this decision.

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Contact us


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