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Frailty and Falls Service

Support, advice and treatment for older people

Frailty and Falls Service

About the service

The Frailty and Falls Service comprises of a team of multi skilled health care professionals dedicated to improving the health and wellbeing of people who live with frailty, have had a fall or are at risk of falling.

We use the Comprehensive Geriatric Assessment - a holistic assessment of physical, mental and social needs. Falls can also have a significant impact on a patient’s health. It's our aim to find out why the fall happened and to treat any underlying problems that may increase the chances of falling.


We then make recommendations to support pro-active management and advance care planning to enhance well-being

Domiciliary Visits

We visit patients in their own home, including nursing and residential homes.

Multi-Disciplinary Meetings (MDMs)

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

Ad-Hoc Advice


The Frailty and Falls Service can provide specialist advice to support clinicians to manage patients in the community without a specialist appointment. This is available by telephoning the service on 01934 529153 or emailing nscp.frailtyandfalls@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 


The 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?

Patients over the age of 65 with several co-morbidities and/or falls, registered to a North Somerset GP can be referred.


We accept referrals from GPs, Community Matrons and other health practitioners. Please ensure that consent has been sought from the patient prior to submitting your referral.


Referrals - In response to the COVID 19 situation March 2020

The Frailty and Falls service are changing their approach to managing their current caseload.

With immediate effect the service is unable to accept any referrals to the service.

The current caseload and visits will be managed by the community matrons with the support of the consultant geriatrician.


Referrals - Pre March 2020

If you are a healthcare professional and need to refer a patient to the Frailty and Falls Service, please complete the referral form. For Frailty Multidiscipliary Team Meeting please complete this referral form.

If you are a health professional and do not yet have access to our referral form please contact us at: nscp.frailtyandfalls@nhs.net 

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.frailtyandfalls@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

Worle Health Centre 125 High Street Worle BS22 6HB

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