A 2-Year NHS Service Evaluation
Real-world outcomes from a prospective evaluation of a front-door Acute Frailty Service.
Headline outcomes
Weekend pilot — 7-day services
A 2-month pilot extending the AFS into weekends.
What this evidence tells us
Across a 2-year period, an NHS front-door Acute Frailty Service safely discharged the overwhelming majority of frail older adults the same day — without compromise to 12-month mortality, which remained consistent with comparable cohorts.
The economic case is equally strong: £12.2 million of cost avoidance over two years, with weekend extension delivering a further £2.6 million in just two months. These figures conservatively estimate the value of admissions averted at standard NHS reference costs.
Statistics are drawn from an internal prospective NHS service evaluation currently being prepared for publication.