Front-Door Comprehensive Geriatric Assessment
An evidence-based model that places senior, multidisciplinary geriatric expertise at the very start of the acute pathway.
What an Acute Frailty Service does
Identifies frailty early
CFS scoring at the front door, not days into admission.
Delivers senior decision-making
Consultant-led review within hours of arrival.
Provides true multidisciplinary care
Geriatrician, nurse, physiotherapist, occupational therapist and pharmacist working together.
Coordinates safe discharge
Direct links to community teams, virtual wards and rapid follow-up.
Patient Flow
The five stages of an effective acute frailty pathway.
Arrival at ED
Frailty screening with CFS for every patient over 65.
AFS Triage
Patients with CFS ≥5 streamed to the Acute Frailty Service within hours.
Comprehensive Geriatric Assessment
Multidisciplinary review across medical, functional, cognitive and social domains.
Targeted Intervention
Treatment, medication review, therapy input, goals of care discussion.
Same-Day Discharge
Safe return home with community follow-up — admission avoided in the majority.
of patients seen by an Acute Frailty Service avoid hospital admission and return safely home the same day.