Analysis

Faster access means quicker discharge

Faster access to specialist care for frail, older patients at a Kent emergency department (ED) has cut the amount of time they spend in hospital. A specialist nurse and a geriatric consultant see patients as soon as possible after they arrive at the ED or the medical assessment unit at Medway Maritime Hospital, Gillingham, which is part of Medway NHS Foundation Trust

Faster access to specialist care for frail, older patients at a Kent emergency department (ED) has cut the amount of time they spend in hospital. A specialist nurse and a geriatric consultant see patients as soon as possible after they arrive at the ED or the medical assessment unit at Medway Maritime Hospital, Gillingham, which is part of Medway NHS Foundation Trust.

The acute frailty service, which was launched in March, is designed for older patients to receive appropriate care swiftly and to be admitted or sent home promptly. In the past, such patients had to be admitted before they could see specialist staff.

Comprehensive assessments

Frailty nurse specialist Maisey Davis says that treatment and discharge planning now begin as soon as each patient is seen by specialist ED staff. ‘Patients have comprehensive geriatric assessments when it is decided what treatment they need, whether to admit them and

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