Launched on 16 September 2024, the unit has significantly improved outcomes for older patients, with over 80% discharged home the same day, avoiding the need for hospital admission.
Dr Mathew Gilbert, consultant geriatrician and interim clinical director for integrated care of the older person at The QEH, said: ‘The success of the frailty SDEC service over the past year is a testament to the dedication and innovation of our team. By focusing on holistic, same-day care, we are not only improving patient experience and outcomes but also making a real impact on system pressures. Avoiding unnecessary hospital admissions allows our patients to stay independent for longer and ensures we are using our resources efficiently.'
Patients receive rapid, proactive assessments from a dedicated multidisciplinary team, including frailty nurses and the Rapid Assessment and Frailty Team (RAFT).
The average length of stay for patients requiring admission from the unit is five to seven days – a significant improvement compared to the national average of 10 to 13 days for frail patients, improving recovery and wellbeing for patients but also reducing pressure on hospital beds and resources.
A growing number of patients – now one in three – are referred directly from the community into the unit, bypassing the hospital's Emergency Department entirely, helping to ensure that patients get the right care in the right place, at the right time.