21 August 2018

Comprehensive geriatric assessment: needs assessment tool

Comprehensive geriatric assessment: needs assessment tool
Nuffield Trust 21 August 2018
  • The Nuffield Trust has developed a tool to help providers and commissioners of care in England assess the needs of frail older people being cared for in hospital.
  • Indicators have been developed for each local authority and NHS acute trust to describe populations, hospital costs and hospital usage for people aged 75 years and over using Hospital Episode Statistics (HES) and Office for National Statistics datasets. These are presented alongside HES-based measures of frailty by different types of hospital activity. Also includes additional indicators on patient outcomes (mortality and emergency readmissions) for NHS acute trusts.
  • The Hospital Frailty Risk Score - accompanying blog
    • "We found that the score was able to identify a relatively small proportion of people over 75 years old in hospitals who were at the greatest risk of harms. The group of people with the highest HFRS were 1.7 times more likely to die in hospital, had a six-fold increase in staying more than 10 days in hospital, and were 1.5 times more likely to be readmitted following discharge."