Welcome to Elderly Care

Frailty Assessment Service at the Front Door

The Frailty Assessment Service at the front door of George Eliot Hospital provides an essential early assessment for older adults presenting through the Emergency Department (ED). The service operates Monday to Friday, from 8:00 AM to 8:00 PM, and aims to quickly identify frail patients upon arrival, offering a timely, coordinated approach to care.

Admission Criteria

  • Age ≥75 years with a Clinical Frailty Score (CFS) > 4, OR age ≥65 years and a care home resident
  • Early Warning Score (EWS) less than 3
  • No acute exacerbations or decompensated organ failure (e.g., unstable heart failure, GI bleed, respiratory failure)
  • Triage assessment identifies the patient can be discharged without the need for acute frailty input

Multidisciplinary Team (MDT) Approach

The service utilises a comprehensive, multidisciplinary team (MDT) approach to care, ensuring that patients receive tailored, holistic support from a range of healthcare professionals. The MDT includes:

  • Advanced Clinical Practitioners (ACPs)
  • Trainee ACPs
  • Community Practitioners
  • Occupational Therapists (OT)
  • Physiotherapists

Contact us

Tel: 024 7686 5628

Clinical Leadership

The Frailty Service is led by a team of experienced consultants and senior specialists in Geriatric Medicine, with strong support from Admiral Nurses and the Elderly Trauma Specialist Nurse. The clinical leads for this service are:

  • Dr. M J Alamgir - Consultant Geriatrician, Lead for Care of the Elderly Services 
  • Dr. J. Egbuji - Consultant Geriatrician (Monday–Wednesday) 
  • Dr. J. Mukundan - Trust-appointed Consultant,
  • Dr. R. Mappilakkandy - Consultant (Thursday–Friday) – Special interest in Movement Disorders
  • Dr. S. Alexander - Specialty Doctor in Geriatric Medicine
  • Dr. B. Read - Consultant Psychiatrist ( Part time)

 

Specialist Teams

Admiral Nurses – Dementia Support

The Admiral Nurses provide specialist support for patients living with dementia and their families, ensuring the frail elderly population receives additional care and guidance.

  • Sarah Wood and Carolyn Randel 
  • Working Hours 8am – 4pm Monday to Friday (excluded BH)
  • Office base – Arbury Lodge Office
  • admiralnurse@geh.nhs.uk

Elderly Trauma Specialist Nurse    

These nurses offer expertise in managing frail elderly patients with trauma-related needs.  

  • Loana Goodhead
  • Joanne Benson

Physician Associates - Frailty Team

  • Joanne Dimmock
  • Ian Smith
  • Suren Yogamoorthy

Administrative Support

  • Joanne Tunnicliffe – Care of the Elderly Secretary

 Frailty Assessment at the Front Door

Operating Monday to Friday, 8:00 AM – 8:00 PM, the front-door frailty service offers rapid, MDT-led evaluations for older adults presenting to the Emergency Department. The goal is to identify frail patients early and support safe discharge or appropriate admission.

Dementia Care

Admiral Nurses provide expert support for patients living with dementia and their families, focusing on cognitive health, emotional wellbeing, and discharge planning. Inpatient care is further supported by a Consultant Psychiatrist-led service.

Parkinson’s Management

Specialist input ensures timely medication reviews, mobility support, and prevention of hospital-related decline. The service includes expertise in movement disorders and works closely with therapy teams to maintain function and independence.

Orthogeriatrics & Perioperative Medicine – Coton Ward

Older patients with hip fractures receive comprehensive pre- and post-operative care, with input from geriatricians, trauma specialists, and therapists. This pathway aligns with national best practice standards for fragility fracture care.

 Dedicated COE/Dementia Ward – Bob Jakin

A dementia-friendly ward designed for safe recovery and rehabilitation. Features include enhanced safety measures and a sensory garden to support therapeutic outdoor access for patients with cognitive impairment.

 

Seven day a week stroke services

  • Diagnostic tests (ECHO, ECG, CT Head, MRI/MRA, carotoid doppler, x-ray)
  • Acute and rehabilitation care
  • In Trust training and teaching
  • Prompt acute response for A&E

Orthogeriatric services (lead consultant - Dr Amit Thakkar)

  • Falls
  • Orthogeriatric falls - fractured neck of femur (broken hip)

Comprehensive geriatric services (lead consultant - Dr James Egbuji, Dr Amit Thakkar 

  • Incontinence
  • Community geriatrics
  • Parkinsons
  • Movement disorders
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