Frailty Service

The Frailty Service is a service for people aged over 65 who may present with a complex medical history and are at risk of frailty

Overview of the service

The frailty service is a multidisciplinary service for those over 65 years who demonstrate two or more of the five frailty indicators. These include; falls, immobility, incontinence, delirium and susceptibility to the side effects of medication.

We do this by providing evidence-based therapy, nursing and/or medical (via GP or acute frailty team) interventions to improve or maintain their health and wellbeing and enable them to remain independent within their own home.

The management plan is tailored around ‘what matters most’ to the patient in order to provide the most meaningful and effective service to each individual patient.

Who can access this service?

To access this service patients must:

  • Be aged 65 years or over
  • Be registered with a Sutton GP
  • Be able to participate in individual and group activities in a rehabilitation setting.

Team members who could be involved in patient care are:

  • Doctors
  • Physiotherapist
  • Occupational therapist
  • Clinical Nurse
  • Assistant Practitioner
  • Rehabilitation Assistant/ Healthcare Assistant

Is patient self-referral available?

No, patients will need a referral from their GP, health or social care professional to access the Frailty Service.

Is transport provided?

No, patients will need to provide their own transport.

Are home visits available?

Yes. Suitability for home visits would be determined during clinical triage or following your clinic appointment.