Acute GP service
Cornwall

This is a site intended for clinicians - all guidelines must be interpreted in the context of clinical risk assessment
Frailty Same Day Emergency Care (FSDEC)
What is FSDEC?
A short stay service for ambulatory and non-ambulatory frail patients expected to stay less than 12 hours.
Open 8am-8pm, but last admission is by 3pm
If a longer stay is required, FSDEC can feed into longer inpatient stay on OPAL unit (Wheal Vor)
Admission criteria
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Clinical Frailty Score (CFS) ≥5 or patient from Residential or Nursing Home with NEWS2<5
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Includes frailty syndrome (falls, delirium, dementia, polypharmacy, incontinence, Parkinson’s disease)
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Patient able to return to home setting within 12 hours (eg no safeguarding concern, safe if current clinical query ruled out or rapidly stabilised)
Exclusion criteria
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NEWS2≥5,
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Stroke,
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#NOF,
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Significant Intracranial Head Injury,
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Active cancer treatment,
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Clinically Significant Chest Pain,
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Suicide Risk.
How to refer
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Patients referred by SWAST, GPs, ED and Medics and if accepted, are admitted to the FSDEC.
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Please contact the Acute GP service who will liaise with the Frailty nurse to admit
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Please consider if CATU or UCR is more appropriate if not fulfilling the above criteria
