Description of our Halton Integrated Frailty Service
The Halton Integrated Frailty Service (HIFS) aims to identify and manage frailty syndromes in patients over 65 years before they require a hospital admission.
It is also a responsive service that supports people living with frailty, their carers, GPs, health and other care workers to collaboratively manage frailty as a long-term condition, optimising the frail person’s independence, health and wellbeing.
The service will provide a planned, holistic multi-disciplinary assessment, designed to keep people independent both at home or in the community for longer whilst maintaining their quality of life.
Main elements of the service
- Clinical triage
- Initial triage of presenting patients by an appropriate clinician
- Treatment and admission avoidance care plans
- Advanced care planning
- Clinical medication review
- Optimising physical function
- Discharge plans
- Supporting self-care and patient education
Inclusion criteria of the service
- People over 65 years with complex health needs.
- People over 65 years who have experienced a rapid deterioration in health or function which does not need secondary care as a result.
- People over 65 years who require rapid intervention and a timely intensive care package.
- People over 65 years who require access to time-limited care and support.
- Referrals from the ambulance service to assist and assess patients who have fallen, in addition to supporting patients from both the community ward and managed care teams.
How can people access the service?
The service is accessed through a referral by Health Professionals, Social Services, Voluntary Agencies and self-referral (if previously seen by the service).
Please complete our Halton Integrated Frailty Service referral form.
Where is the service offered?
In the patient’s own home or care setting.
Halton Integrated Frailty Service
WA8 6 RT
Telephone: 0151 495 5291
Normal working hours for the service are 9am – 5pm Monday to Friday (last referrals taken at 3pm).