Introduction Frailty Hotline Service (FHS) was set up initially in January 2021 to provide 24/7 advice and guidance to care home medical staff within the Mid & South Essex Health and Care Partnership footprint as a part of covid response. This was expanded to support GPs, Urgent Care Response Team (UCRT), community hospitals, hospices etc and later established as Community Frailty Hotline Service (FHS) with an aim for hospital avoidance and provide support to frailer older patients in their own places. Later, a Frailty Virtual Ward (FVW) was established to complement FHS within the MSE HCP. Methods FHS was led by 5 secondary care consultant geriatricians with direct access to telephone, 7 days service operating from 9 am till 10 pm weekdays and 9 am till 10 pm weekends in 1:5 rota. Unified online portal ‘Netcalls’ was used to directly call consultants. Documentation completed on dedicated Frailty Consultant Hotline Tab on SystmOne to be visible to all care providers. Data-collection automated via Netcall and SystmOne from March 2023 till January 2024. Results Average number of call was 487/month, 2098 advices given over 11 months. Referral mostly done by UCRT 1511 (72%) followed by GP 193 (9.19%). Hospital admission avoided in 7 days and 30 days where the advice given in 82.9% and 73.6% cases, respectively. Total bed days saved was 13,920 Cost saving was over six million. Frailty score completed in 2982 cases. FVW referral done in 853 cases (40.6%). Feedback from FVW and UCRT, 95% found FHS was useful. Conclusion Our innovative model of FHS with direct access to geriatrician showed a safe and efficient model to support frailer older patients in the community with appropriate signposting to FVW and other community services as an alternative to acute hospital emergency admission and treat the right patient in the right place.

中文翻译：

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2330 社区衰弱热线服务：埃塞克斯中部和南部健康中部较虚弱老年人的创新医院回避模式


介绍：衰弱热线服务（FHS）最初于2021年1月设立，旨在为中南部埃塞克斯健康和护理伙伴关系范围内的护理院医务人员提供24/7的建议和指导，作为应对新冠病毒的一部分。这扩展到支持全科医生、紧急护理响应小组 （UCRT）、社区医院、临终关怀机构等，后来成立了社区衰弱热线服务 （FHS），旨在避免住院并为更虚弱的老年患者在他们自己的地方提供支持。后来，建立了虚弱虚拟病房 （FVW），以补充 MSE HCP 内的 FHS。方法 FHS 由 5 名二级保健顾问老年病学家领导，可直接使用电话，工作日上午 9 点至晚上 10 点和周末上午 9 点至晚上 10 点以 1：5 轮换方式提供 7 天服务。使用统一的在线门户“Netcalls”直接呼叫顾问。在 SystmOne 上专用的衰弱顾问热线选项卡上完成的文件，对所有护理提供者可见。从 2023 年 3 月到 2024 年 1 月，通过 Netcall 和 SystmOne 自动收集数据。结果 平均通话次数为 487 次/月，11 个月内给出了 2098 条建议。转诊主要由 UCRT 1511 （72%） 完成，其次是 GP 193 （9.19%）。在 7 天和 30 天内避免了入院，其中 82.9% 和 73.6% 的病例分别给出了建议。节省的总床位天数为 13,920 天节省成本超过 600 万天。在 2982 例病例中完成虚弱评分。在 853 例 （40.6%） 中进行了 FVW 转诊。来自 FVW 和 UCRT 的反馈，95% 的人认为 FHS 有用。 结论我们直接联系老年病学家的 FHS 创新模式展示了一种安全有效的模式，可以通过适当的路标来支持社区中较虚弱的老年患者，作为急性医院急诊入院的替代方案，并在正确的地点治疗正确的患者。