TREAT HOT Clinic at RFL offers rapid assessment and diagnostics for older patients through a multidisciplinary team to help prevent unplanned ED visits. The team includes geriatricians, advanced practitioners, therapists, nurse specialists, and pharmacists, working with community teams to ensure suitable home support and monitoring.

The aim of the service is to avoid an unplanned presentation of older patients to the Emergency Department. The service works closely with community teams to ensure patients receive the appropriate support and monitoring at home.

Patients must have been seen and examined by the referring doctor. The referring GP is responsible for patient transport to the hospital

Eligibility Criteria

Inclusions

• patients that are >80 years with complex needs who require quick, comprehensive, geriatric assessment and intervention; should be patients who are expected to need admission within 48-72 hours, if no intervention were provided
• patients with exacerbation of chronic conditions who require rapid investigation and treatment
• specific conditions
  • patients with high risk of further falls or syncope
  • off baseline mobility
  • infections unresponsive to oral antibiotics who could remain at home during intravenous treatment
  • patients under Hospital at Home (Virtual Ward/RAS) who require medical review or practical procedures.

Exclusions

Patients who:

• are clinically unstable (low BP, tachycardia, low saturation)
• are drowsy or have reduced GCS
• have an acute respiratory infection or gastrointestinal infections 
• have a suspected stroke or TIA
• require hoist for transfer
• have trauma/falls with suspected major injury
• have a head injury
• have severe delirium
• have chest pain.

How to Refer