The Triage and Rapid Elderly Assessment Team (TREAT) at the Royal Free London assesses older patients' needs quickly, including a specialist elderly medical component, within a multidisciplinary structure.

TREAT includes consultant geriatricians, registrars, frailty advanced clinical practitioners, physiotherapists, occupational therapists, clinical nurse specialists and pharmacists. 

The aim of the service is to provide a rapid access, one-stop assessment and diagnostics 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.

HOT clinic is a one-stop clinic that is part of TREAT and runs five days a week.

Please note, 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 PACE/RAPID 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 diarrhoea 
• 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

Locations

TREAT HOT Clinic