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Many older people have multiple problems and the best treatment for one condition may not be best overall. Comprehensive Geriatric Assessment (CGA) is a way of working out the health and capabilities of older patients across a wide range of functions. This process is usually only carried out in hospitals. This study aims to find out if it is feasible, acceptable and cost effective to run this assessment in a GP practice.
A pilot study of a CGA clinic in a GP surgery was conducted. People referred to the clinic were more frail than typical for other older people registered with the practice. CGA supported the development of treatment plans adapted to best match all the individual’s needs not just one condition.
Guidelines for the implementation of Comprehensive Geriatric Assessment Clinics in primary care will be developed. Practical application of electronic methods of assessing frailty in primary care will be assessed. This could improve the primary care assessment and treatment of older people living with frailty and multiple medical conditions.