1 Admission to hospital

1 Admission to hospital

1.1 On admission to hospital, assess all adults for frailty, irrespective of COVID‑19 status.

  • Use the Clinical Frailty Scale (CFS), available from the NHS Specialised Clinical Frailty Network, as part of a holistic assessment where appropriate. Be aware of the limitations of using the CFS as the sole assessment of frailty.

  • The CFS should not be used in younger people, people with stable long-term disabilities (for example, cerebral palsy), learning disabilities or autism. An individualised assessment is recommended in all cases where the CFS is not appropriate.

  • Consider comorbidities and underlying health conditions in all cases. Involve relevant specialists if needed, such as for people with dementia.

  • Record the frailty assessment in the patient's medical record.
    [amended 29 April 2020]

1.2 When patients with possible COVID‑19 have been identified, follow appropriate UK government guidance on infection prevention and control measures. This includes recommendations on:

  • patient transfers and transport

  • segregation and cohorting

  • personal protective equipment

  • aerosol-generating procedures.

1.3 If COVID‑19 is diagnosed in someone not isolated from admission or presentation, follow UK government guidance on management of staff and exposed patients or residents in health and social care settings. [amended 9 April 2020]