Best practice tariff criteria10 | |
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1 | Time to surgery with 36 hours from arrival in the A&E department to the start of anaesthesia (or from time of diagnosis if an admitted patient) |
2 | Admitted under the joint care of a consultant geriatrician and consultant orthopaedic surgeon |
3 | Admitted using an assessment protocol agreed by geriatric medicine, orthopaedic surgery and anaesthesia |
4 | Perioperative assessment by geriatrician in the perioperative period (within 72 hours of admission) |
5 | Postoperative geriatrician guided multiprofessional rehabilitation team |
6 | Fracture prevention assessments (falls and bone health) |
7 | Two AMT scores performed, and all the scores recorded in the NHFD with the first test being carried out prior to surgery and the second post-surgery but within the same spell |
Failure of criteria 3 reflects a lack of documentary evidence that the agreed multidisciplinary assessment process was used.
AMT, abbreviated mental test.