Jay Bannerjee at the Hong Kong Health Authority Conference. Making the point that “safety & quality” is a constant battle. “The quickest way to do ‘the right thing’ is not always the right thing to do. Consider how easy it is to admit a patient vs how hard to send them home.” 
@POBanerjee on how to manage the complexity of frailty in the ED: screen, if +ve Comprehensive Geriatric Assessment; a multidisciplinary team; service coordination +discharge planners with service authority; talk & talk; think differently. The #joyofgeriatrics. (I adlibbed that)
@POBanerjee We use the Clinical Frailty Scale to offer the best care, not to ration care. In patients who have fallen, we do fewer CT heads for people with moderate to severe frailty, but more CT chests, because our data show that doing so misses many fewer injuries in falls.
@POBanerjee Future developments: Geriatric Advanced Nurse Practitioners trained in CGA, working in the acute setting, but employed by the community. This offers both the necessary skills and attitudes (ie hospital is not the best). And it would help build community services.
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