3185 Proactive Ageing Well screening at a community musculoskeletal physiotherapy event in Lambeth: lessons learnt

Abstract Background The NHS Long Term plan calls for change to deliver proactive community frailty care1. Proactive frailty case-finding outside traditional healthcare settings should be explored2. Aims: To pilot test proactive frailty screening at a community event. Methods GSTT Musculoskeletal Physiotherapy department hosted a community day in a deprived area of Lambeth, London. Waiting list residents were invited for a café-style assessment. Stalls were available to meet wider needs including finances, wellbeing, Ageing Well and others. Ageing Well (Consultant Geriatrician and Geriatrics trainee) completed frailty screening using a 1-page screening tool with follow on assessment/interventions. Accessibility evaluated by characteristics of attendees. Feasibility and acceptability evaluated by participation and assessment completion. Appropriateness by prevalence of frailty needs, number of interventions arranged. Results 137 residents accepted, 26 (19%) were 65+ years old. 14 residents were reviewed by Ageing Well. Mean age 67 years (57–80), mean 4 comorbidities, 72% from ethnic minority groups, mean Clinical Frailty Scale (CFS) 4 (range 2–5). 43% were digitally excluded (unable to use internet or phone). All 14 residents participated freely in an open setting suggesting acceptability including sensitive topics e.g. continence/mental health. The Frailty screening tool identified significant needs: pain (93%), fatigue (64%), falls (50%), mental health concerns (64%), medication management (50%), bladder concerns (50%), difficulties with activities of daily living (57%), financial concerns (43%). 43% attended ED in the last year. Only 1 was known to social services but 43% had informal help from friends/family. Personalised care plans included bone health interventions, medication changes, continence management, strength/balance exercises programme access, equipment provision, social services access, self-management advice/information. Conclusions Ageing Well screening and assessments appeared feasible, acceptable, accessible and appropriate to managing frailty needs proactively in ambulant vulnerable-mildly frail residents. This proactive outreach approach should be explored at alternative outreach events.