Table 1.

Summary of service changes.

September 2013September 2014
Acute geriatric serviceIn-reaching model (lone consultant geriatrician)COPE zone embedded within the EAU with dedicated consultant geriatrician
Collaboration with EAU staffIndependent workingRotation of EAU staff through the COPE zone, including acute medical consultants, junior doctors and nursing staff
Patient identificationReferrals from acute physiciansStreamlined into zone from the emergency department based on COPE criteria
MDTWorked independently on case by case basisBased on COPE zone with twice daily MDT meeting.
Links with community servicesNil formalDirect referral pathway (developed iteratively)
  • COPE = comprehensive older person’s evaluation; EAU = emergency assessment unit; MDT = multidisciplinary team.