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Rapid Proactive Assessment & Care for the Elderly (RPACE)


Rapid Proactive Assessment & Care for the Elderly (RPACE)

  

Specialist support for frail older people before a crisis occurs

Reviewed on : 8 Nov 2026

Reviewed by : Dr Mohammed Abumedian (Consultant Geriatrician) and Gateway Editor

Expires : 8 Nov 2028

The service is aimed at people aged 75+ with moderate or severe frailty
who may benefit from specialist geriatric assessment and advice

When to refer:
  • Medication review
  • Recurrent falls without injury
  • Gradual functional decline
  • Weight loss
  • Gradual cognitive deterioration
  • Advance care planning
Do not refer:
  • If at risk of hospital admission within 72 hours
  • Suspected sepsis
  • Stroke symptoms
  • Chest pain
  • Acute medical emergencies
  • NEWS2 > 3
Services Available:
  • Advice and Guidance only
  • Speak to RPACE consultant on call (via switchboard) 1100 to 1300

Future expansion planned to include rapid access clinics

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