A Prospective Cohort Study of Clinical and Process Outcomes of Older Adults That Transition Through the Geriatric Emergency Medicine Unit(GEM-U)

Inclusion Criteria: * Older adults aged ≥75 years * Manchester Triage System category 2-5 * Screen positive for risk of adverse outcomes after ED visit (≥ 2 on ISAR screening tool) * Presenting with a medical condition * Reviewed by the Older Persons Integrated Care Team Exclusion Criteria: * Patients presenting with a non-medical issue including major trauma or hip fracture * Patients presenting with acute stroke or transient ischaemic attack * Patients more appropriate to another alternative pathway e.g. deep vein thrombosis pathway, low risk chest pain pathway * Patients with acute coronary syndrome or unstable arrthymia * Patients requiring care in the resuscitation room * Patients with head injury (unless appropriate assessment and management has been fully completed by ED team) * Patients with possible spinal injury (unless appropriate assessment and management has been fully completed by ED/orthopaedic team) * Patients with low Glasgow Coma Scale * Other exclusions at the discretion of the Older Persons Integrated Care team depending on team capacity and expertise * Exclusion criteria as set out above, are in line with those set out in the UHL Operating Policy of the Older Persons Integrated Care Team.