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You are here: Home / Resources / SystmOne Resource Centre / SystmOne Specialties / Geriatrics Overview / Comprehensive Geriatric Assessment

Comprehensive Geriatric Assessment

The Comprehensive Geriatric Assessment (CGA) process has been designed using the principles set out in the British Geriatric Society CGA Toolkit for Primary Care Practitioners. 

The process has been designed to dovetail with other aspects of care planning, Frailty Management, the Co-ordinated Care and Palliative Care Systems. 

The CGA template is designed to show the key information which is already recorded.  This is especially important when parts of the assessment are carried out by different members of an MDT. 

To assess the Comprehensive Geriatric Assessment Template, either use the search bar in the lower left-hand corner or press F12, search for Comprehensive Geriatric Assessment CGA.

The Comprehensive Geriatric Assessment Template has the following pages:

People Involved

This page allows the user to record important contacts including: named GP, care coordinator, other professionals, carers (formal or informal), relatives, next of kin, attorneys and other proxy decision makers 

CGA - People Involved 
Housing 
Communication Requirements 
Interpreter information 
Record GP 
Record Care Co-ordinator 
Record Other Professional Relationship 
Record Relative 
To record next of kin, add this attribute to an 
exiting relationship 
Carer Information 
Attorneys 
No record of housing type 
HEARING PROBLEM recorded 
USES A HEARING AID 
NO record of need for translator 
12 Jan 2017 
Name 
Dr Gareth Forbes 
No current care co-ordinator relationship recorded 
2018 
Name 
Family Relationships 
David SMith 
2018 
Name 
Next Of Kin 
Mrs Josephine Bloggs 
Additional Information Next Of Kin 
18 Jul 2018 
Name 
Next Of Kin 
Mrs Josephine Bloggs 
Additional Information Next Of Kin 
HAS A CARER 
04 Jan 2017 carer 
Macmillan Nurse 
Sister 
Sister 
Carer 
Name 
Mrs d Bloggs 
Additional Information Carer 
15 Jul 2020 
Notes 
Has apnt persn persnl welf LPA auth life sust decns MCA 2005 IXaYlh) 
Mrs Bloggs 
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Assessment

This page covers the key elements of the CGA assessment: 

  • Core data – e.g., height, weight, smoking, alcohol, pulse, BP.
  • Performance status – users have the option to use WHO scale or modified Karnowski. 
  • Frailty – helps users diagnose and categorise frailty.
  • Barthel – key ADLS, including continence.
  • Constipation.
  • Behavioural issues.
  • Pain – with a link to the Abbey pain scale for those patients who can’t articulate well. 
  • Falls – allows recording of key information about falls and triage using the FRAT scoring tool.
  • Cognition screening – using the 6 CIT test.
  • Nutrition – using the MUST screening tool.
  • Depression and anxiety screening using Whooley’s two questions and GAD2.
  • Waterlow pressure assessment.
  • Safeguarding concerns – displays information about potential safeguarding concerns and allows the patient to be added to the unit’s safeguarding register. 
  • Medication review – a comprehensive polypharmacy medication review system.
Assessment 
Geriatric Assessment 
Core Data 
Performance Status 
Fraity 
aarthel Dcs 
Constipation 
laehaviour 
" Falls 
Cogntion Screen 
MUST 
Standing SP 
mmHg 
Australia-modified Karnofsky Performanc 
14 2020 
Barlhel index 
8aÄhel index 
Feeding 
15 2020 
Bathing 
15 2020 
Grooming 
Dressing 
15 2020 
Bowels 
14 2020 
Bladder 
14 2020 
Toilet 
Mild frailty IXabdY) 
Needs help with feeding (3g1 1 J 
Dependent for bathing (3gA1 J 
Dependent for dressing (3g50J 
Incontinence offaeces XEOrG) 
Bladder: fully continent (3g42J 
14 Jul 2020 
14 Jul 2020 
15 2020 
NO clear information about constipation 
NO clear record of behaviour 
Abbey Pain 
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21 Jan 2020 
14 2020 
14 2020 
14 2020 
14 2020 
Abdominal pain (1 g6gJ 
Discussion about falls (XagUs) 
Referral to memory clinic (Xadua) 
Malnutrition universal screening tool score„ 2 
Depression screening using questions (XaLlc) 
Depression Anxiety Screening 
Waterlow Assessment 
Safeguarding Aduts 
" Medication Review 
Waterlow Score not recorded 
NO record of current safeguarding concern 
No record of med review in last 11m 
PATIENT HAS POTENTIAL MEDICATION SAFETY ISSUE
Problem List

A problem list (separate pages for the problem and summary functions to accommodate practices that use each of these systems to maintain their problem lists) 

Problem List 
New Problem 
(Problems) 
Active Problems 
Mild frailty [XabdY) 
Inactive Major Problems 
Malignant tumour of prostate (8460 
Shon Note 
14 Jul 2020 ongoing 
12 Aug 2013-15 Jul 2020 
T 3 locally advanced cancer Brachytherapy in 20
Care Planning
  • SCR Consent – allows recording of consent/dissent for sharing via SCR, especially the enhanced SCR.
  • Consent to share with others – a place to record which other individuals the patient is happy to share with e.g., relatives. 
  • Resuscitation – allows recording of resuscitation status and discussions as well as completion and creation of DNACPR forms using the deciding right guidance and forms.
  • Preferred place of care and death.
  • Other death wishes – including donor status, type of funeral.
  • EHCP – allows creation of an Emergency Health Care Plan using the deciding right guidance and forms.
  • Advance Decision – allows recording of ADRTs.
  • Advance statement – Allows recording of advanced statement which might be simply documentation of the what the patient has expressed to the user or signposting to a more formal document. 
  • SPN – allows creation of a special patient note to send to the ambulance service to cover key information such as those in this list.
  • Capacity Assessment/Best Interests – opens a checklist that guides the user through an assessment of capacity and best interests making decision as well as ensuring this is documented clearly.
  • Goals/Health Needs – allows the recording of up to 8 health needs or goals, along with the action to be taken to foster this. 
  • Care Plan creation – allows the creation of a document (electronic or paper) that acts as a personalised care plan. This includes most of the information from the People Involved and Care Planning sections of the CGA template along with the problem list, medication and allergies. The patients goals are clearly set out.
CGA - Care Planning 
Change SCR Consent 
Consent to Share Vvtth Others 
Resusctation 
ppc 
PPD 
Other death preferences 
Advance Decision 
Advance Statement 
SPN (NE-AS" 11) 
Capacity Assmt aest Interests 
Goalsyeath Needs 
Care Plan CreationyFeviewyDecIined 
New Recall (Coordinated Care) 
SCR Core data is shared (implied consent) 
No clear record about sharing with specified 3rd parties 
15 Jul 2020 Not for attempted CPR (cardiopulmonary resuscitation) (Xazgc) 
14 2020 
Preferred place of care - care home CXaaYt) 
14 2020 
Preferred place of death: home (XaJ3g) 
DCS Death Wishes view has no data for patient 
Has EHCP 
NO clear record of ADRT 
2018 
Has advance statement (Mental Capacity Act 
SPN to Ambulance/111 service RECORDED 
15 2020 
Ambulance (Lla1xF) 
Capacity Assessment MCAI MCA2 
Health Needs/Goal/Action Planning 
2005) (XaYIc) 
Entered by 
Finished by 
FORBES, 
FORBES, 
20 Feb 2020 14:50 
15 Jul 2020 14:43 
[1 5 Jul 2020 1 4:43] 
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Health Need 1 
Describe the health need 
Goal 
Action 
When will it be reviewed? 
Gareth (Dr) (General Medical Practitioner) 
Gareth (Dr) (General Medical Practitioner) 
Poor mobility 
Able to walk with zimmer 
Refer to physio 
OCTOBER 2020 
15 Jul 2020 
Personal care plan completed (XaR82) 
This patient is in the virtual ward OR GSF Amber or Red OR End of life 
15 Oct 2020 
Coordinated Care 
Pending

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