Abstract Introduction In October 2023, the electronic patient record system Epic® was introduced across two London NHS Foundation Trusts—King’s College Hospital (KCH) and Guy’s post-intervention, discharge summaries from pilot wards were analysed. Results Pre-intervention, discharge summaries included an average of one CGA domain. Post-intervention, this increased to average five domains at KCH and four at GSTT. At least seven domains were included in 26% (10/38) and 16% (5/32) of discharge summaries at KCH and GSTT, respectively. Clarity improved from 11% (10/89) to 47% (18/38) at KCH, and 27% (41/153) to 56% (18/32) at GSTT. Conclusion This cross-site initiative improved CGA documentation and communication, enhancing clarity and consistency of discharge information. There has been an evolution in phraseology, particularly around the domains included within a CGA. Getting hospital-wide CGA will be an important enabler in frailty-attuned care across acute and community settings.
James et al. (2026) studied this question.