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Responses > Management Pathway of Elderly Patients – Emergency Departments

Freedom of Information request Management Pathway of Elderly Patients – Emergency Departments

Response published: 18 September 2025
Clinical Activity Data

FOI Request

Dear colleagues, We are undertaking a survey regarding the management pathway of elderly patients (>65 years old) presenting with trauma in the Emergency Department. I am emailing you to a make freedom of information request with regard to trauma protocols for silver trauma patients. We would like to know the following information if available: . Does your hospital have a guideline for silver trauma patients (>65 years old) attending ED? . What are the ED's indications for initiating a silver trauma call and requesting a trauma CT for elderly patients at your hospital? · Which specialties are called for silver trauma in ED? Does it include General surgery, Orthopaedics, Anaesthetics and Medicine of the elderly? · Does your hospital have a guideline for assessing delirium in silver trauma patients (>65 years old)? · Do all the silver trauma patients get reviewed by medicine of the elderly on the ward if admitted? · Do you have a guideline for assessment of the silver trauma patients on the ward by medicine of the elderly? · Can you please attach your hospital's guidelines for silver trauma patients in your reply? Thank you for your help! Looking forward to your response. Please do not include any patient confidential information in your response.

FOI Response

Freedom of Information Request – Ref: GHC-15092025-969449

Thank you for your recent Freedom of Information request. Please find our response below.

You asked:

1. Does your hospital have a guideline for silver trauma patients (65 years old) attending ED?

2. What are the ED’s indications for initiating a silver trauma call and requesting a trauma CT for elderly patients at your hospital?

3· Which specialties are called for silver trauma in ED? Does it include General surgery, Orthopaedics, Anaesthetics and Medicine of the elderly?

4· Does your hospital have a guideline for assessing delirium in silver trauma patients (65 years old)?

5· Do all the silver trauma patients get reviewed by medicine of the elderly on the ward if admitted? · Do you have a guideline for assessment of the silver trauma patients on the ward by medicine of the elderly?

6· Can you please attach your hospital’s guidelines for silver trauma patients in your reply?

Our response:

The Trust does not provide the service mentioned in your request. Please re-direct your request to Gloucestershire Hospitals NHS Foundation Trust at ghn-tr.foi@nhs.net.

Next steps:

Should you have any queries in relation to our response, please do not hesitate to contact us. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:

Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss@ghc.nhs.uk

If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office (ICO) for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.