LAUSR

The National Institute for Health and Care Excellence (NICE) published COVID-19 rapid guideline: critical care in adults: NICE guideline [NG159] which advised clinicians on maximising efficiency and supporting critical care services;in these unprecedented times, the prompt identification of patients who would or would not benefit from escalated levels of care is essential.1 The guideline therefore recommends assessing the frailty status of all patients at admission, irrespective of their COVID-19 status. NICE recommends grading frailty using the Clinical Frailty Scale (CFS;Fig l).2 The primary aim of this study was to assess CFS documentation for patients with suspected or confirmed COVID-19 who were admitted to a district general hospital's acute medical unit. The recommendation by NICE to grade patient frailty using the CFS aims to maximise efficiency and patient safety during a time when critical services are fully saturated.