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Continuum Health Group
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Older adults & care after hospital

Reviews after a hospital stay, falls and frailty checks, memory concerns, osteoporosis treatment, advance care planning and palliative care support. By appointment.

By appointment

Available at this clinic

Our services

Review After a Hospital Stay

The days after leaving hospital are when questions come up and plans can go astray. The doctor goes through your discharge summary, checks how you are recovering and makes sure everyone knows who is looking after what, at the clinic and at the hospital.

Caregivers are welcome to come along. We can show you how to look after wounds, catheters and medicines at home, and what to watch for.

  • Review of the discharge summary and recovery
  • Medication check: what is new, stopped or changed
  • Follow-up of tests and appointments from the hospital
  • Caregiver teaching for wound, catheter and medication care
  • Written advice on when to seek help

How it works

  1. Bring your documents

    Bring the discharge summary, all your medicines (including any from before the admission) and your upcoming appointment letters.

  2. Medication check

    The doctor compares old and new medicines, removes duplicates and explains what each one is for and when to take it.

  3. Your plan

    You leave with a clear plan: what to watch for, which tests or reviews are due, and who to contact for each part of your care.

Falls, Dizziness & Frailty

A fall, feeling dizzy on standing, or becoming weaker and slower can have several causes, including medicines, blood pressure, eyesight, nutrition and muscle strength. The doctor looks for the causes and checks for injury.

You leave with a plan, which may include a medication review, home safety advice, and referral to physiotherapy or a dietitian.

  • Assessment after a fall or near-fall
  • Dizziness on standing and blood pressure checks
  • Walking, balance and strength assessment
  • Weight loss, appetite and nutrition review
  • Medication review for medicines that raise the risk of falls
  • Referral to physiotherapy or a dietitian where helpful

Memory Concerns

Forgetfulness can have many causes, some of them treatable, such as low mood, thyroid problems, vitamin deficiency or side effects of medicines. The doctor takes a careful history, does a memory assessment and arranges blood tests where needed.

With your consent, it helps if a family member who knows you well comes along. If further assessment is needed, we refer you to a specialist memory or geriatric service.

  • History from you and, with consent, a family member
  • Memory and thinking assessment
  • Blood tests to look for treatable causes
  • Referral to a specialist memory service where needed

Osteoporosis Treatment

Osteoporosis makes bones more likely to break. The doctor reviews your bone density results, fracture history and other risks, and checks blood tests such as calcium, vitamin D and kidney function before starting treatment.

Treatment may be tablets or injections, depending on what suits you. Each plan includes regular reviews and a decision on how long treatment should continue.

  • Review of bone density scan results and fracture risk
  • Blood tests before treatment
  • Tablet or injection treatment where appropriate
  • Calcium, vitamin D and exercise advice
  • Regular review and a plan for how long to treat

Advance Care Planning & LPA

Advance care planning is a conversation about what matters to you and the care you would want if you became seriously ill and could not speak for yourself. The doctor can help you think it through with your family and record your wishes.

A Lasting Power of Attorney (LPA) lets you choose someone to decide for you if you lose mental capacity. Only an accredited doctor can issue the LPA certificate. Where this is available, the doctor first checks they are eligible to act for you, then makes an independent assessment of your understanding.

  • Advance care planning discussions with you and your family
  • Recording your wishes and values for future care
  • LPA certificate issuance by an accredited doctor, where available
  • Independent assessment of your understanding when issuing an LPA certificate

Palliative Care Support

For people living with a serious illness, the doctor can review symptoms such as pain, breathlessness, poor appetite or poor sleep, and adjust treatment in line with the agreed care plan.

This care is shared with your hospice or specialist team. We keep in touch with them and refer back when your needs change.

  • Review of pain and other symptoms
  • Medication review in line with your care plan
  • Coordination with hospice and specialist teams
  • Support and information for family and caregivers

Go to A&E or call 995 instead if

  • There is sudden confusion, drowsiness or difficulty waking
  • There is chest pain, breathlessness or a fainting episode
  • A fall has led to a head injury, or the person cannot get up or bear weight
  • There is new weakness of the face, arm or leg, or slurred speech
  • A wound is bleeding heavily, or a catheter has stopped draining and the tummy is swollen and painful
  • There is a high fever with shivering or the person seems very unwell

Before you book

Common questions

The doctor explains the cost of any medicines, tests or procedures before going ahead.