Monday - Friday : 09.00 - 18.00

Saturdays ( Massage Therapy only ) : 10.00 - 14.00
Sunday (Special Request Only) : 10.00 - 14.00

020 31375212


Comprehensive Geriatric Assessment

Comprehensive geriatric assessment (CGA) is a multi-dimensional and usually interdisciplinary diagnostic process designed to determine a frail older person’s medical conditions, mental health, functional capacity and social circumstances. The purpose is to plan and carry out a holistic plan for treatment, rehabilitation, support and long term follow up. CGA is part of an integrated approach to assessment based on the following principles:

  • The older adult is central to the process
  • Their capacity to participate voluntarily must be assessed, and if lacking, then there needs be a system to address their needs in an ethical fashion.
  • Links between social and health care should be good enough for older people who need comprehensive assessment to receive it in a timely and efficient manner, and proportionate to their degree of need.
  • Assessments should be standardised and carried out to a reliable standard Circumstances which warrant a comprehensive assessment include, among others –
  • Acute illness associated with significant change in functional ability
  • Transfers of care for rehabilitation/re-enablement or continuing care
  • A frail patient prior to surgery or experiencing two or more “geriatric syndromes” of falls, delirium, incontinence or immobility.

What is Comprehensive Geriatric Assessment (CGA)?

CGA is a holistic approach with a multidimensional and interdisciplinary assessment of an older adult. Physicians use this information to develop treatments and long-term plans and arrange for rehabilitative services, organise and facilitate case management, and make the best use of healthcare resources. In the comprehensive geriatric assessment, we will focus on individuals with complex problems and find workable solutions’ will put emphasis on functional status and improve quality of life. While undertaking CGA we will work as a team and involve other professionals like physiotherapist, occupational therapist and speech therapist if required.

Standard medical evaluations work well in younger non-complex populations, it tends to miss some of the most prevalent problems faced by the older patients.

"Five I's of Geriatrics", also called geriatric giants include Intellectual impairment, Immobility, Instability, Incontinence and Iatrogenicity (drug and environment-induced disorders) are better managed by this process in a holistic and comprehensive way.

The initial assessment and care planning for a full CGA is likely to take at least 1 hour of professional time, plus the necessary time for care plan negotiation and documentation. All patients with frailty benefit from a holistic medical reviewed based on the principles of CGA.

Why come for comprehensive assessment

  • Improved diagnostics.
  • Optimise medical treatment.
  • Improve medical outcomes.
  • Improve the quality of life.

Minimise unnecessary visits to various healthcare professionals.


Age Well is a website designed to inform our patients about our services delivered at Medical Express Clinic at 117a Harley Street. In the event that patients are seen by a clinician, this will be arranged at Medical Express Clinic which is registered in the United Kingdom with the Care Quality Commission to provide healthcare services.