The 2021 Getting it Right Frist Time (GIRFT) report identified that 53% of patients over 75years attending Emergency Departments (ED) are admitted to hospital. Once admitted, these frail patients run the risk of getting over medicalised, subsequently staying longer in hospital and increased risk of nosocomial harm; deconditioning, further frailty and dependence for health and care needs and increased morbidity and mortality. The ASPH Frailty Team set out to test some changes to improve early identification of frailty patients within ED and early intervention from the dedicated team to facilitate same day or under 24hr discharge.