Proactive Ageing Well Service (PAWS)

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25 March 2020: service update 

The PAWS service that provides frailty assessments for moderate frailty has been suspended.


The Proactive Ageing Well Service (PAWS) is an Islington based, multidisciplinary team, supporting identification of people living with moderate frailty and making an assessment to identify their health and social needs. These are predominantly around risk of falls, polypharmacy and other medicine-related issues and social isolation. The aim is to address these needs with short-term interventions provided by the team or through onward referral and signposting to suitable services without the need for bounce back to the GP. The aim is to keep people with moderate frailty as well as possible, reduce risk of admission to hospitals or care homes for preventable causes and maximise quality of life.

The team consists of a nurse, physiotherapist, pharmacist and Age UK navigator.

PAWS works collaboratively with Whittington Health, the Islington GP Federation and Age UK Islington; breaking boundaries between primary, secondary care and the third sector.

The team aims to see patients at home for a holistic Comprehensive Geriatric Assessment (CGA), following this with evidence-based interventions and signposting/referral to appropriate services in the area.

The team on the ground

Dr Clarissa Murdoch, Consultant Geriatrician

David Lincoln, Specialist Nurse

Helen McGinley, Specialist Physiotherapist

Ali Hasan, Specialist Pharmacist

Ruhi Begum, Community Navigator

Wider team

Dr Philly O’Riordan, GPwSI in Geriatrics

Local GP Surgeries

Age UK Islington

Islington GP Federation

Eligibility criteria


External referrals are not accepted to the service.

In order to proactively identify those with moderate frailty, the service works with local GPs; using their knowledge of patients, the Rockwood Frailty Index and telephone screening.

If you are a GP practice who has not yet participated and would like to, then please email the team,

How to refer

The following clinicians can refer to this service: GPs

Directly by email


If you are a GP practice who has not yet participated and would like to, then please email the team.


Proactive Ageing Well Service