TREAT HOT Clinic at the RFH

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The Triage and Rapid Elderly Assessment Team (TREAT) at the Royal Free assesses older patients' needs quickly, including a specialist elderly medical component, within a multidisciplinary structure.

TREAT includes consultant geriatricians, registrars, occupational therapists, clinical nurse specialists and pharmacists. The aim is to link with community teams to ensure appropriate care provision is in place to enable a patient’s safe return home without the need for hospital admission.

HOT clinic is a one-stop clinic that is part of TREAT and is run five days a week at the Royal Free on the lower ground floor next to the Emergency department. 

Eligibility criteria


  • Patients with complex needs who require quick, comprehensive, geriatric assessment and intervention; should be patients who are expected to need admission within 48–72 hours, if no intervention were provided
  • Patients with exacerbation of chronic conditions who require rapid investigation and treatment
  • Specific conditions
    • Patients with high risk of further falls or syncope
    • Off baseline mobility
    • Infections unresponsive to oral antibiotics who could remain at home during intravenous treatment
    • Patients under PACE/RAPID who require medical review or practical procedures


Patients who:

  • are clinically unstable (low BP, tachycardia, low saturation)
  • are drowsy or have reduced GCS
  • have a suspected stroke or TIA
  • require hoist for transfer

How to refer

The following clinicians can refer to this service: GPs

Editable PDF / Word document

Referral methods: Email

Discuss the referral with the TREAT consultant on, t: 020 3758 2000 (bleep 1026).

Once accepted please email referral to, e:

Please note, patients must have been seen and examined by the referring doctor. Referring GP is responsible for Patient transport to the hospital.