Folkestone and Hythe Neighbourhood Health Service · RSLNCE-2026-0042 · 16 May 2026
⚠ Amber Risk · Divergence Detected
⚠ Carer Wellbeing Flagged
The carer reports finding the caring role very demanding, with no proper break in recent months and limited support network. A carer's assessment and carer support referral are recommended alongside the main clinical response. A carer under significant strain is itself a critical frailty risk indicator for the person they care for.
Dual Frailty Profile Radar — Person vs Carer
Two independent observations of the same person. Where the polygons overlap, reports agree. Where they diverge, a gap is visible — and that gap is a clinical signal.
Person's self-report
Carer's observation
Double tap — both confirm significant need
Agreement and Divergence Summary
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✓ Agreement
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▲ Mild divergence
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⚠ Significant divergence
Where there is significant divergence, the person is likely understating the extent of their difficulties. This is the most important signal in this referral — approach the CGA with particular care and patience in these domains.
Domain Score Comparison
Context
ReferenceRSLNCE-2026-0042
Person screen16 May 2026
Carer report16 May 2026
PRISMA-74/7
FRAIL Scale2/5 Pre-frail
Carer wellbeing⚠ Strain flagged
⚠
Minimisation Pattern — Both Tools Detected
The RESILIENCE screening tool detected minimisation signals during the person's conversation. The divergence pattern in this dual report — person consistently rating higher than the carer's observation — is the classic corroborating indicator. The person is almost certainly understating the extent of their difficulties, most likely due to fear of being a burden or concern about care home placement. The CGA should explicitly reassure the person that the goal of every service involved is for them to stay at home, on their own terms, with their dignity intact.