Person · Carer · CGA — Three independent clinical perspectives synthesised
●●● Triple Tap Confirmed
●●●
Triple Tap Confirmed — Social Connection and Support
Person self-report, carer observation, and CGA clinical assessment all confirm critical social isolation. Highest clinical confidence signal in this case. Immediate action indicated.
CGA SCORE 2/10
Triple Tap Domains
1
Social Connection — all three confirm critical need
Minimisation Confirmed
2
CGA and Carer agree; Person significantly understated
Screening Calibration
4/6
Domains well-predicted by community screening (67%)
Triple Tap Frailty Profile Radar — Three Perspectives
CGA is the primary clinical assessment and is shown front and most prominent. Person and Carer reports provide community context. Where all three polygons compress inward — the Triple Tap zone — clinical confidence is highest.
Person self-report
Carer observation
CGA — Primary
Triple Tap zone
CGA Clinical Findings — Primary Assessment
PRISMA-7 (verified)
5/7
Threshold ≥3 — Frailty confirmed
FRAIL Scale
3/5
Frail (upgraded from Pre-frail)
GDS-15
8/15
Moderate depression confirmed
MoCA
24/30
Within normal limits for age
Barthel Index
18/20
Basic ADLs mostly preserved
Lawton IADL
4/8
Significant IADL impairment
RESILIENCE Screening Calibration vs CGA
How accurately did community screening predict the CGA clinical findings?
Physical Function and Daily Living were significantly underestimated by the person's self-report. Carer observation was better calibrated — carer scores matched CGA findings in both domains.
What CGA Found Beyond Community Screening
Grip strength below threshold — 18kg (below age/sex norm). Early sarcopenia. Not detectable from self-report.
FRAIL upgraded to Frail (3/5) — Community screen estimated Pre-frail. CGA confirmed full frailty.
Anticholinergic drug flag — Beers Criteria review. Increases fall risk. Not captured in self-report.
IADL impairment confirmed — Lawton 4/8. Carer providing covert support not acknowledged by person.
Domain Breakdown — Three Perspectives
✦ Triple Tap AI Intelligence Synthesis · Claude Sonnet
Claude Sonnet reads all three independent assessments and generates a structured clinical intelligence synthesis — identifying what each perspective contributed, where they converge, and what the combined picture means for MDT planning.
Synthesising person, carer, and CGA perspectives...
📈
Longitudinal Triple Tap Tracking
Repeat all three assessments at 3 and 6 months to measure intervention effectiveness. Does social prescribing shift the person's self-report? Does the carer observe improvement? Does the next CGA confirm it? This trajectory view is the most powerful clinical intelligence RESILIENCE generates over time.
Baseline — May 2026 ✓
3 months — Aug 2026 ○
6 months — Nov 2026 ○
MDT actions
RESILIENCE Triple Tap Intelligence · RSLNCE-2026-0042 · Folkestone and Hythe NHS · Assistiv Systems Limited · resiliencetools.xyz