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The Brighton Mobility Score is a practical bedside mobility scale designed to describe a patient’s current level of mobility, transfer ability and walking function. It progresses from patients who are fully bed bound and dependent for care, through those requiring hoisting or standing-transfer aids, to patients who can walk independently with a frame or stick.
The score can help clinical, nursing and therapy teams communicate mobility status clearly and consistently. This is particularly useful during ward rounds, rehabilitation planning, discharge discussions and handovers, where a short description such as “hoisted bed to chair” or “walks 5–10 metres with a frame and one person” is often more meaningful than a vague term like “poor mobility”.
Mobility is an important marker of frailty, functional reserve and recovery potential. Reduced mobility increases the risk of deconditioning, pressure damage, falls, venous thromboembolism, hospital-acquired infection and delayed discharge. Tracking change over time can therefore help identify improvement, deterioration or the need for additional physiotherapy, occupational therapy or social care input.
The Brighton Mobility Score should be used as a clinical communication aid rather than a replacement for professional assessment. It should be interpreted alongside cognition, balance, pain, cardiovascular stability, falls risk, home circumstances and the patient’s own rehabilitation goals.
Brighton Mobility Score © Dr Declan O’Kane 2026. This work is licensed under CC BY-NC-ND 4.0: it may be shared with attribution for non-commercial purposes, but must not be modified or used commercially without written permission. Contact: declan.okane@nhs.net