Functional mobility • 0–20

Brighton Mobility Score

A simple, granular bedside description of a patient’s current functional mobility — from bed bound and hoist dependent through transfers, assisted walking and independent mobility.

Frail older patient sitting in a chair
Sits
Frail older patient mobilising with a walking frame
Walks with frame
Frail older patient mobilising with a stick
Walks with stick

A simple visual progression through functional mobility.

Quick

Designed to be completed from direct observation or reliable MDT knowledge of what the patient can safely achieve most of the time.

Granular

Twenty-one levels distinguish clinically important differences in transfer method, assistance, walking aid and distance.

Longitudinal

Repeated scores can make deterioration, hospital-associated deconditioning and recovery visible during admission.

Important: The BMS describes functional mobility. It is not a gait, balance, cognition or medical-risk assessment and does not replace specialist physiotherapy or occupational therapy assessment. Use the highest level the patient can safely achieve most of the time.
Patient-facing resources

Translated BMS sheets

Download the Brighton Mobility Score in nine languages, with PDF and PNG versions for printing or sharing.

View translations
Mobility as a vital sign

Follow the BMS over time

The value of the score is not simply the number on one day. Serial measurement can show the trajectory from admission through deterioration, stabilisation, rehabilitation and discharge.

A falling BMS should prompt clinicians to ask why mobility has changed — for example acute illness, pain, delirium, hypotension, medication effects, prolonged bed rest or hospital-associated deconditioning. A rising BMS can provide an objective indication of recovery.

Clinical use
Brighton Mobility Score mobility trajectory over time
The complete score

All 21 mobility levels

The full BMS reference chart shows the progression from complete bed-based care to fully independent mobility.

Complete Brighton Mobility Score reference chart, scores 0 to 20
Pilot and early adopters

Help us refine the BMS

The Brighton Mobility Score is being developed through a feasibility and service-evaluation pilot in frail hospital inpatients. We are recruiting early adopters and welcome interest from clinical teams. The aim is to obtain practical feedback and fine-tune the score before formal validation, so score definitions or wording may change as the pilot develops.