Frailty

 

Why it's important?

Frailty is the manifestation of ageing that is associated with poor outcomes, including increased risk of disability, hospital admission, institutional care or death. The impact on a person’s quality of life is considerable, as well as an increased use of primary care and unplanned secondary care services.

 

Evidence and evaluation

Improving care and support for people with frailty - NICE

The main NICE Pathways for this area are:

Delaying and reversing frailty: a systematic review of primary care interventions (BJGP, 2019)

A combination of muscle strength training and protein supplementation was the most effective intervention to delay or reverse frailty and the easiest to implement in primary care. A map of interventions was created that can be used to inform choices for managing frailty.

 

Toolkits guidance or resources

Frailty Screening and Assessment Tool Comparator (PDF)

Compares the features of different frailty screening and assessment tools at a glance, together with links to further information and research.

Frailty and Falls Assessment and Intervention Booklet (PDF) and Poster (PDF)

Tools that enhances the assessment and identification of  an individual’s needs.

Living Well in Communities with Frailty: evidence for what works (PDF)

Evidence for interventions in frailty that are community based, focused on the prevention of harms or poor outcomes, and supported by relatively high-level evidence.

Multidisciplinary team meetings: guidance

Guidance notes on multidisciplinary team meetings to discuss those identified with frailty in the community.

 

Learning from others

Intergrated care for older people with frailty: Innovative approaches in practice. (BGS and RSGP, 2016)

A report from the British Geriatrics Society and the Royal College of General Practitioners to spread best practice.

The case studies have been grouped into three areas:

  • Ageing well and staying well
  • Extending primary and community support
  • Intergrated care in acute settings

Using the electronic Frailty index.

In this short video, GP Kenneth O'Neill talks about a multidisciplinary approach to frailty using the electronic frailty index (eFI) and the ihub Frailty and Falls Assessment and Intervention Tool. (PDF)

Embed video - https://youtu.be/FXQVyMpW1mU

 

National programmes

Living Well In Communities are leading a national improvement collaborative that aims to improve identification and support for people living with frailty Visit the Living and Dying Well with Frailty page for more information.