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Supporting routine frailty identification through the GP Contract 2017/18

Tuesday 6th Jun 2017

Support for older people living with frailty is one the 3 areas the NHS faces ‘particular challenges’ with.  Frailty can help predict who is likely to have a fall, become dependent on others or experience unplanned admissions to hospital or a care home.  It can also be associated with anxiety, depression and poor quality of life.

Practices will use an appropriate tool, e.g. Electronic Frailty Index (eFI) to identify patients 65 & older who are living with moderate or severe frailty.

Those patients who are, practices will:

  • Deliver a clinical review including annual medication review
  • Where clinically appropriate discuss falls in the last 12 months
  • Provide other clinically relevant interventions
  • Where patients do not already have an enriched Summary Care Record (SCR) practices will promote and seek informed patient consent to activate SCR