Named GP and the service for the identification and management of patients with frailty are combined in this quality service (QS). It is a contractual requirement for all patients to have an accountable GP. The GP is responsible for the care package the patient receives.
Practices are also contractually required to identify moderate and severe frailty for patients aged 65 years and over on an annual basis.
For the frailty service practices will be required to use an appropriate tool, for example the Electronic Frailty Index (eFI), to identify patients aged 65 and over who are living with moderate and severe frailty.
Changes to the GP contract in 2017/2018 introduced routine frailty identification for patients who are 65 and over. It targets a small number of key interventions (falls assessment, medicines review and promotion of the additional information in the summary care record) at those most at risk of adverse events including hospitalisation, nursing home admission and death. Early identification coupled with targeted support can help older people living with frailty to stay well and live independently for as long as possible.