Named GP and the service for the Identification and Management of Patients with Frailty have been combined into this quality service. From April 2014 it became a contractual requirement for all patients to have an accountable GP. The GP is responsible for the care package the patient receives.
This forms an integral part of transforming primary care and the drive to deliver a personalised care package for patients identified as most vulnerable.
From 1 October 2017, the General Medical Services (GMS) contract required practices to routinely identify moderate and severe frailty for patients aged 65 years and over.
The first paragraph of the 5 Year Forward View notes that support for older people living with frailty, along with mental health and cancer, is one of three areas where the NHS faces particular challenges. Frailty has been described as the most problematic expression of population ageing, in part because it can be difficult to distinguish those living with frailty from those without frailty. The introduction of routine identification of frailty can help practices address this and provide an opportunity to target and tailor appropriate care and support for older people with the greatest need and enhance the proactive care GPs are providing for this patient group.