Multiple long-term conditions: frailty register

Indicator

The practice can produce a register of people with moderate to severe frailty.

Introduction

The appropriate use of an evidenced based tool and clinical judgement to identify people aged 65 and over who may be living with moderate or severe frailty was a requirement in the 2017/18 GP contract.

Annual medication reviews, recording of falls and explicit consent to activate their enriched summary care record are currently limited to people with severe frailty. This register underpins subsequent indicators, and it is assumed that the required data are already routinely collected.

Resource impact

The resource impact of the proposed indicator is unlikely to be significant. There is already a requirement for practices to identify people with moderate to severe frailty. Producing the register will therefore not impact on workload significantly.