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Fit for frailty: part 2: developing, commissioning and managing services for people living with frailty in community settings
- Authors:
- BRITISH GERIATRICS SOCIETY, ROYAL COLLEGE OF GENERAL PRACTITIONERS
- Publisher:
- British Geriatrics Society
- Publication year:
- 2015
- Pagination:
- 35
- Place of publication:
- London
Provides advice and guidance on the development, commissioning and management of services for people living with frailty in community settings. The first section introduces the concept of frailty and sets out the rationale for developing frailty services. The second section explores the essential characteristics of a good service. The third section considers the issue of performance and outcome measures for frailty services. The appendix to the report includes eight case studies of services which are operating in different parts of the UK. The audience for this guidance comprises GPs, geriatricians, health service managers, social service managers and commissioners of services. It is a companion report to an earlier BGS publication, Fit for Frailty Part 1 which provided advice and guidance on the care of older people living with frailty in community and outpatient settings. (Edited publisher abstract)
Reducing health inequalities for people living with frailty: a resource for commissioners, service providers and health, care and support staff
- Authors:
- GARRETT Josie, WORRALL Sam, SWEENEY Sarah
- Publisher:
- Friends, Families and Travellers
- Publication year:
- 2020
- Pagination:
- 34
- Place of publication:
- Brighton
This guide outlines perspectives from patients experiencing inequalities on where the greatest issues in access and outcomes are in relation to frailty, as well as ways in which these can be overcome. It explores why certain groups are at high risk of developing; why current efforts at identifying frailty are missing these groups; why people experiencing disadvantage and frailty are not accessing health and care services; and how to support people experiencing premature frailty to manage their health and care. This resource shares practical recommendations and examples of how commissioners, service providers and health, care and support staff can successfully overcome barriers to healthcare for people at greater risk of frailty, including people experiencing deprivation, people who are homeless, people experiencing substance misuse, people with learning disabilities, LGB&T people, people with mental health needs, people from Gypsy and Traveller communities, and vulnerable migrants. The guide details how a shift from an aged-based to a needs-based approach in identifying and treating frailty could provide welcome opportunities for early interventions in populations experiencing frailty earlier in life; it sets out a vision for a place-based approach to support early intervention, prevention and management of frailty, with services working with local communities to address the wider determinants of health, reduce isolation, and build resilience; and offers key insights on how health and care services can work in collaborative, holistic and inclusive ways to reduce health inequalities for people living with frailty, and offer all patients the support needed to manage the condition long-term. (Edited publisher abstract)
Safe, compassionate care for frail older people using an integrated care pathway: practical guidance for commissioners, providers and nursing, medical and allied health professional leaders
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2014
- Pagination:
- 38
- Place of publication:
- London
This practical guidance provides information on implementing an integrated pathway of care for older people and suggests how it can be commissioned effectively across health and care providers. It shows how an integrated pathway can improve patient care, but also deliver savings to health and social care. The pathway is based on the principles of providing care with compassion. Sections of the guide cover reducing healthcare-related harm; providing care with compassion; case finding and assessment, which provides examples of assessment and screening tools and interventions that should be in place at each stage of the pathway; and measuring outcomes provides guidance on evaluating interventions. The final section contains examples of good practice of implementing frailty pathways across health and care systems from a pioneer case study sites. The guide will be useful for commissioners, service providers, nurses, medical, and allied health professionals (Original abstract)