*23/3/2020: NICE Guidance and Critical Care Admission Algorithm using the Clinical Frailty Score*https://www.nice.org.uk/guidance/ng159/resources/critical-care-admission-algorithm-pdf-8708948893
*27/2/2020: Available for download from the resource section:*
Electronic Frailty Score to Clinical Frailty Score framework
Clinical Frailty Score template to be used for ID badge holders for quick reference
Following on from the Wessex AHSN Healthy Ageing acute frailty audit and workshop in 2018/19, local acute trusts have been working on developing key resources to help improve the identification and screening for frailty and providing guidance on best practice for sharing this key information, providing an oversight of where patients living with frailty are located as well as their level of frailty.
Aims of the project:
The aim of the project was to develop a suite of standards to support a consistent approach across Wessex within a hospital setting in identifying and sharing important information about individuals living with frailty.
Top 10 resources to be made available for download will include:
1. Wessex AHSN Healthy Ageing Frailty Screening and Identification Standards [to be uploaded]
This resource provides an overview of the screening and identification approach and includes a downloadable and printable resource that can be utilised within a ward setting.
2. Wessex AHSN Healthy Ageing Frailty Screening and Identification Recommendations – For Managers [to be uploaded]
Educational resource for operational and service managers, ward leaders and matrons detailing the 8 top reasons why screening and identification of frailty in an acute care setting is important.
3. Wessex AHSN Healthy Ageing Frailty Screening and Identification Recommendations – For Clinicians [to be uploaded]
Educational resource for clinicians in any acute setting detailing the top 10 reasons why screening and identification of frailty is important.
4. Wessex AHSN Healthy Ageing Screening and Identification Recommendations – For Patients[to be uploaded]
Educational resource for managers and clinicians describing why frailty screening is important for individuals, carers and family members. This resource can be adapted for use with patients and their families
5. Why frailty screening is important- an information leaflet for managers and staff [in finalisation phase]
Downloadable resource to be used as part of frailty training and awareness for Tier 1 and Tier 2 Skills for Health frailty competencies
6. Mapping of e-FI (electronic frailty index) to CFS (clinical frailty score) tool
A downloadable resource developed by Southern Health that can be utilised in both an acute and community care setting.
7. Frailty screening and assessment comparison tool [developed by Health Improvement Scotland]
A fantastic online resource providing details of available frailty screening and assessment tools that can be utilised across care settings.
8. Best practice advice and guidance on frailty screening by Greater Manchester Health and Social Care Partnership
Guidance developed by the Greater Manchester Health and Social Care Partnership for individuals living with frailty on surgical pathways.
9. Case Study from Royal Bournemouth and Christchurch Hospital
Online article published on NHS England, the Atlas of Shared Learning in November 2019 demonstrates the benefits of screening for frailty within the emergency department.
10. Scottish Improvement Hub - eFI resources
Resources include a guide for health and social care organisations, scaling up a proactive approach to frailty identification, eFI read codes guide and useful hints and tips.
Information in relation to the electronic frailty index (eFI) can also be found at:
Innovative work from a GP setting, can also be found at http://www.worcestershire.nhs.uk/integrated-care/icope/ A tool mapping the Rockwood Clinical Frailty Score and actions to be undertaken can be downloaded from our resource section.
From May - October 2020, the Programme will be working with Salisbury Foundation Trust to develop an implementation approach to roll out the standards across the Wessex region. Resources developed as part of this programme of work will be made available.