Supporting self-care and independence for older people with frailty Dr Dawn Moody Associate National Clinical Director for Older People and Integrated Person-Centred Care, NHS England GPSI Care of Older People, Derbyshire NWADASS 26th January 2017

Needs addressed in isolation Holistic approach to care Living with frailty Right care, right time, right place can influence frailty trajectories Needs addressed in isolation Fragmented system of care Holistic approach to care Integrated People living with frailty have most to gain from integrated and person-centred care

‘Fit for Frailty’ Part 1 Part 2 The British Geriatric Society, 2014/2015 Part 1 June 2014 Advice and guidance on the recognition and management of frailty in community and outpatient settings Part 2 January 2015 Advice and guidance on the development, commissioning and management of services for people living with frailty in community settings 

‘Fit for Frailty’ Identifying frailty Managing frailty Managing services for people with frailty Developing & commissioning services for people with frailty

‘Fit for Frailty’ Understanding Frailty Identifying frailty Managing frailty Managing services for people with frailty Developing & commissioning services for people with frailty Understanding Frailty

The Frailty Fulcrum A model to understand the dynamics & complexity of frailty.

Frailty Fulcrum

Frailty Fulcrum

Nottinghamshire Frailty Programme HEE (East Midlands) Nottinghamshire Frailty Programme Identifying frailty Managing frailty Managing services for people with frailty Developing & commissioning services for people with frailty

Nottinghamshire Frailty Programme HEE (East Midlands) Nottinghamshire Frailty Programme Identifying frailty Managing frailty Managing services for people with frailty Developing & commissioning services for people with frailty Supporting self-care Workforce development

Consistent education and Key local priorities Enabling supported self-care Integrated assessment Multi-professional and multi-agency learning and working Consistent education and training standards

multi-professional, multi-agency frailty training programme Key local priorities Enabling supported self-care Integrated assessment Frailty toolkit & multi-professional, multi-agency frailty training programme Multi-professional and multi-agency learning and working Consistent education and training standards

Key components - innovations Fulcrum Toolkit App. Virtual Reality

Key components – person-centred care Case studies Planning Template Multi-agency events

Frailty Fulcrum

Frailty Fulcrum Jane to lead To research, design and deliver a multi-agency, multi-professional toolkit to support and enable health and care professionals to take a consistent and evidence based approach to supporting self-care for older people living with frailty. To develop an innovative education and training programme to launch the toolkit to participants across Nottingham City and Nottinghamshire. 8 Whole-day Education & Training events for cohorts of 36 – 50 across Nottinghamshire Offered to all health care provider organisations involved in health care and support services for older people with frailty The target audience health and care professionals working in Agenda for Change Bands 2 to 7 (or equivalent roles for non- NHS organisations)

Co-designed case studies Victor’s story Nirmala & Baldev’s story

Virtual Reality Frailty Simulation Learning Goals Develop greater empathy Promote observational skills Gain confidence in using assistive technology

Frailty Toolkit

Progress to date… ~ 800 individuals 90+ organisations 50+ roles

Progress to date… Next steps…. ~ 800 individuals 90+ organisations 50+ roles Next steps…. increasing access training trainers online learning wider community activation & engagement

Thank You dawn.moody1@nhs.net