Frailty Update Emma Neal Consultant Nurse, Fareham & Gosport

Frailty Definition A multi-dimensional syndrome characterised by decreased biological reserve across multiple organ systems and diminished resistance to stressors. Or ‘ a lot of things are broken or nearly broken’!

What is Frailty? IT IS:- IT ISN’T:- Distinctive health state related to the ageing process but NOT an inevitable part of ageing. A state where multiple body systems lose their reserves The cause of disability in some and the consequence in others Something that can be made better or worse. A long term condition Living with one or more long term conditions (although there may be overlap) Frailty varies in severity so people are not ‘frail’. They ‘have frailty’.

Clinical Frailty Scale Scores

Best Practice - Frailty Early Identification Early Intervention/prevention Comprehensive Geriatric Assessment Access to services Maximising good outcomes

Fareham – One Team (Frailty) 4 meetings to establish one team Multiple organisations: voluntary, health, Adult Services, HFRS, Fareham Leisure Centre Great ideas and collaboration

Areas of concentration Pre Frailty Primary Care clinics: early identification, education Frailty Care Plan/wellbeing plans Access to services Care Homes Proactive and reactive

Next Steps Proposal to be drafted and presented to wider group Approval Establish pilots