1. 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

2. 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

3. ‘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 

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

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

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

7. Frailty Fulcrum

8. Frailty Fulcrum

9. 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

10. 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

11. 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

12. 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

13. Key components - innovations
Fulcrum
Toolkit App.
Virtual Reality

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

15. Frailty Fulcrum

16. 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)

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

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

19. Frailty Toolkit

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

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

22. Thank You dawn.moody1@nhs.net