1. Frailty Update Emma Neal Consultant Nurse, Fareham & Gosport

2. 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’!

3. 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’.

4. Clinical Frailty Scale Scores

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

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

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

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