1. Step 3
GP to assess frailty level using clinical judgement and add Read code to patient record:
Mild frailty: XabdY
Moderate: Xabdb
Severe: Xabdd
Frailty pathway
Phase 1 severe frailty
Patients unknown to MDT
Step 1. All patients aged 65 and over identified with severe frailty by eFI
Step 2
Identification and filtering of unknown & existing patients
Patients with severe frailty confirmed
Step 4
LICT MDT meeting
Medication review by GP
Medication review done:
Read Code XaF8d
De-prescribing review:
Read Code Y06af
Informed consent to activate SCR (if not already done)
Holistic assessment including falls risk
Clinically relevant interventions
Version 6 Oct 17
LICT Community Services steps
Primary Care steps

2. Step 3
GP to assess frailty level using clinical judgement and add Read code to patient record:
Mild frailty: XabdY
Moderate: Xabdb
Severe: Xabdd
Frailty pathway
Phase 2 moderate frailty
Patients unknown to MDT
Step 1. All patients aged 65 and over identified with moderate frailty by eFI
Step 2
Identification and filtering of unknown & existing patients
Patients with moderate frailty who would benefit from MDT assessment
Step 4
LICT MDT meeting
Informed consent to activate SCR (if not already done)
Medication review by GP
Medication review done:
Read Code XaF8d
De-prescribing review:
Read Code Y06af
Holistic assessment including falls risk
Clinically relevant interventions
Version 6 Oct 17
Primary Care steps
LICT Community Services steps