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Acute Frailty Intervention Team

The Acute Frailty Intervention Team aims to offer prompt, effective, multi-disciplinary support for patients experiencing decompensated frailty syndrome in the community. Anticipated outcomes include increased weekly referrals, positive discharge outcomes, and enhanced patient experience. Current progress involves recruiting additional staff, improving IT systems, and collaborating with The Practice at LNFH for training and education. Future plans include empowering nursing homes to manage frailty syndromes and educating community colleagues on frailty recognition and management.

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Acute Frailty Intervention Team

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  1. Acute Frailty Intervention Team

  2. Aims To provide a timely, effective multi-disciplinary community based response to patients presenting with decompensated frailty syndrome.

  3. Anticipated outputs

  4. Anticipated Outcomes

  5. Anticipated Outcomes

  6. Weekly referrals by GP practice

  7. Referral by source

  8. Discharge outcome

  9. Patient experience

  10. Where are we now? Recruitment • 2 more Consultant Practitioners recruited • 3 band 6 frailty practitioners • SCAS are recruiting 5 more band 4 technicians • Admin co-ordinator in post Recruitment remains a challenge in the Forest

  11. IT systems • RiO is being altered to capture clinical outcomes • On-going challenges with using numerous systems We are benefiting from other developments with The Practice at LNFH

  12. Trainingand Education • Developing SCAS technicians to complete the triage assessment as a solo responder. • Developing the role of the frailty practitioner. • Developing a proactive service to residential nursing homes to empower them to manage frailty syndromes effectively. • Supporting and educating community colleagues to recognise and manage frailty.

  13. Hindsight is 20:20 • Project management • HR support • Equipment • Training and education • IT systems

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