The 2017/18 GP contract and the Electronic Frailty Index
Message from Dr Martin Vernon, National Clinical Director for Older People: The new GP contract for 2017/18 was announced on Tuesday (see report below). It withdraws the avoiding unplanned admissions enhanced service and aims to ‘put a mainstream focus’ on older people living with frailty through a requirement for routine frailty identification for people aged 65 and over using a validated tool (for example, the electronic Frailty Index) to proactively identify and support older people living with frailty. For people with severe frailty (around 3% of over 65s) this will include a clinical review (medicines review, falls assessment and other clinically relevant interventions) and encouraging use of the additional information in the summary care record to promote safe, joined up care across different settings. We hope you agree this is a step forward in the journey towards more proactive, person-centred care for older people living with frailty.
Our next step is developing the guidance that helps practices introduce the contractual requirements smoothly, as well supporting those practices that want to go further to take greater advantage of the opportunity that routine frailty identification offers for improved prevention and better care.