This NHS RightCare toolkit draws together expert practical advice and guidance on how to commission and provide the best system wide care for people living with frailty.

The RightCare toolkit supports systems to understand the priorities in frailty care and key actions to take. It provides a way to assess and benchmark current systems to find opportunities for improvement. It is produced with reference to an expert group of stakeholders and is supported by NICE. Wider consultation has taken place with patient representatives, clinicians, social care organisations, professional bodies and other key stakeholders.

The national NHS RightCare opportunity has been defined as:

  • 29,000 fewer injuries due to falls in people aged 65 or over if CCGs achieved the rate of their lowest five peers.
  • 25,000 fewer long stay patients aged 85 or over if CCGs achieved the rate of their lowest five peers.

The toolkit identifies nine system improvement priorities:

  1. Population segmentation, identification and stratification of frailty
  2. Supporting people living with mild frailty and encouraging people to ‘age well’
  3. Supporting people living with moderate frailty
  4. Supporting people living with severe frailty
  5. Reducing hospital length of stay
  6. Falls and Fragility Fractures Pathway
  7. Delirium, dementia and cognitive disorder
  8. Personalised care
  9. Experience of care

Frailty RightCare System Priorities

These are followed by links to the relevant guidance and best practice for each system improvement priority and an extensive self-assessment questionnaire.

These self-assessment questions (SAQ) are designed to help local areas (including STPs, ICSs and PCNs) gain enhanced understanding of their frailty system.   The questions should be used alongside the Toolkit to facilitate discussion and identify improvement opportunities or exemplars of good practice. The SAQs have been developed in partnership with the NHS England Clinical Policy Unit.

Specifically these questions are designed to:

  • Assess the existing system to support ageing well and provide quality care for people living with frailty.
  • Identify any current gaps in provision and current opportunities to enhance or develop services and systems to support ageing well and quality care in older life, including working with key partners.
  • Consider future demand from population ageing based on current care models, using local intelligence alongside projected data to ensure accuracy and consistency.
  • Assess the progress of any system improvements over time.

You can access the whole RightCare toolkit via the following link or below:

https://www.england.nhs.uk/rightcare/wp-content/uploads/sites/40/2019/06/frailty-toolkit-june-2019.pdf

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