The Community Frailty Assessment service launched in April 2021 with the aim to improve the care and treatment of frail, older people in the community.
The team is made up of GPs with a special interest in frailty, a Physiotherapist, an Occupational Therapist and a Frailty Assistant Practitioner.
There is weekly Consultant Geriatrician support provided from the East and North Hertfordshire NHS Trust who provides specialist support to the team.
The aim of this service is to:
- Provide specialist holistic medical and functional reviews in to improve or maintain quality of life.
- Minimise crisis situations and requirements for emergency interventions or hospital admissions.
- Increase ownership and control over the individual’s health through personalised care planning and setting goals with patients.
- Improve access to existing services through a coordinated MDT approach.
The overall goal is to empower patients utilising the frailty service to:
- Understand their medical conditions and any medications,
- Develop an awareness of their abilities and potential limitations,
- Increase their awareness of how they can improve their own well-being by accessing relevant voluntary community services, such as exercise classes and groups.
- Improve self-management skills which results in individuals being able to improve or maintain their quality of life for longer.