The NHS England technical requirements for frailty have recently been updated. This is a contractual requirement and there is no payment count for this. Practices are required to create a frailty register & review severely frail patients.
Step 1 – Frailty Register
Practices must record a diagnosis of moderate or severe frailty. To do this, you can use the Electronic Frailty Index
To identify at risk patients, go to Reporting > Miscellaneous Reports > Electronic Frailty Index Report > Run Report
You should then clinically confirm the patient's frailty status before added the appropriate frailty read code below.
Mild Frailty (XabdY)
Moderate Frailty (Xabdb)
Severe Frailty (Xabdd)
Step 2 – Frailty Review
For patients with severe frailty, a clinical review is required to:
- Perform an annual medication review
- Record if a fall has occurred in the last 12 months
- Seek explicit consent to activate their additional SCR dataset
If you record a patient as ‘Severe Frailty’, they will be included in the LTC invitations
If a patient has frailty, they will have a ‘broken bone’ icon under their name. Click this to open the frailty template. All of the above requirements have a blue star next to them