Supporting routine frailty identification and frailty through the GP Contract 2017/2018

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This document provides updated guidance for general practices to support implementation of  the new frailty requirements in the 20127/18 GP contract. It provides an explanation as to why routine frailty identification is included, what a general practice is required to do, with signposting to further support.


The new 2017/2018 GP contract introduces routine frailty identification for patients who are 65 and over from 1 July 2017. This guidance provides GPs and Primary Care with a summary of the core contract requirements in relation to frailty within the contract and includes signposting to further support.


Some GP practices may have batch-coded a Read code diagnosis of frailty based solely on an eFI score, without clinical judgement confirming a diagnosis.  This statement confirms the importance of clinical judgement to ensure there is not inappropriate follow up action for patients, including unnecessary clinical interventions; and services, including future care planning based on an undiagnosed wrong identification.