Introduction

Welcome to the Frailty Improvement and Implementation Programme change package

This change package is for teams in health and social care partnerships (HSCPs), GP practices, and acute care settings interested in frailty improvement work. It is designed to support teams to improve the experience of access to person centered, coordinated health and social care, for people living with or at the risk of frailty.

The change package consists of a number of high-level outcomes supported by activities that when tested and implemented, bring about improvement. It brings together what is known about good practice and processes based on evidence from literature, research, and the experiences of others.

How was the change package developed?

This change package was co-designed virtually with two Expert Reference Groups of professionals from across Scotland with expertise in frailty between May and August 2022. The Expert Reference Groups had wide membership including diverse representation across disciplines, sectors, and regions. We have also engaged with third sector and advocacy organisations on the most meaningful ways to involve people living with frailty as we progress the work.

What is included in this change package?

  • Driver diagram
  • Change ideas
  • Examples of tools, resources, supporting evidence, and guidelines, and
  • Guidance to support measurement

Guidance on using this change package

This change package is a resource to support teams to use quality improvement methods to improve access to person centred, coordinated health and social care for people living with or at risk of frailty. Teams are encouraged to identify areas for improvement relevant to their local context. It is not expected that teams will work simultaneously on all aspects of the driver diagram. The change ideas and measures are not exhaustive. We would recommend teams develop change ideas to fit their context and seek local quality improvement support, if available, in the development of additional measures as required.

Contact

Keep up to date

You can keep up to date with our frailty work by:

Get in touch

Email us to provide feedback or share your plans for using the Frailty Improvement and Implementation change package

Editorial Information

Last reviewed: 31/10/2022

Author email(s): his.frailty@nhs.scot.