Image shows elderly woman in a wheelchair talking to a care coordinator

Posted on May 5, 2023

Short abstract:

With our partner, Unity Insights, we evaluated a new frailty pathway set up in South Gloucestershire. The new frailty pathway involved care coordinators visiting patients in their homes and discussing what matters to them, ensuring they are involved in decisions relating to their healthcare needs. This proactive and anticipatory approach aimed to empower patients to take control of their health as well as avoiding unnecessary secondary care attendances or admissions.

The evaluation found that 71% of patients say the new frailty service has helped them to better manage their health and two-thirds felt less isolated. 90% of staff felt patients’ quality of life had improved, while 89% of staff agreed that the pathway enables shared decision-making.

Key benefits included a reduction in GP home visits and practice nurse appointments, a reduction in non-elective admissions and length of stay, and a reduction in A&E attendances.

Citation:

Unity Insights. Yate & Frampton PCN frailty pathway: evaluation report. West of England Academic Health Science Network; 2023 March; 1-81.

Read the full report here.

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