We are currently updating the website to provide enhanced features as part of RCNi Plus. If you come across any unusual functionality during this period or have feedback about the changes to the website, please contact customer services
News

Nurses need training in frailty management if the NHS Long Term Plan is to succeed

GPs alone cannot carry out frailty management, says leading nurse
GP_Frailty_test

GPs alone cannot carry out frailty management, says leading nurse

Nurses need training to identify and manage frailty if the NHS goals to improve older peoples health and reduce hospital admissions are to be met.

This assessment was made by Kings College Hospital NHS Foundation Trust consultant nurse for older people Nicky Hayes in response to the publication of the NHS's long-term plan .

The plan, which sets out the vision for the NHS over the next ten years, suggests a more proactive approach should be taken to identify moderate frailty earlier in the community.

The Electronic Frailty Index

GPs alone cannot carry out frailty management, says leading nurse

GP_Frailty_test
Picture: Alamy

Nurses need training to identify and manage frailty if the NHS goals to improve older people’s health and reduce hospital admissions are to be met.

This assessment was made by King’s College Hospital NHS Foundation Trust consultant nurse for older people Nicky Hayes in response to the publication of the NHS's long-term plan.

The plan, which sets out the vision for the NHS over the next ten years, suggests a more proactive approach should be taken to identify moderate frailty earlier in the community.

The Electronic Frailty Index (EFI) is used in GP practices to identify people aged 65 and over with severe frailty, based on a series of cumulative factors, including clinical signs, symptoms, diseases and disabilities.

It will now be used more widely to detect frailty in the community and provide targeted support to those in need.

Proactive approach

Welcoming the move, Ms Hayes, who is also consultant editor of Nursing Older People, said: ‘It is an appropriate population-based plan, which will ensure that many more older people are offered a proactive approach to their healthcare by the primary care team.’

It is part of the plan’s overall aim to maintain older people’s independence by detecting and intervening earlier to treat their physical, including musculoskeletal, and mental health needs.

This would prevent falls and reduce hospital interventions, the plan says.

Nicky_Hayes
Nicky Hayes

However, Ms Hayes warned that the plan’s goals were at risk unless the workforce received a parallel investment equipping them with the skills to identify and manage frailty.

‘GPs alone will not be able to carry out frailty management, therefore resources will be needed to develop the non-medical workforce,’ she said.

‘There has been chronic under-investment so far in this area.’

Ms Hayes said a ‘substantial proportion’ of the £50 million workforce development budget for 2019-20 announced by Health Education England in December needs to be directed towards such training.

 

Related material


In other news

Sign up to continue reading for FREE

OR

Subscribe for unlimited access

Enjoy 1 month's access for £1 and get:

  • Full access to nursingolderpeople.com
  • Bi-monthly digital edition
  • RCNi Portfolio and interactive CPD quizzes
  • RCNi Learning with 200+ evidence-based modules
  • 10 articles a month from any other RCNi journal

This article is not available as part of an institutional subscription. Why is this?

Jobs