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.


eFI Score
<0.12  
Thresholds
Fit
0.13-0.24  
Mild Frailty (XabdY)
0.25-0.36
Moderate Frailty (Xabdb)
>0.36
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