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
Mild Frailty (XabdY)
Moderate Frailty (Xabdb)
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