We have a comprehensive frailty service at the surgery run by a dedicated team. Frailty is a term used to describe anyone who has multiple needs, often including health and social care, for which an all-encompassing and coordinated approach is going to be more effective.
The includes a doctor with a special interest, a dedicate care manager, a social prescriber, and pharmacy and nursing input. The team liaises very closely with other NHS services, including district nursing, and social services, and also has support from a named hospital consultant specialising in frailty.
The team supports people living at home, alone or with family, and also people living in care homes and sheltered accommodation.