Identifying and Managing Frailty: A Survey of UK Healthcare Professionals

Author:

Frost Rachael1ORCID,Robinson Katie2,Gordon Adam2,Caldeira de Melo Ruth3,Villas Boas Paulo J. F.4,Azevedo Paula S.4,Hinsliff-Smith Kathryn5,Gavin James P.6

Affiliation:

1. Research Department of Primary Care and Population Health, University College London, London, UK

2. Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Nottingham, UK

3. School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil

4. Botucatu Medical School, São Paulo State University, São Paulo, Brazil

5. Leicester School of Nursing and Midwifery, Faculty of Health and Life Sciences, De Montfort University, Leicester, UK

6. School of Health Sciences, University of Southampton, Southampton, UK

Abstract

Frailty is a common condition that leads to multiple adverse outcomes. Frailty should be identified and managed in a holistic, evidence-based and patient-centered way. We aimed to understand how UK healthcare professionals (HCPs) identify and manage frailty in comparison with UK Fit for Frailty guidelines, their frailty training, their confidence in providing support and organizational pathways for this. An online mixed-methods survey was distributed to UK HCPs supporting older people through professional bodies, special interest groups, key contacts, and social media. From 137 responses, HCPs valued frailty assessment but used a mixture of tools that varied by profession. HCPs felt confident managing frailty and referred older people to a wide range of supportive services, but acknowledged a lack of formalized training opportunities, systems, and pathways for frailty management. Clearer pathways, more training, and stronger interprofessional communication, appropriate to each setting, may further support HCPs in frailty management.

Funder

PSA was supported by Coordination for the Improvement of Higher Education Personnel internationalization program (CAPES-PRINT-Unesp) – 001

Publisher

SAGE Publications

Subject

Geriatrics and Gerontology,Gerontology

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