Models of Care to prevent or delay progression of frailty and enable people to live well with frailty
The main focus of WP7 is to analyse models of care and draw conclusions on how to best prevent or delay progression of frailty and enable people to live well with frailty. WP7 will also establish how to transfer information and knowledge to specific target groups, building on the work previously done by the EIP-AHA (A3 AG and Reference Site activities).
Tasks for the WP7 Team include the following:
- collect and describe examples of person-centred coordinated care and support to prevent and tackle frailty in primary care settings;
-collect and describe the experience and functional outcomes of comprehensive assessment and care in hospitals and at times of transition between home and hospital;
- describe how social care providers can implement enabling approaches at home or in care homes to delay progression of frailty and improve the quality of life and functional outcomes for older people and their caregivers;
- analyse good established models of integrated care and support for chronic conditions in terms of their impact on the prevention or management of frailty.
- assess outcomes, resource use and costs for the health and social care systems to inform the business case for investing in early interventions to prevent frailty and functional decline;
- analyse the transferability and scaling-up of the models of care - transfer to stakeholders information and knowledge from lessons learned from specific examples to models of excellence.
WP7 results will be discussed in an Expert Panel (EP) meeting to draw conclusions and refine content. Following the EP comments, a state of the art report (SoAR) describing established models of chronic care and their contribution to the prevention and management of frailty will be finalised. The SoAR will be subsequently incorporated into the final Frailty Prevention Approach (FPA) document.
WP7 Leader: National Health Service Lanarkshire
WP7 co-leader: Consejería de Salud de la Junta de Andalucía