Personalised care planning for older people with frailty

Not Applicable

Completed

• Conditions: Frailty in older people; Signs and Symptoms; Frailty

• Registration Number: ISRCTN12363970
• Lead Sponsor: Bradford Teaching Hospitals NHS Foundation Trust

Brief Summary

2021 Other publications in https://pubmed.ncbi.nlm.nih.gov/33964964/ cost analysis (added 11/05/2021) 2020 Protocol article in https://pubmed.ncbi.nlm.nih.gov/32355566/ (added 15/08/2022) 2022 Other publications in https://pubmed.ncbi.nlm.nih.gov/36114521/ process evaluation (added 09/11/2022)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2018-11-08
• Study Completion: 2020-12-31
• Last Update Posted: 21 November 2022

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 343

Inclusion Criteria

Patients
1. Aged 65 years or older
2. eFI (Electronic Frailty Index) score of 0.21 or above

GP Practice
1. Use any of the following electronic health care record systems: SystmOne, EMIS, Vision, Microtest
2. Within a reasonable geographical area to allow intervention team supervision
3. Have the structure and resources necessary and willing to deliver the intervention (eg MDT type meetings every 4-6 weeks)
4. Not have an existing or planned personalised care planning service with an element of targeting older people with frailty

Carers
1. Participant or their consultee has consented to the carer’s involvement in the study
2. Has capacity to provide written informed consent

Exclusion Criteria

Participant:
1. Care home resident at the time of screening
2. Registered on the gold standards framework
3. Severe dementia (Montreal Cognitive Assessment score <10)

GP Practice:
1. Existing PCP service with an element of targeting older people with frailty and some overlap with Age UK model framework
2. Plans to implement a PCP service with an element of targeting older people with frailty and some overlap with Age UK model framework during the study recruitment period.

Carer:
1. Lacks capacity to provide informed consent

Study & Design

• Study Type: Interventional
• Study Design: Not specified