Assess

ASSESS: verify the presence and severity of frailty

  • Verifying frailty and assessing a person’s level of frailty: Verification should always be carried out for those people identified by screening tools as possibly being frail.  This can be done both opportunistically and systematically. Professionals should use clinical judgement and a validated tool, either face-to-face with the person or non-face-to-face with knowledge of the person’s health, social and emotional status.
    • Verify the presence of frailty using clinical judgement and the Clinical Frailty Scale
    • Grade the severity of frailty using the Clinical Frailty Scale
  • Offer a further assessment of needs (CSP – ‘preparation, conversation and recording’) As part of the CSP approach, the preparation step is a systematic way to identifying all the relevant issues from both the person’s and the professional’s perspective, so nothing is missed, everything can be considered together within a genuinely holistic conversation/discussion that leads into priority setting, developing specific goals if relevant (and it will not always be) and then jointly developing the solutions.

For more information to aid local delivery see resource links, evidence summaries, local stories and case studies as well as ‘top tips’ on implementation.

See Frailty Toolkit document page 27-29

Useful resources

Clinical Frailty Scale – http://geriatricresearch.medicine.dal.ca/pdf/Clinical%20Faily%20Scale.pdf

Fusion48 – http://fusion48.net/frailty

Year of Care Partnerships – https://www.yearofcare.co.uk/care-and-support-planning

To understand a person’s needs and inform care and support consider the need for a Comprehensive Geriatric Assessment (CGA) – http://www.bgs.org.uk/cga-toolkit/cga-toolkit-category/what-is-cga/cga-what

Frailty: Language and Perceptions A report prepared by Britain Thinks on behalf of Age UK and the British Geriatrics Society. 2015 http://www.ageuk.org.uk/Documents/EN-GB/For-professionals/Policy/health-and-wellbeing/report_bgs_frailty_language_and_perceptions.pdf?dtrk=true