Digital Comprehensive Geriatric Assessment (i-CGA) Pilot

  • Comprehensive Geriatric Assessment (i-CGA) is the cornerstone of ‘best practice’ to support people and families living with increasing levels of frailty.
  • i-CGA is based upon the well evidenced CGA and the design includes the recommendations of the British Geriatric Society CGA Toolkit for Primary Care Practitioners [2019]. This tool aims to facilitate an integrated MDT approach with use of a single system digital tool (being developed by Health Call, the North East NHS regional digital platform).  Health Call will provide the technological solution to enable:
    • A range of disciplines with insights beneficial to the assessment and care planning procedure to record information in one central repository.
    • The named case manager / care coordinator to remotely coordinate the collection of data from the most appropriate individuals in each scenario.
    • The automatic calculation of related assessment tool scores.
    • Automatic prompts for the development of a problem list.
    • The automatic triggering of recommendations for further discussion with clinical or other (for example, local authority) colleagues/disciplines.
    • The amalgamation of data into a digital format that usefully informs the MDT.
    • The integration of the data into Primary Care systems.
    • Overall, the digital tool will facilitate workforce development around improving a MDT model for care delivery, as well as offering an environment for learning through expertise and knowledge sharing.
  • An initial pilot of the i-CGA tool will be undertaken in two Primary Care Networks and will include practice and community health service staff.  The sites have been selected with respect to skills mix and registered patient population. This is to enhance pilot learning and understanding of the impact of i-CGA on the practice team, multidisciplinary working, creation of the problem list, access to patient information for professionals and experience of working across health and care sectors
  • Implementation and evaluation plans are in development and will be aligned to the Frailty ICARE metrics.