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"This has been a great opportunity to bring together key stakeholders from commissioning, acute and community care as well as patients to drive standards of care across the region. We are very much looking forward to seeing where this project goes in the future.”

EMAHSN Project Managers Louise Bramley and Alison Cowley

8. Frailty benchmarking 1

What?

Older people living with frailty (OPLWF) are a population group that crosses health and social care boundaries, with care provided by many different support agencies such as hospitals, community clinics and care homes. We have been working with the NHS Benchmarking Network (NHSBN) to develop a system that collects data from all these many partners – sharing the information that can help identify how care can be improved for patients
across the East Midlands.

This innovative benchmarking is the first time in the UK that a system has been developed that shares data across a whole patient care pathway involving multiple NHS and social care organisations. Using this pathway approach will enable clinicians and commissioners, as well as patients and regulators - to understand how effective current care is, and support improvements such as helping patients to be as independent as possible and providing care closer to home.

Why?

By 2030, there will be a 51% increase in people aged over 65 and a 101% increase in people aged over 85 years. This will result in additional
pressure and increasing demand for health and social care services by OPLWF. We are already seeing increasing numbers of older people living with frailty who require an urgent response. Until now there have been no standard metrics across the patient pathway for older people with frailty. This project is filling a critical information gap by providing evidence of current service provision, highlighting variation and allowing services to measure themselves accurately against each other.

What's the impact?

  • We have pulled together data from 27 of 33 organisations across the East Midlands, including community care, acute providers and Clinical Commissioning Groups
  • This has provided a benchmarking toolkit to highlight areas of best practice and learning across the whole patient pathway that is accessible to patients, public and staff
  • Providers of healthcare can use the data to quickly and easily share best practice – supporting better services and improving outcomes for patients
  • Commissioners and regulators have been supported to develop quality schedules that enable best practice across the system for OPLWF
What's next?
  • Organisations across the East Midlands are feeding back about the project, which will inform future work and sustainability
  • The NHSBN steering committee is reviewing the learning to inform consideration about the potential to spread the initiative further

View a 30 second summary of the older people living with frality project here: