This project has now ended. For more information please contact This email address is being protected from spambots. You need JavaScript enabled to view it. for more information.

By 2030, there will be a 51% increase in people aged 65+ and a 101% increase in people aged 85+ years. This will result in additional pressure and increasing demand for health and social care services by older people living with frailty. This project has now completed, pdfview the end of programme report.


EMAHSN Older People Living with Frailty programme has developed a distinct project in collaboration with NHS Benchmarking which is seeking to design and develop a new and innovative pathway approach to benchmarking older people living with frailty services across the health and social care pathway. The project aims to fill an information gap and provide evidence of current service provision for older people in the East Midlands.

The anticipated impact is that data sharing will assist service providers and commissioners with sharing best practice, identify differences and reduce variation across the region. Patients will be able to measure their local services against other trusts in the area. This work follows on from a previously successful project which assisted urgent hospital care providers to deliver consistent high quality care with improved patient experience across all eight East Midlands acute trusts.

pdfKey messages from the benchmarking pilot can be accessed here.


Increasing numbers of older people living with frailty require an urgent response to crises. The NHS Business Plan encourages care being delivered closer to home and the emerging new care models from the Five Year Forward View (NHS England) are developing a new blueprint for the NHS. This includes Accountable Care Organisations where providers and commissioners come together to deliver outcomes. This will mean a new way of measuring impact raising standards through sharing excellence for the clinical interventions across pathways of care rather than organisations.

Using a pathway approach will enable clinicians and commissioners as well as patients and regulators to assess the effectiveness of an integrated pathway for these patients.

NHS Benchmarking Network (NHSBN)

The NHS Benchmarking Network (NHSBN) runs the older people in acute settings benchmarking project on an annual cycle, and has run for the last two years, with over 50 trusts from across the NHSBN membership taking part, in both England and Wales.

The benchmarking project covers data on four elements of the acute pathway: admission avoidance in Emergency Departments, Assessment Units, inpatient care, and supported discharge. NHSBN were commissioned to develop a toolkit for East Midlands’ trusts and EMAHSN to utilise; benchmarking their position against the nationally reported position, identifying areas for improvement to services for older people.

Following on from the success of the toolkit, NHSBN have been commissioned to undertake a further data collection which will provide an annual snapshot of the current situation in the EMAHSN area with regard to older people living with frailty, with all stakeholders across the pathway of care. Older people living with frailty are a population group that cross all the current organisational boundaries so developing a set of metrics for this group would be advantageous to measuring the impact of the changes to the system.

The project roll out across the East Midlands is now complete. The results will be presented at a results workshop, find out more information here

September 22 2016

This event was organised to bring together acute care and community providers, patients, clinicians and commissioners, to work towards the co-design of an innovative and new health and care measure for the benefit of older people living with frailty across the East Midlands. It was a joint event wit the NHS Benchmarking Network (NHSBN) and EMAHSN.  The pdfevent report can be accessed here and the pdfdata collection schematic here.

Download presentations from the event:

pdfNHS Benchmarking and EMAHSN Network Older people living with frailty - stocktakepdfevent report can be downloaded here.

May 24 2016

Benchmarking event and presentation of regional statistics about frailty in the East Midlands and UK. Download the pdfinforgraphic and pdfreferences.

Download the presentations from the event:

pdfJane Youde and John Gladman benchmarking event overview
pdfJane Youde Benchmarking event
pdfNHS Benchmarking Network - Older People's Acute Care
pdfBola Owolabi benchmarking event presentation
pdfManaging Acute Frailty Deborah Thompson
pdfOlder People Benchmarking Dr Ben Pearson

A full pdfevent report

Feedback and ideas from the event can be pdfdownloaded here.