Frailty and ageing well

Frailty and ageing well

A key priority for Guildford and Waverley Health and Care Alliance is how we work together to integrate health and care for our older population.

A number of older people are living with frailty, multiple long-term conditions and complexity and we need to ensure they can access consistent care.

Frailty ambitions for Guildford and Waverley

If frailty is identified early, it can be reversible. However, a person’s degree of frailty may change over time depending on other factors. For older people with frailty, proactive screening and comprehensive geriatric training can help reduce the risk of progression.

We have reviewed vital evidence and analysed the system that we live and work in, benchmarking on best practice, we have drafted a strategy to outline our strategic ambition.

Have one integrated pathway for frailty with different services working together to deliver joined-up care for older people.

  • Encourage vulnerable people or those living with mild frailty to age well and ensure they are supported.
  • People living with moderate frailty are supported through community-based integrated multi-disciplinary teams to prevent further progression of their frailty.
  • People living with severe frailty, including those in care homes, receive individualised and personalised care, incorporating advanced care planning.
  • Everyone in frailty crisis has timely access to high-quality urgent crisis services.
  • Staff have the skills and knowledge in frailty to provide the best care for our older population.
  • Use digital solutions and technology to support the delivery of care and to inform the development of frailty services.
  • The experience of people living with frailty and their carers informs and improves how we provide care and support.

View our Ageing Well in Guildford and Waverley Frailty Strategy 2022 - 2026 [pdf] 5MB.