Hall Nathan, Fluck Richard, Imam Towhid, Jacob Thomas, Thompson Deborah, Tite Matt, Backhouse Emma, Dhesi Jugdeep, Conroy Simon
NHS England, London, UK.
NHS Elect, London, UK.
Future Healthc J. 2022 Nov;9(3):286-290. doi: 10.7861/fhj.2022-0071.
The aim of the Specialised Clinical Frailty Network (SCFN) was to develop frailty-attuned pathways in specialised services in England.
We developed a breakthrough series collaborative involving a range of specialised services, using quality improvement methods (including experience-based design) to implement improvements designed to enhance the experience and outcomes of older people living with frailty who have specialised healthcare needs.
Specialised teams responded positively to the SCFN, many implementing process changes aligned to the needs of older people living with frailty. Some were able to demonstrate improvements in service and/or patient outcomes, including greater identification of frailty, more holistic care and increased use of shared decision making.
The network has successfully demonstrated how frailty can be assessed both at individual, as well as population level, to support both local teams and systems to best manage the health of their patients.
专业临床衰弱网络（SCFN）的目标是在英格兰的专业服务中开发适应衰弱情况的路径。
我们开展了一项突破性系列合作项目，涉及一系列专业服务，运用质量改进方法（包括基于经验的设计）来实施改进措施，旨在提升有特殊医疗需求的衰弱老年人的就医体验和治疗效果。
专业团队对SCFN反应积极，许多团队实施了符合衰弱老年人需求的流程变革。一些团队能够证明服务和/或患者治疗效果有所改善，包括对衰弱的识别增加、更全面的护理以及更多地使用共同决策。
该网络成功展示了如何在个体和人群层面评估衰弱情况，以支持本地团队和系统更好地管理患者的健康状况。
