Related Experiment Video

Updated: Aug 5, 2025

A Training Program Using an Agility Ladder for Community-Dwelling Older Adults

A Training Program Using an Agility Ladder for Community-Dwelling Older Adults

Published on: March 7, 2020

Integrated Care for Older People with Different Frailty Levels: A Qualitative Study of Local Implementation of a

Nimra Khan¹, Gurch Randhawa², David Hewson²

¹Institute for Health Research University of Bedfordshire Department of Psychiatry University of Oxford, UK.

International Journal of Integrated Care

|March 27, 2023

Abstract

Introduction:

The NHS England General Medical Services 2017-18 contract made it mandatory for general practices in England to identify and manage older people proactively. In response to the national policy, the Luton Framework for Frailty (LFF) programme was developed to target older residents of Luton and offer interventions according to their frailty level. The aim of this study was to gain a deeper understanding of the LFF and the factors that affect the implementation of a proactive integrated care service for older people with different frailty levels (OPDFL).

Methods:

We undertook document analyses and conducted semi-structured interviews with stakeholders to create a 'thick description' that provides insights into the LFF.

Results:

Healthy ageing interventions bring beneficial outcomes but to increase the uptake they should be co-produced with older people. A common electronic system within primary care and multidisciplinary team meetings (MDT) aid implementation. However, variation in implementation across Luton, different levels of buy-in for MDT, and different data systems in primary and secondary care make implementation challenging.

Conclusion:

The LFF is a promising initiative and lessons learned are likely to be transferable to other settings as proactive management of frailty takes on greater policy prominence in the UK and worldwide.

Keywords:

England frailty integrated care older people with different frailty levels

More Related Videos

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty

Published on: October 6, 2016

Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities

Continuing Care

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...

Traditional Level Of Health Care System

Traditional Level Of Health Care System

The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...

Levels of Health Promotion and Illness Prevention

Levels of Health Promotion and Illness Prevention

Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...

Community Based Intervention

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...

Nursing Implementation

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.

Articles linked to this work by shared authors, journal, and citation graph.

Maternal Adiposity in Eastern Libya: Prevalence and Associations with Socioeconomic Characteristics, Unhealthy Eating Behaviours, Physical Inactivity, and Sedentary Behaviour Among Pregnant Women.

Nutrients·2026

Bridging inequities in palliative and end-of-life care: The role and experiences of community connectors.

Palliative care and social practice·2026

Perceptions of HIV-Related Stigma Among Youth Exposed to the PPSAC Programme in Yaoundé, Cameroon.

Health expectations : an international journal of public participation in health care and health policy·2026

Assessing the impact of automated devices for enhancing health and reducing medication errors in older adults with long-term health conditions (ADHERE): a study protocol for a randomised controlled trial in Bedfordshire, Luton and Milton Keynes, UK.

BMJ open·2026

Barriers and facilitators of deceased organ donation among Pakistanis living globally: a systematic review.

BMJ open·2025

Barriers and facilitators to accessing services for neurodevelopmental disorders among the carers of individuals from Black, Asian and minority ethnic groups in the UK: a scoping review.

BMJ open·2025

See all related articles