The Interventions Framework for Gloucestershire has been developed based on the national Right Care Toolkit. Below you’ll find information on the Framework and guidance on how to use it.
Introduction
The Gloucestershire Interventions Framework (GIF) supports practitioners by consolidating best practise, outlined in the Right Care Toolkit Right Care Toolkit onto one page.
The Gloucestershire Interventions Framework is a list of evidence based interventions and activities that facilitate a systematic and consistent approach to supporting people at risk or living with frailty. It has been adapted to incorporate Gloucestershire priorities.
Based on the person’s level of frailty. It aims to enable practitioners to plan actions and interventions that will:
- Delaying the onset of health deterioration where possible
- Maintain independent living and help improve quality of life
- Reducing avoidable exacerbations of ill health, thereby reducing use of unplanned care
How to use the GIF
Step one – Case/population segmentation
Apply a systematic case finding approach to identify the levels of frailty in the chosen population, PCN, age group or cohort. You can use tool such as the Electronic Frailty Index (eFI) eFI identifying frailty to categories people into fit, mild, moderate or severe frailty based on number of deficits. Frailty Deficits
Step two – Holistic Assessment
A validated tool such as the Clinical Frailty Scale/Rockwood can be used with an individual to confirm the level of frailty. In addition tools such as Clinical Frailty Scale/Rockwood, Timed up and Go, (TUG test) , TURN 180, PRISMA 7 (PRISMA), CGA, 6CIT 6 CIAT, ACP, ReSPECT, (Social care tools). Will support the development of a holistic view of the individual. The gold standard in care is to incorporate this information in to the development of a Comprehensive Geriatric Assessment, this approach helps ensure that needs, including the wider determinant of health Wider determinants of health are incorporate into the assessment process.
Step three – Personalised plan of care
Using the information gathered, the goals, outcomes and priorities as identified by the individual are detailed in a personalised plan of care, focusing on a strength based, resilience building, approach. The GIF can be used to shape plans, goals and actions. It can help practitioners embrace a systematic evidenced based approach.
Practitioners should ideally work from left to right across the framework (from fit to severe) this will ensure that every opportunity to build strength, resilience and improve wellbeing has been maximised. The GIF is only a guide and practitioners will be expected to apply the framework based on knowledge of the individual and their level of skill and competence.
N.B
The clinical frailty scale Rockwood light care toolkit has been designed for use for people aged 65 and over. However, it may be helpful as guide along with practitioner assessment to guide activity and intervention with people aged 64 and under.
