Project Lead: Dr Atul Anand

Frailty and multimorbidity are terms used to describe people at risk of worsening health, increasing disability and death. These are often older people who have multiple health problems and frequently present to health and social care services at a point of crisis. However, identifying these vulnerable people earlier may allow extra support and assessment to prevent such crises. There are multiple ways of identifying frail or multimorbid people, but our current record systems for primary care (GP practices), secondary care (hospitals) and social care (carer support in the community) are not well connected. In this project, we aim to bring data together data from GP and hospital records to provide a combined view of patients’ health. Working with a cluster of GP practices in North East Edinburgh, we will provide reports of frailty and multimorbidity that may be used to test new approaches to the care of these patients.