Frail+LD is a clinical support tool based on the Rockwood Clinical Frailty Scale (CFS) for health care professionals to support the identification of frailty risks sooner in people with learning disabilities through clinical assessment. The outcome for Frail+LD is to manage and help people with a learning disability to live well for longer and reduce deaths from frailty-related conditions.
Signs of ageing often appear earlier in people with learning disabilities including autism1, 2. This is due to a variety of reasons including chromosomal differences, side effects from polypharmacy over significant periods and prevalence of other long term health conditions3. The NHS Long Term Plan made a commitment to continue the Learning Disabilities Mortality Review (LeDeR) and to improve the health and wellbeing of people with a learning disability.
Locally, Eastern AHSN are supporting a pilot with Hertfordshire County Council and Hertfordshire Community NHS Trust with support from the University of Hertfordshire to validate Frail+LD, which has been developed locally in line with LeDeR and NICE recommendations for an individualised assessment of frailty and consideration of comorbidities and underlying health conditions in people with learning disabilities.
Eastern AHSN is supporting the Frail+LD project by providing funding for the validation and have brokered the pilot, which went live in March and is due to run until December 2022.
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