
Developing and evaluating a frailty care service

Through our Extending Frailty Care Programme we demonstrated the importance of providing co-ordinated care for people living with frailty. But if you want to develop a frailty care service, it can be difficult to know where to start.
Working with the 11 hospices who took part in the programme, we have put together some resources that can help.
Step one: identify your population needs
The first step in developing any service is to identify what your local population needs and map this against the support that is already available in your area.
Where are the gaps?
Use our PopNAT tool to look at the relevant and up to date population data for end of life care in your local area. This will help you understand what your local population needs.
Step two: what can your hospice offer?
Once you've identified what your local population needs, you need to decide how you can help to fill the gaps in provision.
Take a look at our examples to get some ideas about how hospices can use their expertise to support people living with frailty.
Step three: getting support
You need to get buy-in for your project from senior hospice staff, potential funders and local stakeholders. This includes deciding who to talk to, and planning what you are going to say.
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It's essential to identify and engage with your key stakeholders if you are going to develop a successful project and implement meaningful change.
Think about the individuals or groups who have an interest in the project. Who will be impacted by it? Who has something to gain or lose if the project is or is not successful?
Have a look at our resources on stakeholder analysis for more information.
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Speaking to stakeholders about your potential project can be daunting. It's helpful to plan in advance how you are going to do this. For example you might hold a meeting, approach individuals directly, or use co-production techniques.
Plan what you are going to say, and practice it in front of test audiences. Writing an elevator pitch can help you develop clear and concise messaging about your project.
Stakeholders will want to know:
- the main goal of your project
- why the project matters
- how success will be measured who will benefit from the project
- the research or data supporting your project
- how you will work with stakeholders
- what resources you need
- a clear timeline for the project
- how you will manage potential risks
- how the project will focus on patient needs
- how they can help
- how to contact you.
Read our resources on engaging with stakeholders for more ideas.
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Gather evidence to support your arguments, which you can share with stakeholders as appropriate.
As well as resources from Hospice UK, you might find these organisations helpful:
Step four: implementation and service delivery
We advocate using a quality improvement approach as it is a practical, systematic way of changing and improving practice.
Our resources on quality improvement will help you monitor and improve quality throughout the lifecycle of your project.
Step five: evidence your impact
It's vital to evaluate your project, so that you can be sure it is having a positive impact. Having robust evidence will help you improve your service and share your learning with others. You might find these tools and resources helpful.