Welcoming 21 Teams on our Collaborative

Thomas Monaghan, our Portfolio Lead, announces the successful teams on our Living and Dying Well with Frailty Collaborative

We’ve got the key of the door, never been twenty-one before!

21!  What a magical number.

It was my age when I met my wife.  It’s the name of my favourite Adele album.  It’s the name of my favourite card game.

But 21 has a new meaning for me now as we now have 21 teams that are part of the Living and Dying Well with Frailty Collaborative.

21 teams from 19 Health and Social Care Partnerships (HSCP).

21 teams that include over 70 GP practices, but will grow over the next year to include even more practices.

21 teams from across Scotland working together to improve the outcomes for people with frailty who are living in our communities.

map with space 2HSCPs with teams in the collaborative:

Aberdeenshire
Angus
Argyll and Bute
Clackmannanshire and Stirling
Dumfries and Galloway
East Dunbartonshire
East Renfrewshire
Glasgow City
Highland
Inverclyde
Midlothian
North Ayrshire*
North Lanarkshire
Perth and Kinross*
Renfrewshire
South Ayrshire
South Lanarkshire
West Dunbartonshire
Western Isles

*indicates when there are two teams from the HSCP.

Living and Dying Well with Frailty Collaborative

Over the next year we will be working with the 21 teams to improve earlier identification, anticipatory care planning and shared decision-making, to ensure that people living with frailty get the support they need, at the right time, at the right place.

We will do this by helping teams to use tools, evidence and quality improvement methods to:

  • find people who are becoming frail before they reach crisis point using the eFrailty Index,
  • have anticipatory care planning conversations with people with frailty to understand their wishes for future care, and
  • work with a range of health, social care, third sector, independent sector and housing providers in local areas to support people with frailty to achieve what they want for their future.

We welcomed the 21 teams to the collaborative in August and our first Learning Session is in September. The Learning Session will be an opportunity for 21 teams to meet each other and share the work they have already done, learn improvement skills and come together as teams to plan their improvement projects.

The 21 teams have outlined excellent and innovative ideas for their local improvement and we can’t wait to work with them as they implement their ideas over the next year.

21 really is a magical number and together, we’ll change outcomes for people with frailty.

If you want to know more please visit our Living and Dying Well with Frailty webpages or follow us on Twitter. You can get in touch by emailing us at hcis.livingwell@nhs.net, calling us on 0131 314 1232 or tweeting us @LWiC_QI.

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