Fit For Frailty (FfF) Schemes FAQs 

[updated 1st July]


1) What are the main differences between the CCG Scheme and the SWGP scheme?

2) What if I have opted to continue with the AUA DES?
3) Are these schemes just for patients aged 75+?

4) How are the two schemes monitored and how do I submit data?

5) How do I decide which patients are eligible for the schemes?

6) What is my Quota for the SWGP Over 75s scheme

7) Should I still be referring to Age UK?

8) How long should the SWGP Over 75s scheme clinical reviews be?

9) Will any 'unused' quota be carried over into the new SWGP scheme?




 1) What are the main differences between the CCG Scheme and the SWGP scheme?


The CCG scheme is focused on severe frailty, EOL and ‘Complex’ patients. It requires the practice to keep a register which is at least 1% of the 18+ practice population (excluding NH patients) and offer/complete a ‘My Care Plan’ for each patient on the register. The CCG SLA should provide more detail on the scheme and requirements.


The SWGP ‘Over 75s’ scheme comes under the banner of Fit for Frailty, however is focussed on ‘moderate frailty’ and includes 30 min clinical reviews and/or referrals to Age UK. Refer to the SWGP Over 75s SLA for more detail.

 


 2) What if I have opted to continue with the AUA DES?


If you have decided to continue with the AUA DES, you cannot sign up to the CCG FfF scheme, however you can still sign up for the SWGP Over 75s scheme.

 


 3) Are these schemes just for patients aged 75+?


The CCG scheme does not define an age range due to the inclusion of EOL and ‘Complex’ patients. The SWGP scheme continues to be targeted at patients aged 75+

 


 4) How are the two schemes monitored and how do I submit data?


SWGP will be monitoring both schemes via EMIS Enterprise. Searches will be developed to track progress and templates/protocols circulated to support the data entry process.


There is a separate EMIS Template for each scheme; however the ‘My Care Plan’ document can be used for both. This will be triggered once the template has been saved. You can then edit this document and print off for the patient if necessary. There are sections in the Care Plan that can be left blank if not appropriate.

Contact Chris Beyer for more information, or if you would like help installing the templates.


 

 5) How do I decide which patients are eligible for the schemes?


The CCG FfF scheme is targeting severe frailty, EOL and complex patients. These could be patients currently on your palliative care register, patients you know of that have severe frailty or particularly complex patients (as defined by the practice) who would benefit from close monitoring and a care plan.

The SWGP Over 75s scheme is targeting patients who are moderately frail so shouldn’t include any patients on the CCG scheme. Practices should use the GEMIMA Risk Strat tool and local intelligence to help with this.

 


 6) What is my Quota for the SWGP Over 75s scheme


Compared to last year, the quotas for the SWGP scheme have been reduced in line with the funding. The quotas have been circulated to practices, however if you are unsure contact Chris Beyer.

 


 7) Should I still be referring to Age UK?


Yes. If you are signed up to the SWGP scheme, continue to refer to Age UK in line with the quotas provided. 

 


 8) How long should the SWGP Over 75s scheme clinical reviews be?


There is now only one option for the appt length – 30 mins. This replaces the previous option of having 20 or 40 minute appts. This is reflected in the payment which will be £73.52 per clinical review. 


 9) Will any 'unused' quota be carried over into the new SWGP scheme?


Yes. Any unused quota will be added to your new quota from July onwards. The converse is also true, where a practice has gone over their quota, the new quota will be revised to take this into account. If you have any questions on this please contact Chris Beyer.