Palliative Care: York

While no formal national evaluation of the York Community Frailty Hub’s specific impact on palliative care access has been undertaken, the evidence set out in our 10-Year Health Plan shows that the hub is an effective model for improving timely and appropriate care for older frail people closer to their home, including those who may require palliative support.

The Government is developing a palliative and end-of-life care modern service framework (MSF) for England. As part of the development of the MSF, we are running an open call for evidence from stakeholders for examples of evidence-based interventions that are demonstrated to be effective at improving the quality of, and/or access to, palliative care. We welcome submissions on the York Frailty Hub in response to this call for evidence.

The York Frailty Hub was established in November 2023 to address the fragmented support for older people in the community. The hub is an integrated multidisciplinary initiative designed to proactively manage frailty within the community. This service provides frailty prevention, crisis response, and discharge support, aiming to reduce hospital admissions and improve the quality of life, and health and social care outcomes for frail individuals in York.

The Frailty Hub team is a multi-disciplinary team comprised of co-located frailty nurses, physiotherapists, occupational therapists, general practitioners with a special interest in frailty, and a palliative care nurse, among other healthcare professionals.

The Frailty Hub is delivering impactful, coordinated, and cost-effective care for some of York’s most vulnerable citizens and is being recognised nationally as an example of excellent integrated delivery of community care. Continued investment in this model promises further efficiencies, reduced hospital admissions, better outcomes, and an enhanced community care experience. This integrated service is evolving at pace and finding efficiencies whenever possible.