A project spanning primary and community services to give a model for the ongoing case-finding for frail patients from various sources. It also shows a way to approach to care planning to enable primary and community services to enter data on the same template
The project was summarised in a formal report which can be used to apply any or all of the different facets to care. It is a toolkit which is available in paper or electronic format and there is currently work to disseminate it from Weymouth &amp; Portland where it was trialled, to further across Dorset.
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