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People Living with Frailty

Population Outcome: People Living with Frailty in Suffolk and North East Essex Age Well

The best care and quality of life for people living with frailty are essential if everyone in Suffolk and North East Essex is to live well. Tailored information and support to stay well, and high quality care enables people and their carers and families to maintain their health and obtain support when they need it.


Barometer Measure

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Data about Risk Factors for Frailty

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The Story Behind the Outcome

Lived Experience


Access to GPs for older people

Help to stay independent


Ageing Well in North East Essex

North East Essex Health and Wellbeing Alliance Community Asset Mapping Ageing Well

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Frailty - Everyone's Business - Report by ISCRE

Older Minority Ethnic people's experiences of health and social care in Ipswich and East Suffolk

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Maintaining my independence

Published Evidence

Demography and inequality

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Ethnic disparities in healthy ageing

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Determinants of health - Work and inequalities

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Cost of Living - Cold homes & fuel poverty

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Older People as Carers

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Health Conditions

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Sensory impairment

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Living with osteoporosis

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Depression and anxiety in older people

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Psychosis in older people

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Further Reading

Further Information

Useful Organisations

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Our Ambition

What we know matters and why

What matters?Why?
I can stay safe and wellAccess to support to gain strength and maintain mobility helps to minimise the impact of my health conditions on my physical and mental health.

Equipment, adaptations, assistive technology and practical support helps me to live safely and independently physically, emotionally, socially, in my home and and in my workplace.
I receive high quality careHigh quality treatment and care that keeps me safe, well, and active helps me to be as healthy and independent as possible.

High quality rehabilitation after injury or a hospital stay means I can regain my former strength and mobility as far as possible.
I have the right information to stay wellHigh quality information, in the language and format I need, on my treatment and care, practical help and local services can help me to be safe and independent.
I am treated as an individualTreating me, my carer and my family with dignity and respect, recognising my culture, characteristics, any physical health conditions and my life circumstances, means my care and support is inclusive, sensitive and responsive to my needs.
I am seen and heardRecognising that I am a whole person means I am not defined solely by my diagnosis and am treated with respect.

Having choice and control over my treatment and care means I can better manage my health and maintain my independence.

How will things be different in Suffolk and North East Essex

We will give people at risk of falls the advice they need to stay safe, access the welfare benefits to which they are entitled, and maintain their independence.We will involve carers and family as equal partners in the person’s care.
We will use varied communication methods to give people advice on staying well, such as leaflets with health screening invitations or through housing services.We will ensure frail people who live alone are safe at home on return from a hospital stay.
We will provide the equipment and support to enable people to remain independent at home and outside their home.We will support people to maintain their health and wellbeing before, while waiting for, during and after treatment to help them stay well and recover well.
We will enable people living with frailty who have sensory impairment, limited mobility or communication difficulties access adapted technology that helps them live independently.

Case Studies – how we are making progress across Suffolk & North East Essex

Publish your case study here

Publish your case study here

Publish your case study here

Publish your case study here

Publish your case study here

Relevant plans and strategies


NHS Suffolk and North East Essex Integrated Care Board – Joint Forward Plan
Age Well



Ipswich and East Suffolk
Alliance Delivery Plan

North East Essex 
Alliance Delivery Plan

West  Suffolk
Alliance Delivery Plan

NHS Trusts

East Suffolk and North Essex NHS Foundation Trust
ESNEFT Strategy 2019-24

Essex Partnership University NHS Foundation Trust
Strategic Plan 2023-28

City, District and Borough Council

East Suffolk Council
Older Person’s Housing Strategy

Ipswich Borough Council
Ipswich Housing Strategy

Last Updated on 29 February 2024

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