The Frailty Fulcrum: A Multi-Dimensional Model for Understanding Issues in Frailty (NHS England / Fusion48)


The “Frailty Fulcrum” provides an animated model to help conceptualise, and balance, the main shifting factors – both positive and negative – potentially at play in frailty. It was developed by Fusion48. The main influencing factors are considered to contribute to each individual’s wellbeing as independent domains:

  1. Social environment: family, friends, communities, social networks etc.
  2. Physical environment: including the home and any places visited.
  3. Psychological status: including anxiety, cognitive decline, loss of confidence, lack of motivation etc.
  4. Long-term conditions: including diabetes, heart disease or respiratory conditions etc.
  5. Acute health problems: including infections, falls or injuries.
  6. Systems of care: which impact upon wellbeing, including self-care.

The frailty fulcrum helps model how resilience and vulnerability in these domains operate together (or in opposition), in a holistic approach to managing frailty. The main elements at play will be familiar to most readers, but their coordination in this model could open the door to some revolutionary approaches.

Full Text Link


The Frailty Fulcrum – Dr Dawn Moody. London: NHS England, January 5th 2016.

This relates to:

Full Text Link


The Frailty Fulcrum: an animated video. [Online]: Fusion48, January 2016.

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Assistive Technology, Charitable Bodies, Commissioning, Community Care, Depression, Enhancing the Healing Environment, Falls, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Housing, In the News, Integrated Care, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, Non-Pharmacological Treatments, Nutrition, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Telehealth, UK, Universal Interest and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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