Recommendation 8

NHSE pointed to the large proportion of people with severe frailty living in care homes and how it expected primary care networks to provide support such as weekly ward rounds.14 NHSE recognised that this care needed 8 Q 2 9 C&AG’s Report, para 3.2 10 C&AG’s Report, para 3.4 11 Qq 3-4 12 C&AG’s Report, paras 13 and 3.8; Q 8. 13 Q 3 14 Q 3 8 improving.15 The number of care home residents with a personalised care plan dropped from 76% in 2022–23 to 44% in 2024–25. The percentage of residents who had a medication review fell over the same period from 72% to 45%.16 NHSE argued that while it has assurance that work such as weekly ward rounds are happening, they do not know if GPs are reviewing care plans as GPs may not record this work.17 Variation in support for people with frailty across and within ICBs