Electronic Frailty Index (eFI) Bands
UK primary-care eFI (Clegg 2016) automatically calculated from 36 deficits in the GP record. eFI = number of deficits present / 36. This calculator records the calculated band — generated by EMIS / SystmOne for adults ≥65 per NHS England Frailty contract.
Score interpretation
→ Routine care. Health promotion. Reassess at annual review.
→ Annual GP frailty review. Address polypharmacy (STOPP/START). Falls and bone-health review (FRAX). Encourage strength-balance exercise.
→ CGA per BGS Toolkit. Care-coordination via multidisciplinary frailty team. Anticipatory care plan / ReSPECT. Carer assessment.
→ Per NHS England Enhanced Service: medication review, GP-led CGA, advance care planning. Consider community matron. Discuss preferred place of care; hospice referral if life-limiting trajectory. Avoid hospital admission where possible.
Interpretation bands for the eFI. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Obeticholic Acid · FXR Agonist (Primary Biliary Cholangitis)
- Sodium hyaluronate · Ocular lubricant (hyaluronic acid)
- Medical-Grade Honey (Manuka) · Topical Wound Care Agent
- Silicone Gel / Sheeting (Scar Management) · Medical Device / Topical Scar Treatment
- Ianalumab (Anti-BAFF — Primary Sjögren's Syndrome) · Anti-BAFF Monoclonal Antibody (B-Cell Survival Factor Inhibitor)
- Falls Assessment in Older Adults · NICE CG161 2013
- Delirium Outside ICU · NICE CG103
- Comprehensive Geriatric Assessment (CGA) · BGS / NICE
- Delirium Assessment and Management · NICE CG103 2010
- Frailty Recognition and Management · BGS Frailty Framework / NHS NHSE
- Polypharmacy and Medicines Optimisation · STOPP/START v2 2014 / NICE NG5
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.