{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T08:15:39Z","timestamp":1778919339140,"version":"3.51.4"},"reference-count":37,"publisher":"Royal College of General Practitioners","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJGP Open"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Evidence to support comprehensive geriatric assessment (CGA) in primary care for frail older people is limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate a GP-led adapted CGA quality improvement project.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design &amp; setting<\/jats:title><jats:p>Multi-methods evaluation in a large practice in Midlothian in Scotland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The intervention was conducted by 10 GPs in a practice of approximately 11 000 patients, initially in the patient\u2019s home, and then remotely (by telephone or video consultation) during the COVID-19 pandemic. Evaluation included a patient questionnaire, and qualitative interviews with GPs delivering the Living Well Assessment (LWA), analysed by thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 165\/220 (75%) patients responded to the survey, of which 86% reported a \u2018very good experience\u2019 of the LWA. The method of delivery did not significantly influence this although most (58%) stated a preference for face-to-face consultation. For the 31% who preferred remote LWA, most (23%) preferred telephone to video consultation (8%). Problems in remote consultations related to technical issues (video), poor vision (video), or deafness (telephone or video). GPs felt that home-based LWAs had real benefits but switching to remote during the pandemic had proven feasible. Concerns included potential increase in GP workload owing to the LWA and whether it was an efficient use of GPs\u2019 time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>GP-led adapted CGA was feasible in a large practice, even during the pandemic, and highly valued by frail patients. Questions regarding efficient use of GPs\u2019 time, effectiveness in terms of important patient outcomes and impact, and cost-effectiveness, requires further investigation in a larger study.<\/jats:p><\/jats:sec>","DOI":"10.3399\/bjgpo.2022.0184","type":"journal-article","created":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T11:20:17Z","timestamp":1671794417000},"page":"BJGPO.2022.0184","source":"Crossref","is-referenced-by-count":10,"title":["GP-led adapted comprehensive geriatric assessment for frail older people: a multi-methods evaluation of the \u2018Living Well Assessment\u2019 quality improvement project in Scotland"],"prefix":"10.3399","volume":"7","author":[{"given":"Eddie","family":"Donaghy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franca","family":"Still","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Frost","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Lutte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan D","family":"Shenkin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen E","family":"Jones","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1703-3664","authenticated-orcid":false,"given":"Stewart W","family":"Mercer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1987","published-online":{"date-parts":[[2022,12,23]]},"reference":[{"key":"2023032118500545000_7.1.BJGPO.2022.0184.1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-018-1025-7"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)62167-9"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2010.08.008"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.4","doi-asserted-by":"crossref","unstructured":"Fain MJ Mohler MJ (2016) in Reichel\u2019s Care of the Elderly: Clinical Aspects of Aging, eds Busby-Whitehead J Arenson C Durso SC et al (Cambridge University Press, Cambridge) In, pp 97\u2013106. Frailty.","DOI":"10.1017\/CBO9781107294967.007"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.5","doi-asserted-by":"publisher","DOI":"10.7416\/ai.2018.2204"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.6","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afz088"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.7","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-021-02035-x"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.8","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afx201"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.9","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2019-000682"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31786-6"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.11","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006211.pub3"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.12","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012705.pub2"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.13","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(94)90634-3"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2021.104409"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.15","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-019-01183-w"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.16","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13834"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.17","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-021-02166-1"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.18","unstructured":"British Geriatric Society (2019) Comprehensive geriatric assessment toolkit for primary care practitioners. accessed. https:\/\/www.bgs.org.uk\/sites\/default\/files\/content\/resources\/files\/2019-03-12\/CGA%20Toolkit%20for%20Primary%20Care%20Practitioners_0.pdf. 10 Jan 2023."},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.19","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-022-03024-4"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.20","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-015278"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.21","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S206100"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.22","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17064"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.23","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14895"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.24","unstructured":"NHS Lothian Midlothian Health and Social Care Joint Integration Board. Strategic plan 2016\u201319. accessed. https:\/\/ihub.scot\/media\/1962\/midlothian.pdf. 10 Jan 2023."},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.25","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-037641"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.26","unstructured":"Public Health Scotland (2021) General practice: GP workforce and practice list sizes 2011\u20132021. accessed. https:\/\/publichealthscotland.scot\/media\/10833\/2021-12-14-gpworkforce2021-report.pdf. 10 Jan 2023."},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.27","unstructured":"Healthcare Improvement Scotland (2022) Electronic frailty index. accessed. https:\/\/ihub.scot\/improvement-programmes\/community-care\/electronic-frailty-index-efi. 10 Jan 2023."},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.28","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afx001"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.29","unstructured":"Donnelley RR (2010) Anticipatory care planning. Frequently asked questions (Edinburgh: The Scottish Government). accessed. https:\/\/www.gov.scot\/binaries\/content\/documents\/govscot\/publications\/factsheet\/2010\/04\/anticipatory-care-planning-frequently-asked-questions\/documents\/0097422-pdf\/0097422-pdf\/govscot%3Adocument\/0097422.pdf. 10 Jan 2023."},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.30","unstructured":"The Scottish Government (2020) Scottish Index of Multiple Deprivation 2020. accessed. https:\/\/www.gov.scot\/collections\/scottish-index-of-multiple-deprivation-2020\/?utm_source=redirect&utm_medium=shorturl&utm_campaign=simd%20[Accessed%2020%20April%202021]. 10 Jan 2023."},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.31","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.32","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.33","doi-asserted-by":"publisher","DOI":"10.1177\/21501327211000235"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.34","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp19X704141"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.35","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afv174"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.36","doi-asserted-by":"publisher","DOI":"10.1177\/1035719X19876153"},{"key":"2023032118500545000_7.1.BJGPO.2022.0184.37","unstructured":"Paddison C (2022) Digital primary care: improving access for all? Rapid evidence review (London: Nuffield Trust). accessed. https:\/\/www.nuffieldtrust.org.uk\/research\/digital-primary-care-improving-access-for-all-rapid-evidence-review. 12 Jan 2023."}],"container-title":["BJGP Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.3399\/BJGPO.2022.0184","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T01:53:21Z","timestamp":1679450001000},"score":1,"resource":{"primary":{"URL":"http:\/\/bjgpopen.org\/lookup\/doi\/10.3399\/BJGPO.2022.0184"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,23]]},"references-count":37,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,3,21]]},"published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.3399\/BJGPO.2022.0184"],"URL":"https:\/\/doi.org\/10.3399\/bjgpo.2022.0184","relation":{},"ISSN":["2398-3795"],"issn-type":[{"value":"2398-3795","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,23]]}}}