The Pathfields Tool.
Superior frailty identification built for real clinical practice.
Free for NHS use.
Accurate Frailty identification matters.
Half of all hospital beds in the UK are occupied by people aged 75 or more. Most have frailty.
Identifying frailty means teams can deliver proven interventions that improve health and prevent avoidable admissions.
Superior diagnostic accuracy
Compared with eFI 1, it identified twice as many people at high risk of frailty, with clinicians confirming frailty in 75.9%.
Systematically screens all over 65s
Every year the Pathfields Tool screens all over-65s with high-risk features. If a clinician opens their notes, it prompts a frailty diagnosis. Once completed, it stays dormant for a year.
Identifies mild frailty
Systematic detection of mild frailty, enabling earlier intervention, slowing decline, and in some cases preventing progression altogether
Evidence based
The Pathfields Tool, which has been independently peer reviewed and published.
Time neutral
Unlike other tools, this is time neutral. Diagnosis relies on the clinician’s knowledge of the patient and two clicks of a mouse button.
The NHS cannot manage Frailty if it cannot see it.
Frailty identification is the entry point to population health management. It must be accurate, scalable across the whole population, enable early identification, and be simple for clinicians to use.
But identification alone is not enough. It must lead to action.
This is the frailty paradox: the NHS is already delivering the components of effective frailty care, but they remain fragmented rather than coordinated.
Explore the Frailty Paradox series to understand why this continues.
The NHS Frailty Paradox Series: Part 1 | The Work Exists, The System Does Not.
The NHS is not failing to deliver frailty care. The workforce is already identifying risk, assessing need, and delivering support every day, but this activity is not organised as a coordinated neighbourhood response.
This is the Frailty Paradox: the work exists, but the system to bring it together does not.
This series explores how the NHS can move from fragmented activity to coordinated population health management for frailty through integrated neighbourhood teams.
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