Background The number of people over 65 is increasing (Office for National Statistics. Profile of the older population living in England and Wales in 2021 and changes since 2011. ONS; 2023). With this comes an increase in people living with frailty - a condition with an uncertain prognosis that puts people at higher risk of adverse health conditions including falls, delirium, social isolations and death than someone of the same age without frailty. Frailty has been recognised as an indicator for palliative care (Pal, Manning. Clin Med. 2014;14(3):292–5).

Aim The Live Well Longer programme’s aim was to assist people with advancing frailty to age and die well, by increasing knowledge on benefits of exercise, importance of medication reviews, mental wellbeing and future care planning, and increase knowledge and uptake of services in the PCN community that support ageing well. We also hoped the programme would increase the knowledge of hospices and improve collaboration with our local community services.

Method The hospice collaborated with a Primary Care Network (PCN) and local services and groups to run a five week education programme for pre-frail and frail older adults (Rockwood 4–6). Each week consisted of education sessions, focusing on subjects that reduced the risks associated with frailty. Then local groups and services that supported ageing well, demonstrated or spoke about what their group or service did. Examples included seated exercise classes, men’s shed, telecare and the fire service.

Results Three groups have run with 57 people attending at least one of the five sessions and 25 of these attending all five sessions. From running groups, questionnaires and feedback at three months we have found:

• Increased knowledge on benefits of exercise, medication reviews, mental wellbeing and future care planning.

• Increased uptake of exercise, medication reviews and future care planning.

• Increased attendance and use of local services and knowledge of the hospice.

Conclusions The programme is effective, sustainable and collaborative and educates older adults pre-frail and frail on how they can reduce the risks associated with frailty and will continue with input from the hospice and the PCN running.