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Introduction and overview of GPwER in frailty

Outlining the purpose of this framework and who may find it useful, and thanks to those who helped in the development of the framework.


This framework provides guidance for GPs who identify with providing - or an ambition to provide - care beyond that expected of every GP. You may already have a special interest in frailty and complex care from roles before CCT or developed an interest since becoming a GP. Alternatively, you may want to vary your career and expand your portfolio to offer this as a service or be employed to provide frailty care for a commissioned service. If you are already acting as a frailty GP, this framework offers a benchmark and recommendations for professional development with suggestions for further progression.

As well as guiding GPs who wish to enhance their role in frailty and complex care, the framework aims to support appraisers in interpreting supporting information presented to them from GPs in this type of role, and potentially help employers to create relevant role descriptions.

The role described in this framework, which we refer to as a “Frailty GPwER” hereafter, is delivered within a complex care model. This is a type of healthcare and support given to people who have chronic or long-term health conditions characterised by an interdisciplinary and person-centred approach.

It is recognised that several variations of this role are likely to exist, each designed around local health population needs. Therefore, the framework does not seek to establish a rigid uniform model, rather it offers guidance around ‘good practice’ that we hope is practically helpful and universally relevant.

The framework should be read in conjunction with the RCGP Guide to Clinical Extended Roles.


We would particularly like to thank Dr Deb Gompertz for her work in support of the development of this framework. We would also like to acknowledge the contributions of the task and finish group:

  • Dr Holly Paris
  • Dr Tessa Lewis
  • Dr Andrew Wheeler
  • Dr Philly O’Riordan
  • Dr Tara Verity
  • Dr Lloyd Hughes
  • Dr Alistair Robertson

With additional input from the RCGP Professional Standards Working Group. The final guide is solely the responsibility and copyright of the RCGP.

Framework review

The date the framework was last reviewed or created, and when it's due for review. If you notice any inaccuracies in the framework, or have comments or suggestions on any of the content, please let the professional standards team know by emailing

Approved framework

Date the framework was approved: July 2023

Next review

Date for next review: July 2026