24 April 2020: We clarified the role of specialists in frailty assessment in recommendation 1.1.
9 April 2020: We amended the cross-reference in recommendation 1.3 to link to new UK government guidance on managing exposure to COVID‑19 in hospital settings. In recommendations 3.2 and 4.2, we linked to ethical guidance from the British Medical Association, the Royal College of Physicians and the General Medical Council to support healthcare professionals with decision making.
31 March 2020: We further amended recommendation 1.1 and the algorithm to clarify use of the Clinical Frailty Scale.
25 March 2020: We amended recommendations 1.1, 2.2 and 2.4 to clarify that the Clinical Frailty Scale should be used as part of a holistic assessment, but should not be used for younger people, people with stable long-term disabilities, learning disabilities or autism. We also changed the title of the guideline to clarify that it only applies to adults.
Minor changes since publication
12 June 2020: We added text to our information to support decision making to highlight the ICNARC (Intensive Care National Audit and Research Centre) report on COVID-19 in critical care.