Advancing frailty identification in UK primary care with eFI2: are we there yet?

Key points Editorial to accompany: Development and external validation of the electronic Frailty index 2 (eFI2) using routine primary care electronic health record data eFI2 refines frailty identification in UK primary care, addressing limitations of the original eFI. Weighted deficits improve risk prediction but may emphasise disability and mortality over prevention. Clinical judgement remains essential-frailty tools should guide, not dictate, care decisions. Frailty management must prioritise function, independence and quality of life.