The sfCare Framework, which was developed by the RGP of Toronto in collaboration with provincial stakeholders, including older adults, caregivers, and care providers, provides a foundation for achieving the best possible outcomes for older adults.

The Framework’s guiding principles and defining statements collectively describe what senior friendly care looks like. The sfCare Getting Started Toolkit helps bring this foundational vision to life by providing 10 actionable recommendations and practical implementation resources. The sfCare Learning Series provides education modules for clinicians as well as posters and handouts to support patient self-management.

Download the FrameworkDownload the Getting Started ToolkitGo to the Learning SeriesTake the Self-Assessment

sfCare Learning Series

The sfCare Learning Series supports healthcare providers in optimizing care for the unique needs of older adults. The series provides free, evidence-based education and tools for PSWs, clinicians, and caregivers on key clinical topics that support resilience, independence, and quality of life for older adults living with frailty. These topics include: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

sfCare Learning Series for Clinicians

Comprises introductory educational modules for clinicians, along with supporting posters (in English and French), and handouts. Click here to access this learning series.

sfCare Learning Series for Caregivers

Comprises a website, handbook and online course. Click here to access this learning series.

sfCare Learning Series for PSWs

Comprises a Guide for Supervisors and a PSW Pocket Guide. Click here to access this learning series.

sfCare Getting Started Toolkit

The sfCare Getting Started Toolkit helps healthcare organizations assess where they are on their sfCare journey, and provides practical resources for implementing real change.

The sfCare Getting Started Toolkit includes:

Self Assessment tool – online tool to identify strengths and opportunities. Results generate a report card which includes comparison across the LHIN and Ontario. Click here for sample report


Implementation Resources – package of tips and practical tools which can be used to inform action plans.


Intro to sfCare Training – 5-minute videos for executives and staff on what senior friendly care is and why it’s important, the needs of older adults, and what executives and staff can do to make a difference.

Other implementation resources

  • The SF7 Toolkit – promotes integrated care across sectors by providing information for healthcare providers and older adults and their caregivers on: delirium, mobility, continence, nutrition, pain, polypharmacy, and social engagement. Click here for the SF7 Toolkit.
  • The sfCare Forum – promotes a collaborative community where healthcare providers can learn from and inspire each other by sharing experiences and tools, asking others for advice, or reading a topic of interest. Click here for the sfCare Forum.

sfCare Framework

The goal of senior friendly care is to achieve the best possible health outcomes for older adults. The sfCare Framework provides the foundation for achieving this goal through guiding principles and defining statements which are intended to foster improvements in care across the system and inspire greater collaboration between older adults and their caregivers, care providers, and organizations.

7 Guiding Principles

  1. Resilience, independence, and quality of life
  2. Compassion and respect
  3. Information and empowered older persons and families
  4. Person- and relationship-centered partnerships
  5. Safety and security
  6. Timely, equitable, and affordable
  7. Evidence-informed

5 Domains and 31 Defining Statements

Organizational Support Organizational Support
Processes of Care Processes of Care
Emotional & Behavioural Environment Emotional & Behavioural Environment
Ethics in Clinical Care and Research Ethics in Clinical Care and Research
Physical Environment Physical Environment

Organizational Support

  1. Senior friendly care is an organizational priority
  2. At least one leader in the organization is responsible for senior friendly care
  3. There is organizational commitment to recruit and develop human resources with the knowledge, skills, and attitude needed to care for older adults
  4. The values and principles of senior friendly care are evident in all relevant organizational policies and procedures
  5. The organization has a senior friendly policy that values and promotes older adults’ health, dignity, and participation in care
  6. The organization demonstrates commitment to all domains of the Senior Friendly Care Framework – organizational support, processes of care, emotional and behavioural environment, ethics in clinical care and research, and the physical environment
  7. The organization collaborates with system partners to meet the needs of older adults
  8. The organization implements the standards and monitors indicators relevant to the care of older adults

Processes of Care

  1. Assessment is holistic and identifies opportunities to optimize the physical, psychological, functional, and social abilities of older adults
  2. Care addresses the physical, psychological, functional, and social needs of older adults
  3. Care is guided by evidence-informed practice
  4. An interprofessional model of care is preferred especially when older adults are frail
  5. Care is integrated and provides continuity especially during transitions
  6. Goals of care may include recovery from illness, maintenance of functional ability and preservation of the highest quality of life as defined by the individual
  7. Older adults are partners with the care team
  8. Care is flexible and aligned with an individual’s preferences
  9. Communications and clinical and administrative processes are adapted to meet the needs of older adults
  10. Older adults are provided information in a way that makes it easy to understand so that they can make informed decisions

Emotional & Behavioural Environment

  1. The care provided is free of ageism and respectful of the unique needs of older adults
  2. Care providers are able to identify and address issues of elder abuse and older adults’ safety
  3. The care of older adults is planned and delivered in alignment with their personal goals
  4. Care providers demonstrate competency providing care to an older population with diversity in all its many forms
  5. Care providers respect each individuals’ breadth of lived experience, relationships, unique values, preferences and capabilities
  6. Care is provided in a way that enables the older adult to feel confident in their care providers
  7. Care is compassionate and sensitive to the needs of older adults 26. Family and other caregivers are valued and supported as care partners
  8. Family and other caregivers are valued and supported as care partners
  9. Social connections are recognized as an important contributor to the health and well-being of older adults

Ethics in Clinical Care and Research

  1. Autonomy, choice and dignity of older adults are protected in care processes and research
  2. Care is delivered in a way that protects the rights of older adults especially those who are vulnerable
  3. An older adult will not be denied access to care or the opportunity to participate in research based solely on their age

Physical Environment

  1. The structures, spaces, equipment, and furnishings provide an environment that minimizes the vulnerabilities of older adults and promotes safety, comfort, functional independence, and well-being


To learn more about the development and implementation of the framework, review the sfCare Report. For sfCare resources, click here.

We will share developments in this work through our sfCare Newsletter and in the News and Events section of our website.