title: The journey of care for the frail older person.
abstract: The elderly have diverse health-care needs and the frail elderly, because of associated co-morbidities, carry a significantly high mortality during their journey of care. Adequate planning and coordination between teams and an accessible and flexible interface between services will help ensure a safe, smooth journey for these people.
authors.affiliation: Bolton Primary Care Trust.
authors.forename: Anita
authors.initials: A
authors.lastname: Ayyar
authors.forename: Surendra
authors.initials: S
authors.lastname: Varman
authors.forename: Sorcha
authors.initials: S
authors.lastname: De Bhaldraithe
authors.forename: Iqbal
authors.initials: I
authors.lastname: Singh
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019090:Case Management / Q000458:organization & administration* / Q000592:standards; D003152:Community Health Nursing / Q000458:organization & administration; D003266:Continuity of Patient Care / Q000458:organization & administration* / Q000592:standards; D016330:Frail Elderly; D006299:Health Services for the Aged / Q000458:organization & administration* / Q000592:standards; D006699:Home Care Services / Q000458:organization & administration; D006801:Humans; D007400:Interprofessional Relations; D020380:Needs Assessment; D010166:Palliative Care / Q000458:organization & administration; D011786:Quality Control; D013727:Terminal Care / Q000458:organization & administration