patients aged 65 years or over receiving health case management in the community.

1. enrolled in any other research study

2. preclude consent:

significant cognitive impairment resulting in lack of capacity to consent. b. unable to communicate without significant aids e.g. non-english speaking.

3. preclude participation/ collection of data

significant emotional distress or psychotic illness active within the last 6 months.

receiving end of life care.

current illness that would preclude data collection.

upper limb pathology that would limit participation e.g. bone fracture within the previous 6 months.

identified as high risk patients with regards to lone working safety by their case manager.