Frailty is the gradual loss of inner reserve as a result of the ageing process, leaving a person vulnerable to dramatic, sudden changes in health triggered by apparently small changes or events. Like other long-term conditions, frailty – if not managed – can rapidly result in acute illness and admission to hospital. A better, community-based, preventive approach to managing people with frailty is based on case-finding, followed by care that is appropriate to the individual, whether it is supported self-management, personalised care and support planning, or end-of-life care.