Living with chronic disease and polypharmacy is now common place for older adults. Advances in medicine, improved diagnostic testing, reduced disease thresholds and changes in health seeking behaviour mean that approximately 66.2% of over 50 year olds live with three or more chronic diseases. This results in complex care needs, unplanned hospitalizations, and multiple health and social services interactions. But more importantly, from a patient perspective multiple medical problems reduce functioning, social interaction and mental wellbeing. Furthermore individuals face the challenge of navigating through multiple different services. Improving quality of care in this myriad of multi-morbidity, polypharmacy and health services is challenging and requires a tailored approach.