Table 1 An overview of the new integrated care service according to the TIDieR checklist [8]

• The new service is an integrated, multidisciplinary, anticipatory care service provided to people identified as being at risk of moderate or severe frailty in a purpose-built community clinic (the Jean Bishop Centre).

• Studies have shown that integrated care services improve coordination of care and health outcomes in older people living with frailty [2, 3, 7].

• The service is provided by a specialised multidisciplinary team of geriatricians, nurse practitioners, general practitioners with an extended role in frailty care, pharmacists, occupational therapists, physiotherapists, social workers, clinical support workers, carers’ support, and volunteers.

• A member of the team visits the patient in their home prior to the Centre attendance to pre-assess and identify concerns that the patient wishes to discuss when they attend their assessment.

• The new service then provides various individually-tailored assessments and interventions during a single appointment, taking approximately 3-5 hours.

• Interventions are based on the individual’s comprehensive geriatric assessment and individualised care needs. Precise contents of the intervention can be found in Supplementary Table 1.

• All participants received personalised care planning, physical health review, assessment of psychological wellbeing/mental health, medication review, social needs review, and functional/therapy review.

• Participants were encouraged to discuss the ReSPECT (Recommended Summary Plan for Emergency Care and Treatment)^a form, a tool completed by professionals to promote advance care planning and individualised recommendations for a person’s clinical treatment. Further details of the advance care planning discussions and decisions can be found in Supplementary Table 2.

• Participants were provided with a complimentary lunch and free transport to and from the centre.

• This study did not provide the intervention but only assessed the effectiveness of this new service on wellbeing and quality of life of older people living with frailty.