The National Council on Ageing and Older People has recommended the implementation of Care Management as the basis for a co-ordinated health and social care delivery structure in a number of reports since 1992 (Browne, 1992; Ruddle et al, 1997; O’Shea and O’Reilly, 1999; O’Shea, 2000; Garavan, Winder and McGee, 2001). Care and Case Management is a system for the planning, co-ordination and delivery of services for vulnerable older people at local level and is marked by its ability to tailor care plans through a process of consultation between older people themselves and their carers, general practitioners and other health and social service professionals.