Updated guidance setting out principles of good practice principles for commissioning and providing healthcare to older people living in in care homes. It highlights the benefits for older people, for the local NHS and for local care homes as a result of having appropriate services in place. It describes the activities that will enable these outcomes to be achieved, and includes suggestions for how services can be monitored and evaluated to see if they are having a positive impact. The guidance is for commissioners, policy makers, service providers, and for anyone with an interest in ensuring that older people living in care homes have access to healthcare that meets their needs.