Judy Ryan and Eileen Carey discuss health action planning for an older person with an intellectual disability and dementia, and her circle of friends

This article provides an overview of the current literature on person-centred planning, health action planning and associated concepts such as facilitation and advocacy. It explores how flexible approaches to person-centred planning and health action planning were introduced and adapted to meet the individual daily changing needs of Anna, an older person with Down syndrome and dementia.