Healthy ageing has been defined as the process of developing and maintaining the functional ability that enables well-being in older age. However, as people age, many will develop chronic diseases. Therefore, while life expectancy worldwide has been increasing, this does not necessarily result in a healthy full lifespan, with disability and ill-health often negatively affecting a person’s end of life. This article examines the nursing skills required to support older people to live healthy lives against a backdrop of rising levels of chronic conditions. Nurses have a vital role in supporting health improvements in older people by providing targeted solutions such as lifestyle modifications, strengthened social networks and enhanced resilience.