INTRODUCTION
Health care has seen a seismic shift to the utilisation of telehealth, remote consulting, and virtual meetings. Through the use of this technology many practices have seen a significant reduction in home visits, an acceleration of existing trends.1 However, at the boundaries of such acceleration we find older patients, people at the ‘Far End’.
This newly named Far End cohort may experience further marginalisation if the existing decline in home visits continues.2 Therefore, this Far End concept, the nature of home visits, a blended model of delivery, and virtual visits should now be considered to ensure the equitable, efficient, and safe provision of home visits to those at the Far End.
FAR END
Our older patients represent this Far End and are analogous to Deep End patients.3 They experience the same levels of multimorbidity and associated drivers of the inverse care law, such as permeability of service access, candidacy, and health-seeking behaviour.4 Moreover, Far End older patients often have the associated burdens of sensory losses, declining capacity, reduced social capital, sarcopenia, and frailty. Undoubtedly, COVID-19 has exacerbated some of these Far End factors …
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