Focus group 1, 9 participants. Leader group (facility leaders of the physiotherapy-, occupational-, and nursing services), general practitioners (GPs) 4 registered nurses (2 in nursing home, 2 in home care services), 1 physiotherapist, 3 GPs (2 part-time employed in nursing home, 1 employed at the medical centre only), 1 occupational therapist (newly employed, left the meeting early) | Focus group 2, 8 participants. Front-line staff 3 registered nurses, 1 physiotherapist, 2 auxiliaries, 2 assistants (5 in nursing home, 3 in home care services) | Focus group 3, 6 participants. Front-line staff 1 physiotherapist, 1 registered nurse, 2 auxiliaries, 2 assistants (3 in nursing home, 3 across nursing home and home care services) |