creating the right sort of ship to achieve integrated care: a response to recent commentaries

We welcome the opportunity to respond to the interesting and insightful commentaries provided by rod sheaff1 and axel kaehne2 on our editorial achieving integrated care for older people: shuffling the deckchairs or making the system watertight for the future?3 in this editorial, we reflected on whether the multiple attempts to improve integrated care for older people living with multi-morbidity were getting to the root of the problem, or merely shuffling the deckchairs while the ship is sinking to use the titanic analogy. our argument was that initiatives that focused on fixing parts of the system were more likely to be shuffling the deckchairs.