English and Welsh health leaders say, ‘Older people in need of urgent help are being failed by the NHS’. Too many over-65s end up in Accident and Emergency unnecessarily because of a lack of help when they fall ill. Once in hospital, they face longer stays and losing some of their independence. The leaders call for radical steps, including providing urgent care at home and getting doctors to carry out ‘ward rounds’ in care homes. They say that older people need more help navigating the complexities of the health and care system. They point to an Age UK scheme in Cornwall, where the frailest people have coordinators helping to organise their care. Their report also highlights a scheme in north-east London where hospital and ambulance staff are working together to provide emergency care in people's homes. Nurses and paramedics assess and treat older people who have fallen but not suffered a fracture. Equipment such as walking frames can be arranged.