This document reports the results of a Committee of which the terms of reference were : to ensure in Lewisham full co-operation between all services for the elderly, to ascertain what gaps existed and how they could be best filled. The Special Committee agreed to look particularly at the application to Lewisham of three factors which might in general be preventing or hindering a satisfactory comprehensive service for elderly people: i) that often not enough was being done by hospitals to provide active treatment and to make suitable arrangements when improvement in their condition make elderly patients fit for discharge; ii) that often hospitals were unable to send cases to welfare accommodation, and vice versa; iii) that hospital beds often cannot be freed because there is no place to which to discharge patients who only need some nursing.