With population ageing worldwide, the numbers of older people attending Emergency Departments (ED) continue to increase, which may lead to adverse operational and patient outcomes. [1] Older people in the ED are clinically very heterogenous and some presentations may be better suited to alternative out-of-hospital pathways. Where appropriate ambulatory services exist, specialist geriatric assessment in the ED ‘interface’ may improve outcomes by avoiding the adverse effects of potentially avoidable admissions.