Older people's services must work together if they are to meet the needs of older people, says a new report from the Audit Commission.

The report, published this week, claims that too often individuals receive a disjointed and confused response when they need help or advice. It states that a successful system of care, where services are organised around the older person, requires a shared vision, a comprehensive range of services, and a way of guiding people to ensure they receive the help they need.

Leadership and organisational culture are critical to achieving this, the report says.

It describes "one of the greatest challenges" to improving care for older people as having the right number of staff with the right skills and experience.

This requires a joined-up approach to the workforce, bringing together local authorities, the voluntary and independent sectors and the NHS, and incorporating a joint strategy for recruiting and retaining staff and the flexible use of staff resources.

Although the report highlights some structural changes that have removed barriers to greater integration between the NHS and local authorities, such as care trusts and Health Act flexibilities, it warns against moving towards care trust status unless a solid foundation of partnership is already in place. 

- Integrated Services for Older People from www.audit-commission.gov.uk