Conclusion and Recommendations: The aim of my Churchill Fellowship was to explore how to improve the quality of care of older people in our health system. To do this I ventured to the United States (US) to explore a framework of care for older people that is evidenced based, causes no harm and aligns with What Matters to the older adult and their family caregivers. Through my exploration of this framework, I learned the essentials from imminent leaders, thinkers and authors of improvement science, implementation science, scaling and sustainability. Combined with lessons in leadership and partnerships, I now have established networks, resources and experience to share and support the improvement of care of older people in our health system. I have made eight recommendations as an outcome of my Churchill Fellowship: Reframe ageing Self-actualisation of older people Utilise the strength in the community Promote the Age Friendly Health System framework Implement the Age Friendly Health System framework Develop and promote values based leadership Engagement in the advancement of care for older people. Build trust and relationships Keywords: Age friendly health systems, Acute Care for the Elderly, quality improvement, general practice, older people, age friendly, health care, 4Ms