In 2024, the Health Foundation collaborated with the Commonwealth Fund to survey older adults (people aged 65 and older) in ten high-income countries about their experiences using a range of services, including primary care, hospital care and specialist care. This piece analyses the results of the 2024 survey, comparing responses from the UK with those from other countries. It presents findings on a range of experiences with health care, including general practice, out-of-hours and remote care, hospital care, the cost of accessing services and end-of-life care planning. The final section draws out some themes for policymakers, with a focus on England.