Despite the echos of star (reward) charts for children as recommended by Supernanny, the issuing of stars by the European Commission to cities in recognition of developing ways of helping older people is probably a Good Thing. It provides a mechanism for recognition of good practice and a means of promoting healthy competition. It also means that, in order to rate the cities, someone somewhere has to have a vision of what is ultimately possible. There are six categories of innovation in the EU’s ratings: medication adherence, fall prevention, frailty and malnutrition, integrated care, independent living and age-friendly environments. Good examples have been noted from Andalusia, Scotland, the Basque region and Portugal. There are details in the press release. Moreover, it is not just about recognising good practice it is about sharing it via a Digital Market Place for Innovative Ideas. Perhaps the rating process holds some ideas for NHS England as it wonders how to promote telehealth. Hat tip to Bob Pyke.