Better recognition of conditions such as sepsis and bladder retention would save millions of pounds a year in antibiotics and beds being blocked in A&E and urology wards. The reduction in preventative medication errors associated with the treatment pre-admission would also prevent the unnecessary hospital admissions. Communication in this digital age should not be the crux of the problem but sadly it is. Bladder retention should not be overlooked in elderly men before prescribing antibiotics, in addition drug interactions should be considered when choosing the antibiotic.