In recent years，Beijing has attached great importance to the service of combining medical care with nursing care. The policy system of combining medical care with nursing care has been constantly improved，and the service capacity of combining medical care with nursing care has been constantly improved. As the core area of the capital，Xicheng District is in the forefront of the city in terms of the absolute number and proportion of the elderly population. How to give play to the advantages of regional medical resources and provide high-quality medical and health services for the elderly in Xicheng District has become the key task of the health department in Xicheng District. This paper analyzes the medical service resources，elderly care service resources，the service needs of the elderly and the service capabilities of various service personnel，and finds that the problems in the combination of medical care and elderly care services in Beijing are the separation of medical care and elderly care，and the separation of services；The mode of payment makes it difficult to combine medical care with nursing care；Lack of incentive mechanism and relatively insufficient service capacity；The participation of social medical forces was blocked. Based on this，this paper puts forward the following suggestions：promote resources to sink into the community，and embed medical and nursing services；Rely on the community elderly care medical complex to provide integrated professional medical and nursing services；Promote the cooperation between social medical forces and community health service institutions；Establish a regional elderly health management system；Promote hospice care services into the community；Allocate medical resources and focus on the long-term health care needs of the elderly.