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2 Specialties Geriatric medicine5 The specialist discharge planning skills andknowledge held by geriatricians can lead to shorterlengths of hospital stay, without subsequent earlyreadmission.6 Geriatricians are essential in the care of olderpeople with fragility fractures and have a role toplay both preoperatively and in the rehabilitationphase.7 Following the 2010 National Confidential Enquiryinto Patient Outcome and Death (NCEPOD)report Elective and emergency surgery in theelderly, 8 there is a growing role for geriatriciansto be involved in all surgical admissions in olderpeople.References1 Lally F, Crome P. Understanding frailty. Postgrad Med J2007;83:16–20.2 Young J, Robinson M, Chell S et al. Aprospectivebaseline study of frail older people before theintroduction of an intermediate care service. Health SocCare Community 2005;13:307–12.3 National Institute for Health and Care Excellence.Diagnosis and initial management of acute stroke andtransient ischaemic attack (TIA). London: NICE, 2008.http://guidance.nice.org.uk/CG684 Royal College of Physicians. National clinical guidelinesfor stroke, 3rd edn. London: RCP, 2008.5 Age UK. Don’t go hungry in hospital leaflet. www.ageuk.org.uk/documents/en-gb/dont%20go%20hungry%20in%20hospital%20leaflet.pdf?dtrk=true6 British Geriatrics Society. Morris J, Beaumont D.Standards of medical care for older people: expectations andrecommendations. Compendium document 1.3 (1997,revised 2003 and 2007). London: BGS, 2007.7 Federation of the Royal Colleges of Physicians of the UK.Census of consultant physicians and medical registrars inthe UK 2009: data and commentary. London: RCP, 2010.8 National Confidential Enquiry into Patient Outcome andDeath (NCEPOD). Elective and emergency surgery in theelderly: an age old problem. London: NCEPOD, 2010.www.ncepod.org.uk/2010eese.htmC○ Royal College of Physicians 2013 125
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Consultant physiciansworking with p
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The Royal College of PhysiciansThe
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AcknowledgementsWe would like to th
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AbbreviationsA&EAACsAMUsARCPCCGsCCS
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1 Physicians in the NHS todaycan be
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2 Specialties Nuclear medicineNucle
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ISBN 978 1 86016 512 2Royal College
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