Abstract

Ever since geriatric medicine was established by Marjory Warren in the late 1930s specialist geriatric services have developed as an integral part of the National Health Service in the United Kingdom (UK). This article offers first hand experience of the present state of geriatric medicine in the UK supported by a comprehensive literature review. It confers an overview of the range of clinical, preventive, remedial, and social services available to older people. It describes a relentless move towards an integrated model of care where all adult emergency admissions, irrespective of age, are cared for in joint acute wards staffed by general physicians and geriatricians. We also analyse the similarities and differences between the Spanish and British models of geriatric care. Special attention is given to the development of specialist geriatric services (falls, stroke), the expansion of the specialty of psychogeriatrics and possibilities for training in geriatric medicine in the UK.

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