Worried about becoming the med reg on-call 😬 Want to know about the day to day life of a geris SpR? Join us @G4J23 to ask us all about it during our Registrar Panel session! British Geriatrics Society

📢NEW GUIDANCE📢 NHS England has published an 'Intermediate care framework for #rehabilitation, reablement and recovery following hospital discharge' to help ensure high quality step-down care. Find out more here england.nhs.uk/publication/in…

Brilliant news!! Great to see POPS services blossoming!! Well done to the whole team!! Looking forward to next cohort of hospitals joining the pops network. Do get in touch if interested! NHS Elect Improvement Networks @NHSElect POPS British Geriatrics Society Grumpy Geriatrician

To be clear, no one can become specialised in Geriatric Medicine by default! Geriatric Medicine is specialised and requires dedicated additional training.

Time after time we see more evidence that tightly controlling physiological parameters does not improve outcome (I.e recent inpatient BP data). In hospital environments are artificial and patients are there due to a stressor. #TreatPatientsNotNumbers nejm.org/doi/full/10.10…

Next time you see someone say “Surgically fit…or medics to take over care” Remind them that it was a Surgeon: Parkinson who was the first to describe the condition which now bears his name. If we want to succeed for patients we need to collaborate as we once did.

Fantastic to hear news of this significant research funding to explore older people's responses to stressor events and the biology of frailty: congratulations to @delirious_dr and the wider research team

I am always in awe of the wisdom older people have. When I asked a lady what she thought of a teams decision to delay her discharge due to “some risks identified” she said: “You youngsters never learn…….Life is dangerous”.

People commonly ask me. Why did you become a Geriatrician? The honest answer is that it was the only speciality and job that gave me the feeling, that I made a big difference in someone’s life.

Grumpy Geriatrician Royal College of Anaesthetists Hi Grumpy Geriatrician 😊 ….baby steps We don’t answer all questions in one project. With respect I think the “will I wake up? IS an important question for many older & frailer patients undergoing anaesthesia & surgery. If it isn’t we’re probably not providing them with the

#Oliverscampaign I can't thank my wonderful followers enough Olivers petition asking for an adapted Version of his training for Education now has over 70,251 signatures Please keep signing to get those numbers up ahead of the debate tomorrow petition.parliament.uk/petitions/6390…

This is a challenging read. No one should ever underestimate the impact reports, feedback and regulatory reviews can have on individuals. We need to be supportive. People can be masking tremendous grief. I.N.A.D.E.Q.U.A.T.E - Ruth Perry’s despair bbc.co.uk/news/education…

'We haven't got enough money to spend £2 billion a year paying doctors, but we can find £8 billion a year to cut a tax that's only paid by the richest 4%.' Ben Kentish points out the flaw in the government's claim that the UK 'can't afford' a pay rise for junior doctors.

Performance management over patient safety. Time and time again.

Want to work with the POPS@GSTT team on POPS-SUp; a NIHR funded multi centre study examining implementation and effectiveness of periop care for older people? Call us to chat about this exciting opportunity!! (Open to med/anaesthetic/surg fellows) ⁦ guysandstthomas.nhs.uk/current-vacanc…

I find this a really interesting topic. Seeing more patients diagnosed with Mild Cognitive impairment (MCI), instead of early dementia, some patients report being told not bad enough for ADD but then reasonably say why wait. academic.oup.com/ageing/article…

It’s remarkable how people are always looking for that magic wand or treatment, the answer is usually staring us in the face: its multicomponent interventions. Let’s get all that right.

Don’t look to investigations and tests to make decisions for you. The hallmark of clinical expertise, is being able to support a patient determine a plan that delivers success how they define it. #SDM