A geriatric service in East London

The background and establishment of a geriatric service in East London are described. Data relating to 37 admissions for geriatric assessment to the long-stay wards at Frere Hospital and 250 patients dealt with by the District Surgeon's community geriatric service staff are analysed to indicate the multifactorial nature of the assessments and care provided. Taken in conjunction with previous experience elsewhere, the indications are that effective services for care of the aged can be developed without special facilities, by re-allocation of some duties of existing staff and without vast capital expenditure. Certain recommendations are made for the development of an effective network of services for hospital-based care of the aged throughout the RSA.