core outcomes that that works for everybody with every impairment or goal or is it should be more goal specific or patient reported outcomes or is it things like it yeah

i'm a fan of a patient recorded outcome because that's what's important to them and i know service outcomes are really important for people who commission services so we need to know we stopping people going into hospital are we reducing the burden on health and care services but actually we have to balance that with the patient and sort of looking at independence.

And we've done a lot of work talking to older people and their families across the UK, people from really diverse backgrounds and different ethnic backgrounds, different socioeconomic backgrounds, people who live in rural versus urban.

And pretty much consistently, everyone tells us the thing that's really important to them is doing what's important to them.

And what's important to you, Adele, will be different to what's important to me.

So it's actually trying to tap into that and tailoring what we do towards people.

But that sort of idea of independence and... what that might mean to different people.

well you'll be doing your rehab in advance you'll be exercising well i presume and and i suppose we mentioned there like you've been quite active in your career in both the csp so the chartered society of physios and now the bgs the british geriatric society Like do you think it's a worthwhile endeavor as I sit here hosting the IGS podcast? So what kind of value do you