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the aim of medicine is to diagnose and treat disease and thereby prolong life but the ideal of medicine is to eliminate the need of a physician the seeds are virtually every disease that any of you could suffer from in the future are sown in very early life and with we can understand that then we can intervene early and prevent these problems ever occurring in the first place and certainly the seeds of the other themes Crale tea and breathlessness are clearly sown in early life as we stand now of course frailty is a key issue not just north west london / across the world and i think we know the for instance the age is a key risk for frailty and nothing we can do about aging becoming do things with the consequences of age frailty isnt just a medical condition its the interaction between the person their mental health or physical health and society they live in we can look at working in the community to improve lifestyle to improve diet and improve those drivers what makes a person de