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How to manage a MFFD patient in the acute hospital settings?
  1. Anil Kumar1,2,
  2. Punam Sinha3
  1. 1 Care of Elderly, University Hospitals of North Midlands NHS Trust Children’s Centre, Stoke-on-Trent,UK
  2. 2 School of Medicine, Keele University, Staffordshire ST5 5BG, UK
  3. 3 Stroke Medicine, West Park Rehabilitation Hospital, Wolverhampton WV1 4PW, UK
  1. Correspondence to Anil Kumar, Consultant Physician and Geriatrician, County Hospital, Stafford, Honorary Clinical Lecturer, School of Medicine, Keele University; anilkumaruk{at}

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Numerous articles have been written about the decompensation, deconditioning of frail patients awaiting discharge who are medically fit, that is, they do not need to stay in the acute hospital. Their care or further management could be provided in the community. There is a general view that they are stable and hence documentation and clinical input is quite abbreviated. With this article, I want to emphasise that these patients need regular full assessment to prevent any decompensation, deconditioning so that they do not have worse outcomes. This article is mainly geared towards junior doctors under training.

Anyone who is working in the NHS(National Health Service)hospitals will resonate with this word MFFD1—it is the mantra everyone in the NHS hospitals understand. The senior nurse can assess one’s ward round and criticise that there was no plan if one has not mentioned the magic word MFFD (or not MFFD) and also the EDD (Expected date of discharge). Whole hospital is obsessed with these words.

Let’s explain this to the readers. In simple terms it is ‘medically fit patient for discharge. Sometimes, another terminology is also used MSFD (medically stable patient for discharge)’. Basically, stating that those patients who do not need hospital bed for their acute management are labelled as MFFD and an active exit …

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  • Twitter Anil Kumar @dranilsinha.

  • Contributors AK prepared the manuscript; PS formulated the concept & idea with a review of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.