title: Mixing generalism and specialism.
abstract: The need for specialist older people services has been debated for decades. Pro-generalists argue that specialist approaches are intrinsically ageist and marginalise gerontology. Rather, consideration of all age groups should be integrated into mainstream services and education for care professionals. Pro-specialists contend that, because older people require distinct consideration in a range of aspects, care must be offered by staff with specialist expertise who choose to work with older people. Education for all health and social care disciplines should, they argue, include designated gerontological components.