Posters

Introduction: Opioid medications are associated with significant side effects in older people, including constipation, falls, delirium, and reduced bone health which can lead to loss of independence and hospital readmission. NICE guidelines encourage appropriate opioid deprescribing and review. This Quality Improvement Project aimed to improve the provision of education and a weaning plan for patients with opioids prescribed at discharge, following an acute hospital admission. Method: To achieve this, we provided education of opioid deprescribing to doctors and pharmacists across the Acute

Introduction Delirium is associated with significant morbidity, prolonged hospitalisation and adverse outcomes. Assessment of delirium risk factors and potential causes within 24 hours of admission was inconsistent on our acute frailty unit. Staff feedback identified limited confidence, unclear ownership of screening, variable access to screening tools and inconsistent assessment of pain and nutrition as key barriers. Method A quality improvement project assessed compliance with comprehensive delirium assessment within 24 hours of admission. Documentation was reviewed for 15 patients per cycle

Background: Delirium is a common complication of hospitalisation in older adults and is associated with increased mortality, prolonged hospital stay and functional decline. Although routine screening using the 4AT is recommended, delirium assessment and documentation remain inconsistent. Baseline auditing identified poor ward-based 4AT completion, with assessments predominantly undertaken by medical staff despite the multidisciplinary nature of geriatric care. Aim: To improve multidisciplinary recognition, assessment and documentation of delirium by increasing staff knowledge, confidence and

Background: Delirium is a common complication of hospitalisation in older adults and is associated with increased mortality, prolonged hospital stay and functional decline. Although routine screening using the 4AT is recommended, delirium assessment and documentation remain inconsistent. Baseline auditing identified poor ward-based 4AT completion, with assessments predominantly undertaken by medical staff despite the multidisciplinary nature of geriatric care. Aim: To improve multidisciplinary recognition, assessment and documentation of delirium by increasing staff knowledge, confidence and

Introduction Invasive and conservative medical management strategies are widely used in the treatment of Non-ST-segment Elevation Myocardial Infarction (NSTEMI). Multiple studies have demonstrated no significant long term survival benefit of invasive management in patients aged ≥75 years old presenting with NSTEMI compared to conservative management. Therefore, the optimal management strategy in this age group remains uncertain. Purpose To investigate the 2-year major adverse cardiovascular events (MACE) as the primary outcome in patients aged ≥75 years old presenting with NSTEMI and managed

Introduction: The expansion of acute frailty services is essential to meet the needs of our ageing population. According to the UK Office for National Statistics 2021 census, over one-sixth of the population (18.6%, or 11.1 million people) were aged 65 and over, with this proportion expected to rise to 25% within the next 20 years. Acute Frailty Team (AFT) was introduced in Newcastle in December 2024, aiming to create a streamlined pathway to avoid unnecessary admission and improving supportive discharges, the first frailty team in North-east England. The second audit cycle shows a decrease in

Background: Peripheral intravenous cannulas (PIVCs) carry significant risks of phlebitis and hospital-acquired bacteraemia, particularly in elderly patients. Royal Berkshire Hospital trust policy CG321 recommends daily review, VIP (visual infusion phlebitis) scoring, and removal within 72 hours unless extended to 96 hours with documented senior justification. This QIP aimed to improve PIVC documentation, review, and timely removal across two acute geriatric wards. Methods: Baseline data were collected on Ward A (general geriatrics, n=8) and Ward B (orthogeriatrics, n=11) in March 2026, with a

Introduction Clear identification of the responsible consultant is essential for safe inpatient care. This quality improvement project used two PDSA cycles to improve patient awareness of their named consultant on a medical ward, achieving a sustained improvement through improved bedside signage and standardised ward-round introductions. Informal feedback from patients and ward staff suggested that many inpatients were unaware of who their named consultant was, leading to confusion and difficulty escalating concerns. Method My quality improvement project used ‘Plan Do Study Act’ (PDSA)

Patients with hip fracture should start rehabilitation no later than the day after their operation (NICE Quality Statement). Only 69% of patients with a hip fracture were mobilised day one post operation in 2025 in North Tees Hospital putting it in the lowest performing quartile in the United Kingdom. Delayed mobilisation is shown to increase the risk of post operative complications such as pulmonary embolism and lower respiratory tract infections along with increasing lengths of hospital stay associated with increased risk of morbidity and mortality within the geriatric population. The aim of

Introduction As the incidence of cancer in adults aged ≥65 years continues to rise, so does the complexity of management. Comprehensive Geriatric Assessment (CGA)-led interventions have demonstrated a reduction in treatment-related complications and unplanned hospital admissions, support appropriate treatment decision-making and improve quality of life. We evaluated the implementation of CGA through a new Oncogeriatric clinic in optimising older adults undergoing assessment for surgery and/or chemotherapy with colorectal or hepatobiliary malignancy. Methods We conducted a retrospective audit

Boosting Advance Care Planning for Elderly Surgical Patients: Filtering out errors Introduction: The ReSPECT form documents a patient’s preferences regarding care, religious wishes, preferred place of care/death and the ceiling of care within hospital settings. Although clinical recommendations often align with patient preferences, only around half of ReSPECT plans accurately record these personal wishes. Our goal was to improve compliance and quality in documenting ReSPECT forms for elderly patients admitted to general surgery at Bradford Royal Infirmary, which would lead to better patient

Frailty is known to increase rate of post-operative complications, acquired geriatric syndromes, mortality and loss of independence. Despite this, almost three-quarters of UK hospitals are not routinely screening surgical patients >60 years for frailty. At Whipps Cross Hospital, we established a perioperative frailty MDT for urological patients in May 2021. Our project reviews the outcomes of this MDT over the past 5 years Method MDT and urological notes were retrospectively reviewed for all patients discussed in the frailty MDT from May 2021 - April 2026. Data on the MDT outcomes, actual

Introduction Hip fracture carries substantial early mortality risk in older adults, with reported 30-day mortality of 5–10%. Malnutrition is common in this population and biologically plausible as a contributor to adverse outcomes, yet whether it independently predicts short-term mortality — beyond age, sex, anaesthetic risk, and cognitive status — remains uncertain. This study aimed to determine whether admission nutrition risk, assessed using the Malnutrition Universal Screening Tool (MUST), independently predicts 28-day mortality following hip fracture. Methods Retrospective cohort study of

Introduction Door-to-needle (DTN) time and timely transfer for mechanical thrombectomy (MT) are key modifiable determinants of outcome in acute ischaemic stroke. We assessed reperfusion pathway performance and variables affecting DTN and door-to-departure (DTD) times in MT patients to identify areas for improvement. Method We retrospectively reviewed 239 consecutive patients directly admitted to Northampton General Hospital, University Hospitals of Northamptonshire NHS Trust, who underwent reperfusion therapy (rtPA, referred for MT, or both) between January 2025 and May 2026. Time intervals

Introduction: Prehospital vide triage offers the potential to improve prehospital decision-making before hospital arrival. This study aimed to evaluate the newly introduced Prehospital Video Triage (PVT) service for suspected stroke patients at Northampton General Hospital, University Hospitals of Northamptonshire NHS Trust. Method: A retrospective comparative analysis was conducted of two cohorts: patients triaged via the standard non-PVT pathway (n = 229) and patients assessed via the PVT service (n = 308), covering the period January to May 2026. Both groups included only calls originating

Introduction The AMBER care bundle is a tool supporting recognition and communication for patients with uncertain recovery. Patients may recover or be recognised as dying. Its focus is enabling patients and families to consider future wishes. The aim is to make sure that patients and their carers are involved as much as they want in shared decision making. Alongside AMBER, the Individualized Dying Person's Care Plan (IDPCP) is used in stroke care. We evaluated these tools, assessing initiation timing and if anticipatory prescribing tracked formal dying recognition. Methods Retrospective review

[Introduction] The Otago Exercise Programme (OEP) is an evidence-based fall prevention program for older adults, yet its effectiveness in home settings is limited by poor adherence and unsupervised, incorrect execution. Real-time digital monitoring presents a viable solution to bridge this gap. This pilot study aims to evaluate the feasibility and preliminary efficacy of a smart insole system (iBalanx), which was designed to provide real-time auditory feedback during OEP training. [Methods] A pilot randomized crossover study was conducted with six community-dwelling older adults (aged≥65)

Background: Older adults presenting to the emergency department (ED) following a fall are at high risk for recurrent falls, injuries, and increased healthcare utilization. This systematic review and meta-analysis evaluated the effectiveness of interventions initiated upon ED presentation in reducing falls and related outcomes among older adults. Methods: A comprehensive literature search was performed in six databases (Ovid Medline, Embase, CINAHL, PEDro, Web of Science, and Scopus) up to June 2025, in accordance with PRISMA guidelines. This yielded 9,624 references, of which 4,811 records

Introduction Many falls are due to slippery floor conditions. While building and WHS regulations may impose floor safety requirements, there is minimal research funding, an overreliance on subjective assessments, poor documentation of products and incidents: indeed a perfect recipe for broken bones and, as a consequence, floors requiring premature replacement. Merchants and architects require relevant slip resistance data to ensure floors will remain safe for economically reasonable life cycles when appropriately maintained, thus fulfilling user expectations and sustainability requirements

Introduction Orthostatic hypotension (OH) in older adults is a risk factor for falls. Anticholinergic medications may contribute to OH through autonomic dysfunction, but evidence for symptom-specific outcomes remains inconsistent. This study examined the association between anticholinergic burden and OH symptoms in older adults presenting to the emergency department (ED) after a fall. Methods We conducted a cross-sectional study among adults aged ≥ 65 years presenting to the ED of Amsterdam UMC after a fall between 2014 and 2024. OH symptoms were assessed using the validated CAREFALL Triage