Posters

Delirium affects approximately 30% of medical inpatients over 65 and has an associated mortality rate of approximately 39%. Although one third of cases are preventable, delirium remains under recognised, delaying integrated care and prolonging admissions, leading to poorer patient outcomes. Aim - to evaluate diagnosis of delirium in patients aged ≥65 with an admission 4AT score of ≥4. To improve awareness of delirium and encourage completion of a ‘delirium screen’. Eligible patients were identified across four downstream medical wards within University Hospital Ayr. Medical notes were reviewed

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 Transdermal patches are frequently prescribed for older adults and require accurate documentation of the application site to ensure appropriate site rotation and reduce the risk of medication administration errors. A baseline review on Elderly Care wards identified poor documentation of patch application sites within the electronic patient record (EPR). This quality improvement project aimed to improve documentation through simple educational interventions. Methods A completed audit cycle was undertaken across Elderly Care wards at Huddersfield Royal Infirmary. Patients prescribed

Introduction: Drugs with anticholinergic properties identified by the anticholinergic burden (ACB) scale are associated with reduced cognitive and functional performance in elderly patients and poorer discharge outcomes. Research indicates that cognitive decline is dose dependent, scaling with cumulative exposure. Reducing ACB provides an opportunity to improve rehabilitation outcomes. The aim of this Quality Improvement Project (QIP) was to reduce the anticholinergic burden of medications for patients in the rehabilitation unit by using a series of interventions encouraging medication review

Introduction The burden of colorectal cancer (CRC) falls disproportionately on older adults in the UK (1-2). The current straight-to-test 2-week wait (2WW) lower GI pathway may not adequately assess older patients for their suitability for invasive initial investigations (3-5). Previous initiatives introducing a geriatric service as the first line of contact in this pathway demonstrated holistic shared decision-making with referred patients (4-5). This retrospective audit will evaluate if a similar service improvement project at Broomfield Hospital shared similar successes. Methods A

Introduction: Gompertz Law, published in 1825, states that the age-specific force of mortality increases exponentially with age. This has implications for ageing people and ageing populations. We sought to determine if Gompertz Law of Mortality is accurate in a contemporary cohort study. Method: We analyzed data from the Manitoba Follow Up Study – a closed prospective cohort study of men who qualified for air crew training in the Royal Canadian Air Force during the Second World War. The cohort was sealed in 1948 when 3983 men with a mean age of 31 years old were enrolled. The date of death up

Background: The Clinical Frailty Scale (CFS) is a summary measure of frailty intended to be completed after Geriatric Assessment. There are few studies on simply self-reporting the CFS (SR CFS). Objectives: 1. To determine if a SR CFS predicts mortality over a long time frame, and 2. To determine if the SR CFS adds prognostic information to the Frailty Index (FI). Methods: We analyzed data from The Manitoba Follow Up Study (MFUS), a prospective cohort study of men who qualified for air crew training during the Second World War. In 2015, we adapted the original 7 point CFS for self report (SR

Introduction: Polypharmacy, commonly defined as the use of ≥5 medicines, is highly prevalent among adults aged 65 years and older and is associated with adverse events, hospitalisation and increased treatment burden, particularly in those living with frailty. Medicines optimisation (MO) in older adults is a key priority within the LTHT Frailty Strategy. Pharmacists play a central role in multidisciplinary efforts to reduce inappropriate polypharmacy; however, little is known about hospital pharmacists’ confidence in delivering MO for this population. Methods: A survey containing Likert-scale

Introducing Virtual Reality as a Novel Educational Tool in a Dementia Education Program for Nursing Staff in a Teaching Hospital in Singapore Background: Singapore's rapidly ageing population has led to increasing numbers of older adults living with dementia, many of whom are hospitalized with behavioural and psychological symptoms of dementia (BPSD). These symptoms present significant challenges for healthcare professionals and are associated with caregiver burden, workplace stress, and frequent use of physical and chemical restraints. Conventional dementia education provides essential

The prevalence of ageism within media: Investigating the effect of media on opinions of ageism Introduction: Ageism is a form a discrimination based on one's age. It has long been explored in media with focus on visual attributes which characterise one's age. Research lacks insight into the role of structural factors including publication formatting, which could be affecting ageism in media. In this report, we will be specifically looking at the impact of author gender (male, female, unknown), media political position (left leaning, right leaning, neutral), affluence (‘publication formatting'

Introduction Despite the importance of advance care planning and ReSPECT documentation, many older people living with frailty progress through healthcare systems without meaningful discussions regarding future care preferences or treatment escalation. Early identification of frailty using the Clinical Frailty Scale (CFS) can act as a catalyst for these conversations and support care that aligns with an individual's values and preferences. This quality improvement project aimed to improve CFS assessment, ReSPECT decision-making, and documentation on a geriatric medicine ward. Methods A

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: Early recognition of frailty and risk of deterioration is important to support patient-centred decision making. This project aims to identify and improve rates of Recommended Summary Plan for Emergency Care and Treatment (RESPECT) discussions in Airedale general hospital’s surgical department alongside increasing the rate of documentation of clinical frailty score (CFS). Methods: A retrospective audit reviewed patients aged ≥65 years with ≥3 co-morbidities admitted under general surgery in Airedale hospital over one month. Documentation of CFS, RESPECT and DNACPR was assessed

Introduction The Integrated Care Coordination (iCC) triages calls pre-ambulance dispatch. Patients not meeting urgent care response (UCR) pathways are declined and ambulances are dispatched. We implemented a senior clinician rota, allowing the iCC to discuss these patients with a senior decision-maker and employ the most appropriate service. This ran from 6th to 30th January 2026, Monday to Friday, 8am to 8pm for patients aged over 65 years registered with a Warwickshire GP. The aim was to reduce pressure on emergency services by managing patients safely in the community. Methods Senior

Introduction Neck of femur fractures (NOFF) account for ~72,000 UK admissions annually, affecting frail, comorbid older adults. Unpredictable trauma scheduling prolongs fasting, worsening starvation, dehydration and delirium risk. 'Sip Til Send' (STS) permits clear fluid sips until surgery, advocated nationally for hip fracture and internationally for surgery. We aimed to implement and evaluate an STS protocol (up to 170 ml/hour) for NOFF patients on an orthogeriatric pathway at Homerton Hospital, London. Methods We retrospectively audited NOFF patients undergoing operative management. Audit

Following hip fracture surgery, post-operative hypotension is associated with reduced wound mobilisation, delirium, AKI, and impaired wound healing. A baseline audit on a geriatric hip fracture ward showed that 56% (49/87) of patients developed day 1 post-operative hypotension preventing early engagement with physiotherapy and potentially prolonging hospital stay. Process mapping demonstrated a mean delay of 11 (±4) hours from injury to ward admission, during which patients were largely kept nil by mouth. Only 23.5% (n=17) received intravenous fluids before ward arrival. Week-by-week analysis

Background With funding from Macmillan Cancer Support, Harrogate and District NHS Foundation Trust partnered with Saint Michael’s Hospice and Airedale NHS Foundation Trust to create HELPSS. We aimed to identify more patients in their last year of life (LYOL), facilitate the creation of an advance care plan (ACP) and provide 24/7 telephone support to patients and carers in order to enable more people to die in their preferred place with dignity. Introduction Harrogate locality has a population of approximately 160,000. It has a higher than average proportion of older people which is predicted

Is Education Enough? Sustaining Anticholinergic Burden Assessment Following Clinical Staff Rotation Polypharmacy is common among older adults and increases their risk of exposure to medications with anticholinergic properties. High cumulative anticholinergic burden is associated with adverse outcomes, including cognitive impairment and falls. Routine assessment provides an opportunity to optimise medication use and reduce medication-related harm, but sustaining such practice can be challenging. This project aimed to assess whether improvements in anticholinergic burden assessment and

Introduction Overnight, frail older adults are often conveyed to the Emergency Department (ED) despite being clinically stable, due to a lack of reliable follow-up. Overnight stays in ED can contribute to avoidable hospital admissions, risk of deconditioning, delirium, and ED crowding. Through collaborative working with West Midlands Ambulance Service (WMAS), a “safe to stay at home” pathway was developed linking next-day frailty review via the Urgent Community Response team (UCR). Methods Patients assessed by WMAS between 20:00 and 08:00 and deemed safe to remain at home were referred for

Introduction Acute urinary retention is a common presentation in older male inpatients. Whilst urinary catheters are often necessary, they are associated with adverse outcomes, including catheter-associated urinary tract infections, prolonged hospital stays, and increased healthcare costs. At South Tyneside and Sunderland Foundation Trust, no local or national guidance existed to standardise trial without a catheter (TWOC). This quality improvement project (QIP) aimed to improve the assessment and management of urinary retention to standardise TWOC practice in older male inpatients. Method