Posters

Introduction: Parkinson’s UK consistently report that over half of inpatients with Parkinson’s face challenges getting their medications on time. This is associated with patient harm, poorer outcomes and increased admission length. Although electronic prescribing has benefits, it has not solved these issues. We audited local practice and implemented an EPMA care plan to improve reliability. Method: A two-cycle clinical audit in a central London teaching hospital. Cycle 1 (n=29) and cycle 2 (n=23) reviewed electronic records over two 4-month periods for inpatients with Parkinson’s disease

Introduction Smoking remains a major modifiable risk factor for chronic disease in older adults yet opportunities for smoking cessation are missed among older patients. The British Thoracic Society states that every inpatient should be asked if they smoke and that electronic records of tobacco dependency should be completed. Hospitalisation offers a chance to identify tobacco dependence and provide support. We conducted a quality improvement project on a Care of the Elderly (COE) ward to improve the documentation of smoking status and delivery of nicotine replacement therapy (NRT). Methods We

Introduction Rib fractures are the most common presentation of blunt chest trauma, with approximately 10% of patients requiring hospital admission. The STUMBL (STUdy of the Management of BLunt chest trauma) score was developed to guide admission decisions, but its ability to predict mortality and geriatric-relevant outcomes is unclear. This study evaluated whether the STUMBL score stratifies risk for mortality, delirium, and discharge destination in adults aged ≥65 years with rib fractures. Methods We conducted a retrospective single-centre cohort study of patients aged ≥65 years presenting

Background: Diagnosing Parkinsonism remains a common and clinically significant challenge within movement disorder services, particularly in early disease and in atypical or non-motor–predominant presentations. Dopamine transporter (DAT) imaging is recommended by NICE where diagnostic uncertainty persists; however, real-world evidence demonstrating its impact on clinical decision-making beyond diagnostic confirmation remains limited. Methods: We conducted a retrospective audit of all DAT scans requested within a UK specialist movement disorder service between January 2023 and December 2024

Introduction The Personal Kinetograph™ (PKG) is a remote monitoring device that provides objective evidence of motor control in Parkinson's disease (PD). It is conditionally recommended by NICE to aid clinical decision-making (1). Our hospital trust has developed a PKG service over two years. We present the results of patient questionnaires to demonstrate the role of PKG in patient education and mental wellbeing, alongside clinical care. Method Between August 2023-December 2025, 40 patients under the care of Geriatrics Parkinson's Team underwent PKG monitoring. Results were explained via

Introduction Within the Older Person’s Medicine Movement Disorder service at Newcastle upon Tyne Hospitals, we were aware people with Parkinson's (PWP) living in nursing care were not necessarily receiving the same quality of care as other PWP. We have developed a nursing home movement disorder clinic to address this. Methods Practically, approximately 15% of PWP were identified as living in nursing care. After review of the geography and numbers, one consultant and specialist nurse clinic were allocated a month to facilitate care home visits to all PWP within 6 months. After identifying PWP

Introduction Parkinson’s disease dementia (PDD) is characterised by years of motor symptoms preceding cognitive decline, particularly presenting with declining executive function, attention, visuospatial abilities, and psychiatric symptoms. The motor symptoms of Parkinson’s disease are managed under a Parkinson’s and movement disorder service led by geriatricians or neurologists and should involve a multidisciplinary team. When dementia symptoms develop, patients are generally referred to a memory service led by old age psychiatrists with dementia support advisors and admiral nurses available

Aims/Purpose: To assess the barriers and facilitators for rehabilitation in the older Parkinson’s Disease (PD) patient population that have been admitted to Great Western Hospital (GWH); as viewed by clinicians who work within the acute inpatient setting. This was accomplished through an internal service evaluation project designed to create a GWH-specific action plan, which may also have broader applicability. Methods: A review of the related literature informed the development of interview questions, which guided 20 semi-structured interviews with clinicians conducted in collaboration with

Introduction: Foslevodopa-foscarbidopa (Produodopa) is a new subcutaneous infusion run continuously over 24 hours for people with Parkinson’s (PwP). Foslevodopa is a prodrug for levodopa, the most effective treatment for Parkinson’s symptoms. Studies demonstrate that Produodopa improves symptom fluctuations (i.e. less OFF time & less troublesome dyskinesia) compared to oral medications. Gait and balance impairment are key risk factors for falls in advanced Parkinson’s and are less levodopa responsive. However, the impact of Produodopa on gait and balance has not yet been described. Methods

Progressive supranuclear palsy (PSP) is a rapidly progressive neurodegenerative disease characterized by postural instability, vertical supranuclear gaze palsy, bradykinesia, extrapyramidal rigidity and dementia. Patients with PSP lose independent gait and ability to stand unassisted, often becoming wheelchair-bound within 1-3 years. Clinically recognized PSP movement features, including tendency to fall backwards, posterior weight distribution and a toe-up maneuver with weight shift to the heels in sit-to-stand transitions, have been used to track progression and consider physiotherapy needs

Introduction: Parkinson's disease (PD) is the second most common neurodegenerative disorder worldwide and is often associated with frailty and sarcopenia. The cardinal motor features include bradykinesia, rest tremor, rigidity and postural instability. In low-resource settings such as Tanzania and sub-Saharan Africa (SSA), data on motor burden and physical function in PD are limited. Aims: To assess motor symptom burden and physical function in people with Parkinson's disease (PwP) in northern Tanzania. Methods: A cross-sectional study was conducted involving 28 PwP in the Hai district of

Introduction Falls are common in older adults, resulting in hospitalisation, and significant morbidity and mortality. NICE guidelines recommend that vision should be assessed in adults who fall. However, in a national survey of falls services, 54% of professionals checked vision. The falls assessment clinic allows adults to be assessed by a multiprofessional team including doctors, nurses, physiotherapists and occupational therapists. The aim of this quality improvement project was to improve documentation of visual assessment within the medical notes to >90%. Method and Results Baseline data

Introduction Frailty is a common age-related condition marked by reduced physiological reserve and increased vulnerability to adverse outcomes. National guidance recommends use of the Rockwood Clinical Frailty Scale (CFS) for patients aged ≥65 years during acute hospital admissions to facilitate early recognition of frailty; however, documentation and accuracy remain inconsistent. This quality improvement project aimed to evaluate and improve CFS documentation within inpatient medical wards of a large hospital in London. Methodology Two Plan–Do–Study–Act (PDSA) cycles were undertaken using

Background: After an acute hospitalisation, driving limitations have significant medicolegal and safety ramifications. The need for improved driving guidance throughout the region was brought to light by recent community events. Methods: We used a PDSA cycle and informal focus groups to structure our project. Before and after a straightforward intervention consisting of clinician education and structured advice layouts, we examined the records of fifty patients. Documenting of driving status and giving suitable driving advice were the outcomes measured. We gathered data and developed materials

Introduction Delirium prevalence is approximately 15-20% in medical inpatients and potentially higher within gastroenterology inpatients due to increased prevalence of liver disease. Delirium causes longer admissions, worse morbidity and mortality outcomes and distress to patients, families and staff. The National Institute for Health and Care Excellence (NICE) recommends that inpatients are assessed for delirium within 24 hours of admission. Assessment on admission was outside the remit of this project but there was an opportunity to improve assessment from the point of admission to a

Introduction: Antimicrobial stewardship is a key patient safety priority within the NHS, particularly in older adults who are at increased risk of adverse drug reactions, Clostridioides difficile infection, and harm related to polypharmacy. NICE antimicrobial stewardship guidance (NG15) and the “Start Smart – Then Focus” framework recommend that all antibiotic prescriptions include clear documentation of the clinical indication and duration to support safe and appropriate use. In hospitals where paper drug charts remain in use, adherence to these standards may be variable. This quality

Introduction Physical activity is central to healthy ageing and long-term condition (LTC) management, yet older adults with multimorbidity, frailty, and fluctuating symptoms face barriers to safe, individualised exercise support in primary care. Exercise prescription (EP) is often limited by time constraints, variable access to specialist input, and clinician confidence in tailoring recommendations. Artificial intelligence (AI)–informed EP tools offer a route to personalised, scalable physical activity support, but raise questions regarding safety, trust, equity, and integration into routine

Introduction: The West Lothian H@H team is based at St John’s Hospital, Livingston providing acute assessment and care to approximately 130 patients monthly, the majority of whom are frail. Future care planning should be included in clinical interactions,1,2 and all members of the multidisciplinary H@H team should have the competence and confidence to do this well for every patient. Aims: To improve the quality and rate of FCP discussions with patients and families, including resuscitation, escalation to hospital and preferred place of care (PPC). To improve the communication of FCP

Introduction Annually, around 130,000 people in Wales are reported to have at least one fall incident. Existing evidence suggests that Mental Health inpatient units, on average exhibit higher incidence of fragility fracture than acute hospital wards which could be contributed by medication such as antipsychotics and anti-depressants. Consequently, a quality Improvement project was formulated to evaluate fragility fracture risk among Elderly inpatient Mental Health unit and to analyse their adherence of treatment to the National Standards. Method Patients admitted to old age psychiatry ward at

Background: Cognitive impairment (CI) is a common non-motor symptom of Parkinson’s Disease (PD), but little is known about its profile and assessment in Sub-Saharan Africa (SSA). This study aims to characterise cognitive function in a cohort of people with PD (PwP) in northern Tanzania, and evaluate the feasibility and acceptability of cognitive screening tools in a low-resource, community setting. Methods: Twenty-eight PwP identified in a previous door-to-door survey were followed up. Cognitive function was assessed using the Identification and Intervention for Dementia in Elderly Africans