Posters

Introduction: Understanding why Bradford is a national outlier in antipsychotic prescribing in dementia is a priority for the West Yorkshire Integrated Care Board (WYICB). Following a successful deprescribing project in 36 care homes in 2024/25—where 60% of antipsychotics were discontinued—it became evident that better understanding of carer attitudes was needed. Engagement with deprescribing varied across care homes, and carers’ attitudes appeared to influence deprescribing success. Method: A qualitative study was designed to explore carer attitude and influence. Interviews were conducted

Background Silver trauma is an increasingly common presentation within the Emergency Department (ED) especially in rural locations with an ageing population. Such patients often present with lower mechanisms of injury leading to under recognition of significant trauma and injuries in ED, and therefore inappropriate admission to medical wards. Aim To examine silver trauma patients presenting to a district general ED and determine whether injuries are under recognised on initial assessment. A silver trauma bundle was proposed to aid recognition and management of these patients in ED. Methods

Background Falls are a common reason for Emergency Department (ED) attendance in older adults and are closely associated with frailty, functional decline, and recurrent healthcare utilisation. The Emergency Department in the Home (EDITH) service delivers acute medical and occupational therapy (OT) assessment in the person’s home, aiming to avoid unnecessary hospital attendance. Embedded OT assessment within EDITH provides a valuable opportunity to review underlying falls risks within the home environment, even when falls are not the primary reason for referral. This audit reviews OT

Background: The Emergency Department in the Home (EDITH) service delivers urgent medical and occupational therapy (OT) assessment and intervention within older adults’ homes, offering alternatives to hospital conveyance. Falls account for approximately 22% of monthly referrals to EDITH. From an OT perspective, alignment with the National Institute for Health and Care Excellence (NICE) Falls Guidelines 2025 is essential for comprehensive falls management. This review assesses EDITH practice against four OT-relevant quality markers: frailty assessment, home environment assessment, cognitive

Method Patients aged over 65 with moderate (Injury Severity Score ISS > 9) or major trauma (Injury Severity Score ISS >15) admitted to Aberdeen Royal Infirmary, NHS Grampian, had a Clinical Frailty Score (CFS) recorded within their rehabilitation documentation. Scores were assigned by trauma coordinators, Emergency Department clinicians, or the Frailty Team. Data were collated in an MTC patient spreadsheet, and entries from 2025 were extracted and analysed. Results Initial analysis showed 213 patients were on North of Scotland MTC pathway over the 12 month period, 82 were over 65 years old

Introduction: This process mapping compared the ED journey of patients aged ≥65 years with those <65 years presenting to the Royal Sussex County Hospital (RSCH), the Major Trauma Centre for Sussex. Methods: We conducted a retrospective snapshot audit of adult trauma patients (stratified into ≥65 and <65 year groups) presenting to RSCH ED September–October 2025. Eligible cases were identified via the local Trauma Database (Panda). Comparative statistical analysis was performed using Welch’s ANOVA. Results: Ninety patients were included (45 aged over 65 years; 45 aged under 65 years). Older

INTRODUCTION: Collateral history is a vital component of comprehensive geriatric assessment. Accurate and structured information from relatives or carers is essential for safe and effective clinical decision-making. This project aimed to evaluate how consistently collateral histories are obtained for older individuals and whether all essential components are documented. METHOD: The first cycle was conducted in November–December 2024 and included 30 patients. A structured collateral history proforma was used to collect data under the headings: A – Ask what happened; B – Baseline; C – Carers

Introduction Data from the Trauma Audit & Research Network (TARN) show that older adults now represent the majority of trauma admissions with frailty associated with an increased 30-day mortality. TARN highlights inequalities in care for patients aged >60 years, including delayed surgery and reduced senior input. This quality improvement project assessed whether older trauma patients receive a structured and thorough Emergency Department (ED) assessment in line with the HECTOR pro forma. Method A retrospective review of patients aged >65 years (n=50) presenting to Huddersfield Royal Infirmary

Background Older adults admitted under General Surgery, particularly with head injury or rib fractures, commonly live with frailty and complex needs. Early Care of the Elderly (COTE) involvement enables comprehensive geriatric assessment and reduces avoidable harm, yet referrals are inconsistent and poorly targeted. Aim To assess and improve (1) referral of older general surgical inpatients who met locally agreed COTE criteria, and (2) alignment of referrals with those criteria. Methods Two retrospective audit cycles of General Surgery admissions aged ≥65 years at Tunbridge Wells Hospital were

Complications arising from head injuries obtained during falls, particularly intracranial bleeds (ICBs), are a major cause of morbidity and mortality in older people. For older adults, the most common mechanism of injury leading to ICBs is falling, and up to 43% of those hospitalised for these fall-related bleeds experience long-term disability. This audit set out to determine the effect of adherence to local and national guidelines for older people with fall-related ICBs. We analysed clinical data pertaining to 84 people over the age of 65 (82.8 +- 8.50, 59.5% female) receiving care in the

Complications arising from head injuries obtained during falls, particularly intracranial bleeds (ICBs), are a major cause of morbidity and mortality in older people. For older adults, the most common mechanism of injury leading to ICBs is falling, and up to 43% of those hospitalised for these fall-related bleeds iexperience long-term disability. This audit set out to determine the effect of adherence to local and national guidelines for older people with fall-related ICBs. We analysed clinical data pertaining to 84 people over the age of 65 (82.8 +- 8.50, 59.5% female) receiving care in the

Introduction Acute agitation is a common and challenging presentation among hospitalised older adults, often occurring in the context of delirium. While non-pharmacological strategies are first-line, antipsychotics or benzodiazepines may be required. However, these treatments carry significant risks, including falls, prolonged hospitalisation, and increased mortality. Guideline-concordant and legally compliant prescribing is therefore essential. At Royal Gwent Hospital, discrepancies between recommended practice and clinical care prompted a quality improvement project aimed at improving

Introduction The Chief Medical Officer’s (CMO) report ‘Health in an Aging Society’ (2023) states there is a rise in the prevalence of age-related conditions, such as dementia. This requires medical school curricula to shift to encompass a ‘new’ demographic within the modern NHS. Older Persons and Integrated Care (OPIC) was developed during a recent revision of the LMS curriculum to ensure local graduates are prepared for the realities of clinical practice, with the aim of improving graduates’ ability to recognise, assess and manage patients with dementia. Method OPIC is a six-week block

Introduction Management of fragility fractures was estimated to have cost the NHS £4.4 billion in 2022. As the incidence of fragility fracture is predicted to rise along with the increase in population over age 65 in the UK, primary prevention is a necessary avenue to reduce its economic, social, and environmental impacts. Current best practice in the UK suggests that any female aged over 65 and male over 75 is at high risk of osteoporosis and should be assessed for the need for prevention of fragility fractures, including a QFracture 10-year risk calculation. Management for those identified

Background Data were collected in the older adults with neck of femur and distal femur fractures on Orthogeriatric wards, Leeds General Infirmary. Introduction Older adults undergoing surgery are particularly vulnerable to opioid-related harm due to age-related changes in pharmacokinetics, multiple morbidity, frailty, and poly pharmacy. Variation and inconsistency of peri-operative opioid relating to dose selection, complications and duration were identified resulting potentially avoidable complications including delirium, constipation, prolonged recovery times. Data from the first cycle

Introduction: The onset and coexistence of chronic diseases during aging are associated with adverse outcomes, including disability, restriction of social participation, and falls. Although chronological age is often treated as a confounding variable in epidemiological models, evidence remains limited on how multimorbidity patterns are structured across different age groups. This study aimed to identify clusters of multimorbidity and examine their associations with disability in instrumental activities of daily living (IADL), restriction of social participation, and falls across age groups

Introduction: Bilateral vestibulopathy (bilateral loss of vestibular function; BVP) significantly impairs balance, leading to an elevated falls risk. Age, balance performance and concerns about falling may further exacerbate these issues. This study describes fall incidence characteristics among people with BVP and relates these to age, concern about falling and objective balance performance. Method: 51 participants with BVP completed a standardised 12-month fall history questionnaire, the Falls Efficacy Scale–International (FES-I) and the Mini-BESTest to collect data on fall incidents, causes

Stair-related falls remain a major contributor to slip, trip and fall (STF) incidents across the built environment, representing a significant public health, legal, and economic challenge. Epidemiological data consistently show that stairs are a high-risk transitional element within buildings, with injuries frequently resulting from a combination of geometric inconsistency, inadequate visual definition, insufficient slip resistance, and suboptimal user support. This paper synthesises established research, regulatory guidance, and applied industry knowledge to examine the principal design and

Introduction The incidence of traumatic brain injury (TBI) in older adults requiring admission to the intensive care unit (ICU) is increasing. Early ICU mobilisation is recommended, however, the effect of age on mobilisation practices after TBI remains poorly understood. This service evaluation aimed to describe ICU mobilisation activity and outcomes by age in patients with TBI. Methods A single-centre retrospective service evaluation was conducted, including all adults admitted to the ICU with TBI between January 2022 and November 2024 (CARMS ID-22399). Demographics, ICU admission

Introduction: HECTOR is a 2 day SIM based course that originated in Birmingham, and is designed to train healthcare professionals to deliver patient centred care for older people who have sustained traumatic injuries. Our goal was to develop "HECTOR Scotland" (an adapted course to fit Scottish guidelines) to allow those across the major trauma networks in Scotland to access the course, and to grow a Scotland based multi-disciplinary faculty. Method: The first HECTOR Scotland was delivered in March 2023, with an initial faculty of six (5 doctors and 1 nurse). Since then, 7 further courses have