Posters

Frailty is prevalent within the local community of the hospital, with long waiting times in ED, the trust has established an FDF service, with a dedicated team based in ED to assess frailty patients, who would have been pended for admission, to ensure they are diverted to appropriate services and discharged to their normal place of residence, as per GRIFT, BGS guidelines and NHS England long term plan. Method Data was audited over a 7-month period, all patients who presented to the ED and pended for admission, who were aged over 65, with a Clinical frailty score over 4 Results The service has

Introduction We recruited older adults with advanced Idiopathic Parkinson’s disease (IPD) to better understand their symptom burden and its impact on quality of life (QoL) in the predominately rural area of North Cumbria. Methods Records were taken from an IPD prevalence study. Those identified with advanced IPD, defined by Hoehn & Yahr stage 4 or 5, were invited to participate, consultee was contacted for those unable to consent. Quantitative data were collected using validated questionnaires. These included the Movement Disorder Society Non-Motor Symptoms (NMS) Questionnaire and the

Background Geriatric medicine in the Emergency Department (ED) represents an advancing field that integrates the principles of geriatric care into urgent care settings. Several studies have evaluated the impact of geriatrician consultations in ED’s on reducing hospital admissions, promoting safe discharges directly from the ED, and ensuring timely admissions to geriatric wards when necessary. However, to our knowledge, there have been no studies to assess the effectiveness of this intervention amongst those patients presenting after falls. Aim To evaluate the impact of geriatrician reviews in

Introduction Diabetes is a major health concern in the United Kingdom, contributing to both microvascular complications like nephropathy, etinopathy, and neuropathy, and macrovascular issues such as atherosclerosis, which can lead to stroke, myocardial infarction, and peripheral vascular disease. Older diabetic patients are particularly vulnerable due to frailty and multiple co-morbidities. Improved prescribing and monitoring could enhance care for this population. Methodology We conducted a review of older diabetic patients (>75 years) by examining their drug charts and treatment regimes

Background Delirium and acute functional decline are common in hospitalized older people (HOP), yet data remain scarce. A shortage of geriatricians and geriatric-trained doctors in our healthcare system contributes to poor clinical outcomes, including increased readmissions, morbidity, and mortality. This pilot study aims to assess the clinical burden of HOP—including rates of readmission, delirium, and acute functional decline—before implementing frailty care bundles in general medical wards. Methodology This prospective cross-sectional study recruited HOP (≥65 years) admitted to general

Introduction: An acute hospital-regional nursing home service (EAGLEcare ACT) were established with an aim to reduce preventable emergency department visit and inpatient hospitalisations of nursing home residents. We aim to explore the experiences of nursing home nurses using the service. Method: Ten focus group discussions were conducted in six partnering nursing homes. A total of 57 nursing home nurses with an average of 4.9 years of working experience participated in the discussions. Transcripts were analysed using qualitative interview analysis. Results: Three main themes emerged

Introduction and Aims The Older People’s Same Day Emergency Care (OSDEC) unit at Portsmouth Hospitals University NHS Trust accepts admissions for older patients referred by South Central Ambulance Services (SCAS), aiming to deliver early patient reviews and reduce emergency department (ED) waits. Timely blood test results are critical for decision-making and early discharge. NHS England SDEC protocols recommend pathology access comparable to ED processes, though no national standards exist for pathology turnaround times. This quality improvement project aimed to implement targeted

Introduction Clinical simulation training is an effective active learning technique that is now incorporated into UK undergraduate and post graduate training. It is commonly used for advanced life support scenarios but to date its use in frailty education is limited. In view of the increasing numbers of people living with frailty, there is a need to develop frailty-specific education programmes that are inclusive for a range of multi-disciplinary team members. Methods A single day frailty simulation programme has been developed, using a mix of table top exercises and scenarios with actors and

Background: The National Clinical Guideline for Stroke recommends bone health assessment for patients at higher risk of falls. Following stroke, patients have reduced bone mineral density, correlated with functional deficit. Stroke can result in reduced mobility, asymmetric weight bearing, poor nutrition and impaired Vitamin D stores. This results in higher risk of fragility fracture. However, bone health is often overlooked. An initial review on a stroke rehabilitation unit in March 2024 found no bone health assessment process. Objectives: Patients with stroke and high risk of fragility

Introduction The timely administration of Parkinson’s Disease (PD) medications is essential for better motor symptom control, leading to improved patient outcomes. The NICE Guidelines and Parkinson’s UK recommend all hospital in-patients with PD should get their PD medications on time – within 30 minutes of their prescribed administration time. This audit aimed to assess the adherence of timely administration of PD medications amongst in-patients at South Tyneside and Sunderland NHS Foundation Trust, and to compare this pre- and post-interventions. Methods A two-cycle retrospective audit was

Introduction: The Frailty Same Day Emergency Care (SDEC) unit at Fairfield General Hospital provides same day Comprehensive Geriatric Assessments (CGA). Bone health is an integral part of CGA, however recognition and management of osteoporosis is often not prioritised in acute hospital settings. We noticed that bone health was an area that was often overlooked within our CGAs. Our goal was to increase the number of bone health assessments performed and improve access to appropriate treatment for patients in the Frailty SDEC. The aim of this project was to increase the number of appropriately

Background: Laboratory-based frailty indices (FI-Lab) offer potential alternatives to manual assessment in emergency care settings, but how should we select features and time-frames to find the best balance between coverage and performance? We evaluated multiple FI-Lab configurations to determine the optimal configuration requirements for reliable automated frailty assessment. Methods: We analyzed 74,493 ED visits from 54,075 patients aged ≥70 years across two London hospitals (2017-2021), comparing five FI-Lab configurations and a drug-adjusted version against nurse-assessed Clinical Frailty

Background: Our recent research found significant visit-to-visit variability in nurse-assessed Clinical Frailty Scale (CFS) scores in Emergency Departments (ED), potentially limiting their reliability across patient encounters. This study investigated whether laboratory-based frailty indices could provide more stable assessments while maintaining clinical utility. Methods: We conducted a retrospective cohort study focusing on patients with multiple ED attendances between July 2017 and December 2021 across two London hospitals. From 23,956 patients with repeated visits (total visits = 60,381)

Introduction: It is important to identify delirium on admission as delirium increases patient mortality and also is linked to an increased length of hospital admission (1). Delirium is identified through a scoring system such as 4AT (2) and should be done on all patients over 65, with new confusion, or reduced mobility (3) as per NICE guidelines. The aim of the QIP is therefore to bring the department in line with NICE guidelines and increase the number of patients in the over 65 cohort having a cognitive assessment, and in particular looking at those with confusion and falls as these can be

Introduction The UCNH model is being implemented across Sussex to reduce ED pressures. Based at the Polegate Make Ready Centre, the UCNH launched in mid-November 2024 to provide alternative pathways for 999 callers. The UCNH operates as a multidisciplinary team of up to eight clinicians, including an Urgent Community Response Trainee Advanced Care Practitioner and a Consultant in Frailty, two Advanced Paramedic Practitioners, two Computer-Aided Dispatch drivers, and two remote consultation paramedics. Method The team triages calls, manages acute cases, and works collaboratively with ambulance

Introduction: Polypharmacy, multimorbidity, and frailty are closely interlinked. The STOPPFrail (Screening Tool of Older Person’s Prescriptions) criteria offer a structured approach to identifying potentially inappropriate medications (PIMs) in very frail older adults with limited life expectancy. This study evaluates the application of these criteria before and after admission to a specialist geriatric ward in a tertiary care hospital. Methodology: Medications were assessed against the STOPPFrail (Version 2) criteria before and after admission. Patients aged ≥65 years were included if they

Introduction Gait speed, often referred to as the 'sixth vital sign,' is an important health indicator in older adults, predicting morbidity and functional status. This study evaluated GaitKeeper, a novel artificial intelligence (AI)-enabled mobile technology that integrates augmented reality (AR). GaitKeeper is designed to standardise the measurement of gait speed and address inconsistencies commonly encountered in traditional clinical settings due to varied assessment techniques. Methods This study was conducted in two phases to validate GaitKeeper against Vicon and GaitRite, two established

Introduction Malaysia is transitioning from an ageing to an aged nation. According to the Department of Statistics Malaysia (DOSM), 7.4% of Malaysia's population was aged 65 years or older in 2023, projected to exceed 15% by 2030. Frailty is increasingly prevalent, affecting 11% of adults aged 50–59 years and escalating to 51% among those aged 90 years or older, based on global data. A local pilot study in March 2024 in general medical wards highlighted common frailty-related issues, including deconditioning (36%), delirium (17%), and a 12-month readmission rate of 46%. Objectives To introduce

Introduction Early access to specialist care is recognised to be beneficial for older adults living with frailty. Decision-making around assessing function and mobility to facilitate safe discharge can be challenging for staff in an Emergency Department environment. This can result in patients being admitted to await specialist review. The aim of this test of change was to explore the role and contribution of a Specialist Frailty Allied Health Professional (AHP) within the ED and to evaluate the impact on the care of patients living with frailty. Methods For a 12-month period, the ED has had a

Neck of Femur Fractures (NOFF) - Educational QIP on Medication Management to Reduce Avoidable Hypotension and Acute Kidney Injury (AKI) Introduction Hip fractures prevalence increases with age. Patients aged ≥80 years have high morbidity and mortality risk following a hip fracture (hazard ratio for men [HR] 7.95, 95% CI 6.13-10.30 and HR women 5.75, 95% CI 4.94-6.67, respectively). Intraoperative hypotension is a risk factor for Acute Kidney Injury (AKI) after Neck of Femur Fracture (NOFF) surgery. The National NCEPOD AKI Report found a third of AKI is predictable and avoidable. Sodium-Glucose