Posters

Introduction Hospital admission can precipitate delirium and worsen outcomes for people living with dementia (PLwD), increasing length of stay (LoS), carer distress, and discharge to long‑term care. National Audit of Dementia data identified higher LoS and rates of discharge to 24‑hour care at SWFT compared with national averages. In response, a Dementia and Delirium Outreach Team (DDOT) was established in October 2024. This evaluation describes the development and early impact of this multidisciplinary intervention. Method DDOT comprises a Consultant Psychologist, Geriatricians, a Dementia

Introduction: Traditional clinical documentation methods were time-consuming and prone to inconsistency within the Frailty Team at City Health Care Partnership (CHCP), affecting productivity across workstreams including Urgent Community Response (UCR) and Comprehensive Geriatric Assessment (CGA). Heidi, an AI scribe developed by Heidi Health UK, generates clinical notes and structured care plans by interpreting patient-clinician discussions, reducing administrative burden and improving note quality. Methods: York Health Economics Consortium (YHEC) conducted a mixed-methods evaluation of Heidi

Introduction The Multi-disciplinary team meeting (MDM) underpins geriatric medicine. The previously-described first phase of this project addressed variations in MDM frequency and practice across Healthcare of Older People (HCOP) wards. This second phase built on those changes with the aim of improving three key areas; process, values and skills. efficiency / effectiveness of meetings (process) team-working (values) empowering of individuals (skills) quality of the documentation (skills) Methods A previous survey of MDT members on 2 HCOP wards identified areas of focus and suggestions for

Background Frailty and urinary incontinence (UI) are common in older adults, contributing to functional decline, reduced quality of life, and increased healthcare use. The role of frailty in predicting new-onset UI remains unclear, as prior reviews focused on prevalence and cross-sectional data. We conducted an updated systematic review and meta-analysis of longitudinal studies to quantify the association between frailty and incident UI. Methods We searched MEDLINE, EMBASE, CINAHL, and Cochrane Library from January 2015 to December 2025 for studies examining frailty and incident UI in adults

Introduction Delirium is a common, serious, and often under-recognised condition in older hospitalised adults. Early identification and management of reversible causes can reduce associated morbidity, mortality, length of stay, and long-term cognitive decline. The 4AT is a validated delirium screening tool recommended for acute hospital settings; however, completion rates in the Emergency Assessment Unit (EAU) were perceived to be low. This project aimed to improve delirium screening and detection in patients aged 65 years and over presenting to the EAU at Horton Hospital. Method All patients

Background: Cognitive frailty, defined as dementia, delirium or low cognitive test score, is prevalent in older in-patients. Current guidance (eg National Audit Dementia 2022) suggests hospital readmission as a performance metric in dementia care but reliable data are lacking. We therefore determined readmission risk by cognitive frailty status in care home residents vs those living at home. Methods: ORCHARD-EPR (2017-2019) includes de-identified EPR data for patients ≥70 years with length of stay (LoS)≥1 day (2017–2019) admitted to four Oxfordshire, UK hospitals. Cognitive frailty was

Background: Over one-third of older people with unplanned admissions to hospital have physical frailty, but there are few data on prevalence and outcomes by cognitive status necessary to individualise care. Methods: ORCHARD-EPR includes consecutive patients ≥70 years with length of stay (LoS) of ≥1 day (2017–2019) admitted to four Oxfordshire, UK hospitals. Physical frailty was determined using a modified Hospital Frailty Risk Score excluding dementia and delirium (mHFRS). Cognitive frailty was defined using a mandatory on-admission cognitive screen as one or more of 10-point Abbreviated

Introduction While Post-Acute Sequelae of SARS-CoV-2 (PASC) is a recognised global priority, clinical definitions derive largely from working-age cohorts. Older adults face high acute severity risk, yet long-term survivorship remains under-characterised. We aimed to characterise and compare clinical PASC phenotypes in older (≥65 years) versus younger (<65 years) adults, distinguishing autonomic, inflammatory and psychosocial manifestations. Method We conducted a retrospective single-centre cohort study of 336 patients attending a dedicated Long COVID clinic at The Beacon Hospital, Ireland

Abstract Content : An overview of the Dementia UK Consultant Admiral Nurse service supporting families affected by frailty and dementia Introduction: Emerging and increasing frailty often goes unidentified, and families living with dementia and frailty are missing vital opportunities to receive the right support at the right time. People living with frailty are less able to adapt to stress factors such as acute illness, injury, or changes in their environment, personal or social circumstances, leading to adverse health outcomes and an earlier loss of independence. Method: We have developed a

Introduction Up to 30% of adults over 65 experience postural hypotension (PH) – a significant drop in blood pressure (BP) upon standing. PH is associated with increased risk of falls, frailty, and mortality. Using derived accelerometer data and linked healthcare records, we assessed the relationship between PH and physical activity (PA) in UK Biobank participants. Methods We used UK Biobank derived accelerometery data detailing the average time participants spent sleeping (SlA), sedentary (SeA), doing light activity (LA), or moderate & vigorous activity (MVPA). We ascertained participants with

Background: Falls are a leading cause of morbidity among older adults and are influenced by both physiological declines in mobility and psychological factors such as fall-related self efficacy. Previous studies suggest that subjective confidence in avoiding falls does not always align with objective functional performance. However, few studies have concurrently examined perceived fall efficacy alongside standardized physical performance measures such as the Timed Up and Go (TUG) and chair rise tests. This study aimed to examine the relationship between fall efficacy and objective functional

Introduction Evidence suggests a significant relationship between delirium and mood disorders. Pre-existing depression is a risk factor for delirium, and depressive symptoms frequently emerge as a sequela of an acute episode. Despite considerable symptom overlap, these conditions are distinct and require targeted management. This audit evaluated whether the introduction of formal mood assessment tools improves the detection and early treatment of mood disorders in a delirium follow-up setting. Methods A two-cycle clinical audit was conducted at a specialist delirium follow-up clinic. In Cycle

Introduction Treatment decision regret (DR) in chronic disease is linked to suboptimal adherence and poor health outcomes. However, evidence for older people remains fragmented across diseases and lacks consistent synthesis of determinants. This study aimed to estimate the pooled prevalence of DR and identify factors associated with regret in this population. Method Seven English and four Chinese databases were searched from inception to August 2025. Two researchers independently screened studies reporting the prevalence or determinants of DR among older people with chronic diseases. Study

Trends in secondary prevention of hip fracture: National Hip Fracture Database (NHFD) data for England, Wales and Northern Ireland Antony Johansen, Will Eardley and Liz Fagan Introduction Patients with a hip fracture are at ‘imminent risk’ of further fragility fractures. In 2021 the NHFD introduced a new ‘key performance indicator’ (KPI7: the proportion of people known to be on bone protection 120-days after hip fracture) specifically to address this. In 2023 the ‘Call to Action’ paper published in Age and Ageing challenged clinicians to respond by giving a first dose of intravenous

Introduction: Eating and Drinking with Acknowledged Risks is an individualised clinical decision balancing risks (may refer to aspiration, malnutrition, dehydration and choking) and benefits (quality of life, pleasure of eating). It may be applied in patients who have irreversible swallowing difficulty, with swallow reflex present where alternative means of providing nutrition are not appropriate. Method: Previous work completed in 2023 looked at cohort of patients where “Eating and Drinking with acknowledged risk” decision was made on Ageing and Complex Medicine ward over 12month period (n=22

Introduction: NHS England has set out an ambitious target of delivering the world’s first net zero health service and responding to climate change, improving health now and for future generations. Medicines account for around 25% of emissions from the NHS, from inhalers. anaesthetic and medical gases (5%) and emissions that are embedded in the supply chain of pharmaceuticals (20%). Reducing waste and ensuring appropriate polypharmacy are cornerstones of the NHS strategy to address this, as summarised in the Overprescribing Report. Method: The 3 aims of the project were: Improve deprescribing

Abstract title : Mitigating Fall Risk: Survey Findings and Suggestions from an ISAT-Driven Integrated Care Strategic Approach. Background and Objectives Falls remain a leading cause of injury in older adults within community units. This project aimed to assess the readiness and scalability of fall prevention strategies—including floor beds, safety mats, and music-enhanced therapy—across Dublin and Midland Region HSE units using the Intervention Scalability Assessment Tool (ISAT). The goal was to identify effective, acceptable, and sustainable interventions that can be adapted system-wide

Background & Rationale Parkinson’s disease prevalence is rising globally, driven by an ageing population. High intensity exercise may slow symptom progression and improve physical function, bone health, and quality of life. One way of delivering this is through High intensity functional training (HIFT) via community providers such as CrossFit and PD Warrior relieving pressure on NHS resources. Objectives To assess the acceptability, safety and feasibility of delivering HIFT to people with Parkinson’s through external providers, providing foundational information for future definitive trial

Introduction: Vascular dementia is the second most common subtype of dementia, yet perhaps the most preventable as the underlying pathology is cerebrovascular damage. Therefore, managing vascular risk factors is vital to reduce disease progression. The aim of this study was to assess the management of various risk factors contributing to vascular and mixed dementia patients of the Cardiff and Vale memory clinic. Methods: A retrospective cross-sectional study was conducted, collecting data from 100 patients diagnosed with mixed or vascular dementia between 2022-2024 using WCP and PARIS. Factors

Introduction The Battle score is a validated risk stratification model for traumatic rib fracture presentations to secondary care. When combined with the Clinical Frailty Score (CFS), it aids identification of older patients living with frailty with increased risk of rib fracture complications. Multimodal analgesia is central to rib fracture management. NICE guidance states Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) should not be prescribed for these patients. The audit aimed to determine whether Rib Fracture Risk Stratification Scores (RFRSS) were used, if appropriate analgesia was