Posters

Introduction The GRACE initiative was a pilot designed to enhance inpatient experience of older adults. Proportionate moving and handling techniques were introduced as well as increasing the number of therapy staff on a ward reducing reliance on multiple staff for routine ward care. We aimed to improve patients’ functional independence and prevent deconditioning. Methods A ward of 26 patients was chosen with a control comparison and nursing staff were upskilled in proportionate manual handling. For 4 weeks, therapy staffing was increased from 2 therapists to 4 and patients given additional

Introduction In 2023 the ‘Call to action’ paper recommended giving a first dose of intravenous zoledronate (IV Zol) during hip fracture patients' inpatient stay. However the HORIZON study demonstrated the benefit of annual infusions. To help plan service provision we set out to define the constraints on patients reattending for repeated outpatient IV Zol. Method We reviewed local National Hip Fracture Database (NHFD) data for all patients presenting with a femur fracture in 2024. At 120-days a follow-up questionnaire is sent to all patients and we used this to identify those most physically

Introduction Hospital At Home (HaH) provides hospital-level care for acute medical issues that would traditionally require admission to an acute hospital bed. HaH with Comprehensive Geriatric Assessment has shown similar outcomes for older people living at home compared to those admitted to an acute hospital (Shepperd et al, 2021). Referral to an alternative from hospital can be slow and tortuous. To reduce this delay and chance of hospital admission, a pilot scheme of patient self-referral into HaH was launched in May 2024 and evaluated. Method Anonymised patient data was retrospectively

Introduction: Dementia affects approximately 40% of hospitalised older adults (1-2) often leading to distress, communication challenges, and a decline in functional independence during admission (3). Although multidisciplinary team (MDT) geriatric care improves clinical outcomes,(4) the psychosocial and biographical needs of patients are overshadowed by immediate medical priorities. To address this, our QIP implemented the “About Me” form, a document capturing individual preferences and daily routines, with the aim of increasing staff confidence and supporting more personalised, meaningful

Background: Universal Design for Learning (UDL) is an educational framework promoting multiple means of engagement, representation, and expression to align with diverse learning needs. We applied UDL principles to evaluate teaching methods within the Geriatric Medicine placement at Cardiff University’s School of Medicine, aiming to identify student preferences, explore factors influencing engagement, and inform development of a more inclusive teaching portfolio. Methods: Fourth-year medical students on their Geriatric Medicine placement completed a structured survey about teaching modalities

Introduction Clinicians are regularly encouraged to make discussion and documentation of Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) status a routine part of their assessment and care of older patients. However, patients, their families and clinicians often question whether a DNACPR decision may affect the attention paid to other aspects of patient care, or their access to interventions unrelated to CPR. We set out to directly test and address this question using a randomised controlled study of a clinical vignette. Methods We presented a clinical scenario of a deteriorating patient

Introduction: The very high-risk patients remain at a comparatively higher risk of sustaining a subsequent fracture following an initial fragility fracture, with the risk being greatest within the first 1-2 years. The current guidance advocates a “treat-to-target” strategy, recommending initiation of anabolic therapy followed by sequential antiresorptive treatment. The objective of this study was to quantify imminent fracture risk before and after commencing anabolic agents. Materials and Methods: We conducted a retrospective review of all patients who were commenced anabolic therapy between

Introduction: Osteoporosis affects approximately 3.5 million individuals in the UK, resulting in over 500,000 fragility fractures annually. An initial fracture significantly increases the risk of subsequent fractures, particularly in very high-risk patients. Current clinical guidelines advocate a "treat-to-target" strategy using ‘anabolic first’ for individuals at very high risk of fracture. The aim of this study is to develop and evaluate an innovative approach to improve system efficiency, timeliness and prudent delivery of anabolic osteoporosis drugs. Methods: Specialist anabolic

Introduction: Dual-energy X-ray absorptiometry (DXA) is the gold standard for diagnosing osteoporosis; however, due to limited capacity it is not available to all patients with fragility fractures. A multidimensional quality improvement project, using the Plan–Do–Study–Act (PDSA) model, led to the implementation of several initiatives between 2022 and 2023. These included increasing scanning capacity, vetting repeat DXA requests, upskilling the bone health team, and strengthening partnerships with primary care. The objective of this study is to assess the sustainability of these initiatives in

Introduction Deprescribing is central to frailty care. We evaluated whether a Frailty Enhanced Specialist Service (FESS) was associated with higher deprescribing rates. Method Single-centre retrospective observational study using routinely collected data from inpatients admitted from care homes before the existence of FESS (January; n=78) and, post-implementation, to FESS or non-FESS wards in June (FESS n=54; non-FESS n=37) and December (FESS n=32; non-FESS n=49). We recorded total regular medicines and Anticholinergic Cognitive Burden (ACB) scores at admission and discharge, plus age, sex

Enhancing assessment and continence care in a community hospital setting: A quality improvement project. Introduction: It was noted that continence was frequently not addressed prior to transfer to a community hospital setting. The project aimed to recognise and offer opportunities for improved continence care. Method: Patients were screened for continence problems through comprehensive geriatric assessment on arrival at a community hospital from acute settings. The first cycle identified whether continence assessment was considered on arrival at our community site. Subsequent cycles improved

Introduction: Chronic Kidney Disease (CKD) is associated with abnormal bone metabolism and increased fragility fracture risk. However, many older people often have both CKD and osteoporosis, go undiagnosed and untreated. The objective of this study is to measure prevalence of CKD among patients presenting with fragility fractures. Methods: 3839 fragility fracture patients seen by Aneurin Bevan Fracture Liaison Service (AB-FLS) between January 2022 and December 2023 were reviewed retrospectively. 1325 patients’ fragility fracture were excluded due to non-availability of estimated glomerular

Introduction: Pelvic fractures are a common fragility fracture but often under recognised. There is a wide range of incidence 6.9-78.6/100,000/year being reported in the UK. The objective of this study was to measure incidence of pelvic fracture and re-fracture rate for the population of Gwent (592,000). Methods: A retrospective service evaluation of all fragility fracture patients seen by Aneurin Bevan Fracture Liaison Service (AB-FLS) between January 2022 and December 2025 was completed. Pelvic fracture cases were extracted from the FLS-DB for analysis. Data were analysed to describe patient

Introduction: Chronic Kidney Disease (CKD) affects 5-10% of the world population and is associated with increased fragility fracture risk and mortality. The objective of this study is to measure impact of CKD stage on one-year mortality in fragility fracture patients. Methods: 5320 fragility fracture patients seen by Aneurin Bevan Fracture Liaison Service (AB-FLS) between January 2022 and June 2024 were reviewed retrospectively. 1718 patients’ fragility fracture were excluded due to non-availability of estimated glomerular filtration rate (eGFR). CKD stages were classified based on eGFR (mL

Background Sialorrhoea is a common non-motor complication of Parkinson's disease (PD), but its significance beyond symptom burden remains under-recognised. We hypothesised that referral for sialorrhoea represents a late disease milestone associated with advanced disease stage and may serve as a surrogate marker of frailty and mortality risk. Methods We conducted a retrospective cohort analysis of patients referred to the Parkinson's sialorrhoea service in Cardiff and Vale between May 2021 and June 2025. Demographics, Hoehn and Yahr (H+Y) stage, age-stratified outcomes, referral timelines, and

Herpes zoster (HZ) results from the reactivation of latent varicella zoster virus, acquired earlier in life. The risk of post-herpetic neuralgia (PHN), the most frequent HZ complication, increases with age. In 2024, the Joint Committee on Vaccination and Immunisation extended its recommendation of the recombinant zoster vaccine (RZV) for inclusion in the United Kingdom (UK) National Immunisation Programme to adults aged ≥80 years. In this study, we evaluate the potential public health impact of RZV introduction in adults aged ≥80 years. The ZOster ecoNomic Analysis (ZONA) model was adapted to

Introduction Parkinson’s disease (PD) affects approximately 145,000 individuals in the United Kingdom, and its prevalence is projected to increase by 20% by 2025.Parkinson disease medications are time-critical, and delays in prescribing or administration can lead to worse clinical outcomes. This Quality Improvement Project (QIP) was undertaken to evaluate the accuracy of Parkinson’s disease (PD) medication prescriptions on admission to the University Hospital Lewisham (UHL) Elderly Care Wards Method A retrospective review of patient records and pharmacy medication histories was conducted using

Introduction: Older adults are the main users of acute hospital medical care, however the hospital environment poses well-documented risks, particularly for older adults living with frailty. Hospital-at-homes (HaHs), also known as virtual wards, provide acute multidisciplinary healthcare at home for acute medical conditions. However, little is known about current operational models and clinical activity. This study aimed to describe current UK HaH services and their clinical activity on a national scale. Methods: A national cross-sectional survey of UK HaHs conducted in April 2025, describing

Introduction: Patients with high Clinical Frailty Scale (CFS) scores are experiencing substantial radiological investigations in their final months of life. We quantified imaging use in the last six months of life, examined associations between age, CFS, and imaging frequency, and compared patients with and without an anticipatory clinical management plan (ACMP). Methods: Retrospective cohort study (n=94) of randomly selected care home residents with CFS 5–9 admitted to a District General Hospital between January and December 2024. All had died before inclusion. Imaging data were retrieved

Background Surgery is the curative-intent management of colorectal cancer (CRC). Chronological age inadequately captures perioperative vulnerability. Frailty is associated with worse perioperative morbidity, mortality, and longer hospitalization. Hospital Frailty Risk Score (HFRS) is validated for risk-stratifying hospitalized patients. Methods A total of 47,190 admissions with age ≥65 years and CRC who underwent colorectal surgery in 2022 in the USA were extracted from the national inpatient sample database. Admissions were categorized into 6 admission groups based on age-groups (65-75, 75-85