Posters for 2025 Autumn Meeting

Introduction. The Royal College of Occupational Therapists (OT) define OT as “supporting individuals to develop, recover, or maintain skills for daily life and personal fulfilment”. At its core there is a focus on meaningful activities and occupation-based practice. However, workforce shortages and referral changes have altered OT roles, leading to a misunderstanding and under-recognition within the Multidisciplinary-Team (MDT). In our trust this led to the need for a referral form to trigger OT involvement in patient care to be introduced in 2024. Method. An initial pilot questionnaire (n-30)

Introduction Lagan Valley Hospital is 80 bedded district general hospital offering acute medical specialty admissions. Over 70% of admissions relate to older adults (> 65 years). Previous focused audits demonstrated high prevalence of delirium and undiagnosed dementia. Chart reviews highlighted variation in completeness and quality of cognitive history taking by all members of the multidisciplinary team. Development of a cognitive history template offers potential to improve patient care. Method Survey of doctors to assess baseline confidence in cognitive history taking, audit of in-patients (

Background: Whilst working within the Older Person Medicine (OPM) department, we noted that there were many frail patients who were not having Advanced Care Plan (ACP) discussions. Our preliminary retrospective data collection showed that 39% of OPM inpatients died within a year of their admission. Patients with a Clinical Frailty Score (CFS) >/=7 or >2 admissions in the last year were at highest risk of this 1-year mortality. Aim: Our quality improvement project aimed to highlight patients in which an ACP discussion may be appropriate and therefore improve the frequency of ACP discussions and

Introduction Improving ageing education for health professionals requires meaningful involvement of those with lived experience. Giving older adults a voice in curriculum design and delivery helps shape education to be inclusive, authentic, and relevant, preparing students for person-centred care. Methods We hosted a community engagement outreach workshop, bringing together multidisciplinary health professions students (n=7: medicine; pharmacy) and educators (n=26), with older members of the public (n=8) and other key stakeholders in older peoples’ care (n=12: care home staff; charity

Introduction: A large amount of data is collected on care home residents to support their daily care. The Data Sharing Partnership (DSP) project linked individual-level data held in care homes with health data, and co-designed dashboards to display back to care homes. This evaluation aimed to gather views and experiences of project participants to understand key processes and learnings to inform the development of an accessible and secure model for the use of individual-level care home data. Methods: Qualitative methods were undertaken through in-depth semi-structured interviews with DSP

Introduction: This study of patients attending East Surrey Hospital’s (ESH) Frailty Same Day Emergency Care (FSDEC) unit was designed to assess the interrelationship between onward destination from FSDEC, including existing location-based virtual wards (VW) offering ongoing care and remote monitoring at home, outpatient clinics and comorbidity. In ESH in October 2024, a 6-space FSDEC was created. Patients are pulled from the ED in the morning, with a small number being referred from GPs and community Urgent and Emergency Care teams. Method: Data were reviewed from February 2025 to April 2025

Introduction Standardising data collection and collation in care homes is a policy priority. The DACHA study piloted and tested a care home Minimum Dataset This follow-up study aimed to understand how care homes deploy data to improve care. Methods Interviews with care home staff, residents, relatives and other stakeholders (n= 22) from three care homes, explored data usage. Interview data were synthesised and thematically analysed with findings used to inform worked examples of how data informs care. These exemplars were presented at workshop with commissioners, healthcare providers and

Introduction - Treatment Escalation Planning (TEP) is an essential part of delivering person-centred care and is a key component of Realistic Medicine. A TEP can help to avoid unnecessary interventions, demonstrates respect for patient’s autonomy, and reduces uncertainty for both patients and staff who deliver their care. Our aim was to improve TEP compliance across MOE & Stroke in the Royal Infirmary of Edinburgh to >90% by June 2025. Methods - Data was collected from electronic records (5 patients per ward, per week) for a total of eight months. Data collected included: a) presence of a TEP

Background Resistance exercise is an effective, but often suboptimally delivered therapy for sarcopenia and physical frailty in older people. The Benchmarking Exercise Programme for Older People (BEPOP) is a UK-wide quality improvement initiative that uses benchmarking and feedback to improve the quality of exercise delivery by physiotherapy services. We present results from wave 2 of BEPOP data collection. Methods NHS physiotherapy services across the UK submitted anonymised details for up to 20 consecutive patients referred for sarcopenia or frailty-related reasons. Data included sarcopenia

Introduction; Occupational Therapists (OT) play a vital role in the rehabilitation of older people with hip fractures. However a Sheffield Teaching Hospitals 2024 review showed that OT's were spending a significant amount of time completing discharge related admin, reducing face to face contact and opportunities for rehabilitation. Introduction of the care transfer hub (CTH) to a hip fracture ward in December 2024 was taken as an opportunity to reduce OT discharge administrative duties and re-establish the role of OT's in line with university training, core principles of the profession and job

Introduction Increasing numbers of patients live with both frailty and cancer, highlights highlighting the need for onco-geriatric services. Comprehensive Geriatric Assessment (CGA) of older oncology patients increases QoL and treatment tolerance. Recent guidance from British Geriatrics Society stresses the importance of frailty assessment to identify and optimise frailty related issues, alongside collaborative decision-making with patients. Methods OACOS was created at a District General Hospital in Somerset to identify and medically optimise frail patients in whom the treating oncologist had

Introduction Comprehensive Geriatric Assessment (CGA) should be considered in all older patients with a cancer diagnosis. Initial frailty screening may highlight those who would benefit most from CGA to optimise their health through radical treatment. The G8 score assesses multiple domains and has been validated in oncology patients: lower scores indicate frailty. In contrast the CFS is not specifically targeted at cancer patients and is often unfamiliar to oncologists. OACOS does not currently utilise the G8 or CFS in its referral criteria; oncologists refer based on concerns for patients

Introduction Falls are a major health concern for older adults. Dual-task (DT) training, which integrates cognitive and physical exercises, has shown greater benefits for balance and mobility than physical training alone. This study evaluated the acceptability of a blended DT training programme, combining supervised and self-directed components, and delivered via a mobile application for older adults with a history of falls. Methods Community-dwelling older adults aged 65+ with ≥2 falls in the past year were recruited. Participants completed the DT programme using the Peak Brain Training app

Aim: Older adults living with dementia occupy approximately one quarter of acute hospital beds in England. The risk of hospital readmission within six months of discharge increases with comorbidities, reduced mobility, and limited interdisciplinary collaboration across care sectors. Subsequently, hospital readmission can increase the risk of mortality in this population. This study aimed to quantify the clinical determinants of readmission and mortality in older adults with dementia in England. Method: A retrospective cohort study was conducted using anonymised data from adults in England with

Background Use of anticholinergic medication is increasing, especially among the older population due to polypharmacy and co-morbidities. High anticholinergic burden is associated with adverse effects such as reduced mobility and future dementia risk. Acute hospital stay may be an appropriate time to target this commonly overlooked problem. Aims To explore the effects of deprescribing medications with anticholinergic burden on health outcomes of hospitalised older people. Method Medline, Web of Science, Cochrane Library and Embase were searched for relevant papers from database inception to

Abstract title : Clinical Leadership in Pathways using Care Providers: Improving Flow, Experience, and Efficiency for Frail Older Adults Introduction: Frail older adults are often discharged from hospital with complex needs into community care services. Without senior clinical oversight, many experience fragmented care, delayed reviews, inappropriate care planning, and avoidable readmissions. This project evaluated the impact of introducing clinical leadership into a care provider pathway designed to deliver short-term, post-discharge domiciliary care. Methods: Over 11 weeks, 51 patients were

Thinking about the future: a QI project to educate and improve the understanding of advance care planning in the AMU. A Fisher; C Bruce; M Leyton; M Rainbow; J Evans Acute Medical Unit; Torbay Hospital; Torbay and South Devon NHS Foundation Trust Introduction: Advance care planning (ACP) allows patients with serious illness or deteriorating health to discuss future care preferences, supporting a more holistic, patient-centred approach. However, public awareness of ACP remains low and is cited as a key barrier to its uptake in clinical practice. A 2014 audit by the Royal College of Physicians

Background: Hip fractures represent a significant global health burden, leading to substantial morbidity, mortality, and healthcare costs. Delays in surgical intervention are consistently linked to poorer patient outcomes. This audit aimed to evaluate and enhance hip fracture management at Southampton General Hospital (SGH) through targeted quality improvement initiatives. Methods: An interventional clinical audit was conducted at SGH, a Major Trauma Centre, comparing a pre-intervention period (December 2023 – March 2024; n=272 patients) with a post-intervention period (September 2024 –

Introduction Parkinson’s disease (PD) is the second most common and fastest-growing neurodegenerative condition globally. Many older adults with PD reside in care homes, where staff may lack the necessary training to manage the condition effectively. This scoping review aimed to examine the evidence on education and training interventions for care home staff in relation to PD care. Method A scoping review was conducted in accordance with the PRISMA-ScR framework. Six databases were searched for empirical studies focused on PD-related training or education for care home staff. Inclusion

Introduction: The British Geriatric Society has been a forerunner in describing the potential benefits of a comprehensive geriatric assessment and advance care planning for all patients and focusing on wellbeing strategies for this vulnerable patient group. QIP project was undertaken with the aim to look at the fast track discharges and advance care planning documentation in accordance with the EOL care strategy 2008. Through reviews of individual cases, it is thought that advance care plans (with recognition and interventions for patients thought to be in their last year of life) would