Introduction Caffeine can adversely affect patient safety by increasing bladder urgency and agitation, raising fall risk, especially among older people. NICE guidance (2019) recommends reducing caffeine intake for individuals with overactive bladder. However, caffeinated drinks often remain the default in healthcare settings. In 2021, University Hospitals of Leicester NHS Trust (UHL) achieved a 30% reduction in toileting-related falls after making decaffeinated hot drinks the standard. In 2023, staff at Northumbria Healthcare NHS Foundation Trust (Northumbria) identified similar concerns. A
Introduction: Continence optimisation, investigation and management is an essential part of any CGA 1, and its importance in Geriatric Medicine is reflected in the Higher Specialty Curriculum 2. Despite this, training in continence care is inadequate with limited opportunities to develop expertise and practical skills. As a result, few HSTs pursue Continence as a Theme for Service or feel equipped to lead on continence care post-CCT. Fragmented service provision by Urology, Gynaecology and Geriatric services undermines a holistic approach required when caring for the complexities of a frail