Posters for 2026 Spring Meeting

Introduction Urgent community interventions are disproportionately required by residents of independent or extra care living facilities, a small but high-need population. These settings attract individuals seeking more support than available in own homes; Whilst the need initially is often care related this is frequently driven by underlying medical conditions and the ageing process. Unlike nursing or care homes, extra-care living facilities lack enhanced primary care agreements, leaving rising needs unmet. With healthcare shifting from acute to community settings, addressing this gap is

Introduction Older people presenting to outpatient (OP) clinics require blood pressure (BP) measurement to consider morbidity contributing to falls and long-term cardiovascular risk. However, BP measurements taken in the outpatient setting (OBPs) may not correlate with BP patterns obtained using ambulatory measurements (ABPMs). ABPM is considered a more accurate method of diagnosing hypertension than OBP in the general population. Using OBPs for clinical decision-making in isolation risks either under or over-diagnosis of hypertension. This study aimed to investigate the diagnostic test

Introduction: Delivering compassionate, patient-centred care at the end of life requires internal medicine trainees to demonstrate effective communication, ethical decision-making, and multidisciplinary teamwork. Simulation-based education offers a safe, structured environment to practise these skills and reflect on their ethical dimensions. Method : A survey was conducted before and after the simulation session. This survey evaluated the impact of simulation-based training on internal medicine trainees interpersonal, ethical, and collaborative competencies in end-of-life (EOL) care for older

Simulation-Based Training to Enhance Medical trainees Communication, Ethical Reasoning, and Teamwork in End-of-Life Care I Bargaoanu1; A Fletcher1; W Lea2; M Cullen2 York and Scarborough Teaching Hospital Foundation Trust Introduction: Delivering compassionate, patient-centred care at the end of life requires internal medicine trainees to demonstrate effective communication, ethical decision-making, and multidisciplinary teamwork. Simulation-based education offers a safe, structured environment to practise these skills and reflect on their ethical dimensions. Method : A survey was conducted

Background Delirium is an acute neuropsychiatric syndrome characterised by fluctuating cognition, consciousness, and attention, affecting up to 55% of older inpatients. It is associated with falls, prolonged admission, functional decline, mortality, and long-term cognitive impairment. Environmental factors such as disorientation, sensory deprivation, noise, disrupted sleep, and poor lighting increase delirium risk, particularly among frail or cognitively impaired patients. NICE CG103 recommends orientation aids (clocks, calendars, signage, lighting, and family contact) as key delirium

Introduction Poor sleep in hospitalised older adults has been associated with functional impairment, decreased cognitive functioning and increased mortality risk. There is a paucity of studies objectively measuring the sleep patterns of older adults throughout the course of an acute health event and/or hospitalisation. This study aims to objectively evaluate sleep patterns of hospitalised older adults in an acute geriatric inpatient unit using sheet-shaped body vibrometer (SBV), explore the incidence and clinical characteristics of hospitalised older adults with sleep disturbances, identify

Introduction Continuous glucose monitoring (CGM) is transforming diabetes care and its access should not depend on age, ethnicity, or socioeconomic status. Updated NICE guidance in 2022 expanded NHS funding to include people with type 2 diabetes mellitus on insulin who meet certain criteria. Emerging evidence indicates that older adults are significantly less likely to be offered CGM. We aimed to systematically review prescribing of CGM in older age groups compared to younger ones. Methods PROSPERO registration: CRD420251104079 Databases: PubMed, Web of Science Inclusion criteria: studies that

Introduction Frailty is associated with adverse surgical outcomes1. Prolonged surgical waiting lists risk progression of frailty in older adults. This study evaluated changes in clinical frailty scale (CFS) over 12 months among individuals remaining on a surgical waiting list and explored whether involvement of a geriatrician led Perioperative care for Older People undergoing Surgery (POPS) team influenced frailty progression. Methods Patients over 65 years of age on a single trust general surgical waiting list were asked to self-report their CFS via a digital platform. Patients with CFS score

Introduction Resuscitation status is frequently not considered, resulting in CPR being performed when it may not be in a patient’s best interests and limiting opportunities for patients/families to express their wishes. Even when a do not resuscitate (DNR) decision is made, forms are not always uploaded to electronic systems, leading to repeated discussions and periods during readmission when no DNR is in place. Aim: This QI project in the orthogeriatric department at Forth Valley Royal Hospital (FVRH) aimed to: Increase consideration of resuscitation status to >90% of patients. Increase the

Introduction: At our Trust a single Parkinson’s Specialist nurse manages a caseload of around 900 outpatients living with Parkinson’s in conjunction with a team of consultant neurologists. It is estimated around 60% of patients living with Parkinson’s will fall each year and patients living with Parkinson’s are known to be at higher risk of osteoporosis and osteopenia. A proportion of these patients will be living with frailty. In order to reduce harm, manage frailty and reduce unplanned hospital admissions we would suggest a more holistic assessment from a geriatrician may be beneficial for a

Introduction The Queen Elizabeth Hospital (QEH), King’s Lynn serves a population of around 331,000 people. There has been exponential growth in the percentage of the population who are aged 65+. The RCP recognises that older people with complex needs would benefit from prompt review by specialist geriatric teams, and the BGS recommends that there is a role for a dedicated geriatrician embedded within assessment units focusing on frail older people. We implemented a number of pilot studies between 2021-2024, however, none provided sustainable excellent care models for frail patients. As such

Introduction As part of the NHS England Ageing Well programme, social care nurses from care homes across East Kent were invited to shadow their local acute hospital frailty teams. The aims of the project were to strengthen understanding of the patient journey, enable nurses to identify transferable learning and enhance collaboration across organisational boundaries. Method Participants: Social care nurses from two care homes in East Kent. Format: One-day shadowing placements alongside the Acute Trust Frailty Team. Setting: Hospital frailty units and acute care wards. Feedback: Structured

Introduction Immedicare, a digitally-enabled, round-the-clock NHS clinical service provides remote support to care homes nationwide, with approximately a quarter of clinical consultations pertaining to falls. Falls in older people are often multifactorial, with medication being a significant modifiable risk factor. In July 2024, Immedicare’s pharmacy team launched a targeted, remote falls medication review service (FMRS) to support residents who had fallen and were prescribed at least one medicine identified as contributing to falls, according to the STOPPFall tool (Seppala et al, A&A, 2021)

Introduction Acute kidney injury (AKI) is common in hospitalised older adults and associated with increased mortality, prolonged length of stay and preventable harm. NICE NG148 and Trust AKI guidelines outline essential early management standards. This project aimed to improve compliance with these standards in medical inpatients at Good Hope Hospital, with a focus on older adults. Method This QIP used a Plan-Do-Study-Act (PDSA) approach and was conducted on general medical wards. Cycle 1 involved retrospective review of 30 adult inpatients with KDIGO-defined AKI alerts over four weeks (April

Introduction The number of people aged 60 years and over from ethnic minority backgrounds in the United Kingdom has increased by approximately 80% since 2011. Despite the principle of universal access within the National Health Service (NHS), this population experiences persistent inequalities in diagnosis, prevention and specialist care. Evidence addressing the intersection of ageing and ethnicity remains fragmented. This review mapped barriers and facilitators to healthcare access for older ethnic minority populations in the UK. Methods A scoping review was conducted using the Arksey and O

Introduction Comprehensive geriatric assessment (CGA) should be performed in all patients admitted to a specialist frailty unit. All interventions should be documented and communicated to community teams to allow continuous and safe care. A lack of CGA documentation was highlighted on our hospital discharge summaries. Method A discharge template was designed to include eight key aspects of CGA, including clinical frailty score (CFS), functional assessment, medication review, cognition, continence, bone health, postural blood pressure and advance care planning (ACP). We collected baseline data

Introduction As the population and life expectancy increases, the demand on healthcare has been increasing. Hospital inpatients are older, more unwell, more multimorbid and frailer, resulting in challenging patient-student interactions1. Involving patients as instructors in a simulated or controlled environment allows students to gain hands-on experience and a unique perspective on lived experiences2. University of Manchester MBChB students do a 4-week placement in ageing and complex health. As part of this they have a facilitated session with an expert patient living with Parkinsonism

Introduction Smoking remains a major modifiable risk factor for chronic disease in older adults yet opportunities for smoking cessation are missed among older patients. The British Thoracic Society states that every inpatient should be asked if they smoke and that electronic records of tobacco dependency should be completed. Hospitalisation offers a chance to identify tobacco dependence and provide support. We conducted a quality improvement project on a Care of the Elderly (COE) ward to improve the documentation of smoking status and delivery of nicotine replacement therapy (NRT). Methods We

Introduction Rib fractures are the most common presentation of blunt chest trauma, with approximately 10% of patients requiring hospital admission. The STUMBL (STUdy of the Management of BLunt chest trauma) score was developed to guide admission decisions, but its ability to predict mortality and geriatric-relevant outcomes is unclear. This study evaluated whether the STUMBL score stratifies risk for mortality, delirium, and discharge destination in adults aged ≥65 years with rib fractures. Methods We conducted a retrospective single-centre cohort study of patients aged ≥65 years presenting

Introduction: Electrolyte disturbances are common among older inpatients and are associated with increased risks of delirium, falls, cardiac arrhythmias, and prolonged hospital stays. Despite their prevalence and impact, local guidance for managing these imbalances is often lacking or inconsistently applied. At Rotherham NHS Foundation Trust, no standardised guideline existed for adult electrolyte correction, which disproportionately affected the older inpatient population. To improve the timely and accurate management of electrolyte derangements—particularly in older adults—by implementing a