Posters for 2026 Spring Meeting

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

Introduction Falls are common in older adults, resulting in hospitalisation, and significant morbidity and mortality. NICE guidelines recommend that vision should be assessed in adults who fall. However, in a national survey of falls services, 54% of professionals checked vision. The falls assessment clinic allows adults to be assessed by a multiprofessional team including doctors, nurses, physiotherapists and occupational therapists. The aim of this quality improvement project was to improve documentation of visual assessment within the medical notes to >90%. Method and Results Baseline data

Introduction Frailty is a common age-related condition marked by reduced physiological reserve and increased vulnerability to adverse outcomes. National guidance recommends use of the Rockwood Clinical Frailty Scale (CFS) for patients aged ≥65 years during acute hospital admissions to facilitate early recognition of frailty; however, documentation and accuracy remain inconsistent. This quality improvement project aimed to evaluate and improve CFS documentation within inpatient medical wards of a large hospital in London. Methodology Two Plan–Do–Study–Act (PDSA) cycles were undertaken using

Background: After an acute hospitalisation, driving limitations have significant medicolegal and safety ramifications. The need for improved driving guidance throughout the region was brought to light by recent community events. Methods: We used a PDSA cycle and informal focus groups to structure our project. Before and after a straightforward intervention consisting of clinician education and structured advice layouts, we examined the records of fifty patients. Documenting of driving status and giving suitable driving advice were the outcomes measured. We gathered data and developed materials

Introduction Older adults (≥75y) represent a significant and growing proportion of patients undergoing major urological cancer resections (cystectomy, prostatectomy, nephrectomy), with frailty prevalence 20–50% driving high postoperative risks including delirium, prolonged length of stay (LOS), and mortality. Preoperative Comprehensive Geriatric Assessment (CGA) with cardiopulmonary exercise testing (CPEX) reduces delirium by 29–37%, LOS by 1–3 days, and readmissions, per national guidelines (NICE NG180, 2020; CPOC/BGS, 2021). However, joint anaesthetic-geriatrician clinics are underutilized

Introduction Delirium prevalence is approximately 15-20% in medical inpatients and potentially higher within gastroenterology inpatients due to increased prevalence of liver disease. Delirium causes longer admissions, worse morbidity and mortality outcomes and distress to patients, families and staff. The National Institute for Health and Care Excellence (NICE) recommends that inpatients are assessed for delirium within 24 hours of admission. Assessment on admission was outside the remit of this project but there was an opportunity to improve assessment from the point of admission to a

Introduction: Antimicrobial stewardship is a key patient safety priority within the NHS, particularly in older adults who are at increased risk of adverse drug reactions, Clostridioides difficile infection, and harm related to polypharmacy. NICE antimicrobial stewardship guidance (NG15) and the “Start Smart – Then Focus” framework recommend that all antibiotic prescriptions include clear documentation of the clinical indication and duration to support safe and appropriate use. In hospitals where paper drug charts remain in use, adherence to these standards may be variable. This quality

Introduction Physical activity is central to healthy ageing and long-term condition (LTC) management, yet older adults with multimorbidity, frailty, and fluctuating symptoms face barriers to safe, individualised exercise support in primary care. Exercise prescription (EP) is often limited by time constraints, variable access to specialist input, and clinician confidence in tailoring recommendations. Artificial intelligence (AI)–informed EP tools offer a route to personalised, scalable physical activity support, but raise questions regarding safety, trust, equity, and integration into routine

Introduction: The West Lothian H@H team is based at St John’s Hospital, Livingston providing acute assessment and care to approximately 130 patients monthly, the majority of whom are frail. Future care planning should be included in clinical interactions,1,2 and all members of the multidisciplinary H@H team should have the competence and confidence to do this well for every patient. Aims: To improve the quality and rate of FCP discussions with patients and families, including resuscitation, escalation to hospital and preferred place of care (PPC). To improve the communication of FCP