Posters for 2026 Scotland Autumn Meeting

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Improving MDT-wide recognition of frailty in general practice

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Sophie Dodds, Jan McCulloch
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Introduction: Timely identification of frailty in the community is essential for implementation of support and strategies to slow progression of frailty, allowing older adults to live safer and more independent lives. Given the diverse MDT within primary, it is important that such members are equipped with the knowledge on how to recognise frailty, and what next steps should be taken to mitigate its course. Delayed recognition of frailty leads to a reduction in access to AHP support and poorer health outcomes. Our aim was to improve MDT-wide awareness and objective documentation of frailty in

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Improving falls prevention in the elderly in Mid-Argyll Community Hospital and Integrated Care Centre’s (MACHICC) Accident & Emergency Department – A Quality Improvement project

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Martin Saarinen
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Introduction: This quality improvement project aimed to improve falls prevention in elderly patients who presented to the A&E in Mid-Argyll Community Hospital and Integrated Care Centre — a rural hospital in Lochgilphead, Scotland. Falls affect around 30% of adults aged 65 and over and are a leading cause of injury in the elderly. Even patients classified as low risk have a 20–30% chance of a further fall within a year, and international guidelines recommend a proactive, multidisciplinary approach including physiotherapy and occupational therapy input to reduce this risk. A baseline audit of A
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Delirium: diagnosed on the ward, forgotten on discharge?

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Al-Harith Ghassib
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Introduction Upon conducting a baseline audit assessing Colchester Hospital’s Care of the Elderly (COTE) wards’ adherence to NICE Quality Standard 63 — which states adults must have their diagnosis of delirium communicated to their GPs on discharge — it was found that compliance with this standard was suboptimal. This adversely impacts continuity of care. Data was collected across four COTE wards (Tiptree, D’Arcy, Birch and Peldon) for December 2023. Out of 80 patients, only 34 had their diagnosis communicated to GPs, meaning only 42.5% adherence to NICE guidance. This highlighted a clear gap
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Delivery characteristics of physical activity services in the community for people with dementia in Scotland: a scoping review

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D Roggero1; SA Tomaz1; C Watt1; AC Whittaker1
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Introduction Physical activity offers a variety of benefits to people with dementia, however, they may face a range of barriers to accessing physical activity opportunities. The Scottish Government have outlined a commitment to ensuring that people with dementia can receive non-pharmacological treatments, including physical activity programmes. This abstract summarises the preliminary findings from a scoping review regarding the availability and delivery characteristics of physical activity interventions for community-dwelling people with dementia in Scotland. Methods The Joanna Briggs
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Improving Early Recognition of Delirium Through 4AT Screening: A Single-Cycle Clinical Audit

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Hsu Lwin1, Khaled Elboraee2
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Introduction Delirium is a common and serious condition in older adults and is associated with increased morbidity, mortality, prolonged hospital stay, and institutionalisation. National guidance recommends routine delirium screening using validated tools such as the 4AT; however, delirium remains under-recognised in acute hospital settings. This project aimed to assess compliance with 4AT screening in older adults presenting with confusion and to implement interventions to improve delirium recognition. Aim To evaluate compliance with 4AT delirium assessments and documentation of delirium risk
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Improving Multidisciplinary Delirium Assessment and Documentation Using the 4AT on an Acute Geriatric Ward

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Assya Dimia1, Nadia Afsheen1, DimpleShamnani2, Sarah Dimia2, Wania Shami2
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Background: Delirium is a common complication of hospitalisation in older adults and is associated with increased mortality, prolonged hospital stay and functional decline. Although routine screening using the 4AT is recommended, delirium assessment and documentation remain inconsistent. Baseline auditing identified poor ward-based 4AT completion, with assessments predominantly undertaken by medical staff despite the multidisciplinary nature of geriatric care. Aim: To improve multidisciplinary recognition, assessment and documentation of delirium by increasing staff knowledge, confidence and
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Improving insulin medicines reconciliation and glycaemic safety in frail hospitalised older adults: quality improvement project

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Mohammed Azam Ali1; Michaela Watt1; Adeola Adebayo1; Eileen Capek1; Elizabeth Oommen1; Mairi Blair1; Rahat Maitland1
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Improving insulin medicines reconciliation and glycaemic safety in frail hospitalised older adults: a quality improvement project Background Insulin is a high-risk medication, and prescribing errors are a recognised cause of inpatient harm. Accurate medicines reconciliation of pre-admission insulin regimens is essential for safe glycaemic management and continuity of care, particularly in frail older adults with multimorbidity, cognitive impairment and acute illness. This quality improvement project evaluated insulin medicines reconciliation and glycaemic safety practices on geriatric wards

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Streamlining Newcastle Upon-Tyne's Acute Frailty Team

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S Bennett; K Treherne; C Barnes; A Kilsby; C Patchett
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Key words: acute frailty, triple assessment, comprehensive geriatric assessment, integrated discharge team (IDT) Introduction: The expansion of acute frailty services is essential to meet the needs of our ageing population. According to the UK Office for National Statistics 2021 census, over one-sixth of the population (18.6%, or 11.1 million people) were aged 65 and over, with this proportion expected to rise to 25% within the next 20 years. Acute Frailty Team (AFT) was introduced in Newcastle in December 2024, aiming to create a streamlined pathway to avoid unnecessary admission and

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