Posters

Background: The assessment and management of impaired vision is included in falls prevention guidance, however implementation is inconsistent. We conducted focus groups to explore the perspectives of Health Care Professionals (HCP) on vision screening in older adults attending acute hospitals following a fall. Methods: A focus group study was undertaken with HCPs from a single acute hospital trust. Semi-structured topic guides were informed by the Consolidated Framework for Implementation Research (CFIR). Transcripts were first inductively then deductively coded using CFIR constructs

Background: Falls are a serious concern for people with Parkinson’s disease (PD), often leading to hospitalisation, dependence and reduced quality of life. Effective fall management requires identification of those at risk. Although many clinical and mobility-related outcomes have been linked with falls, it remains unclear which selection of outcomes best discriminate fallers from non-fallers. Methods: Participants with PD were recruited as part of the ICICLE-GAIT study. Data presented are from the 54-month and 72-month follow-up. Participants were stratified into fallers and non-fallers based

Introduction: People living with advanced Parkinson’s Disease (PD) and Atypical Parkinsonian Syndromes (APS) often experience reduced mobility. This may result in difficulty attending specialist outpatient clinics, and consequently reduced access to review potentially complex symptoms. Therefore, there is a potential unmet need for people living with these conditions to have ongoing specialist medical input in community settings. Objectives: To record common interventions and outcomes following a Parkinson’s Disease Fellow Home visit. Method: People identified for a Home visit by a PD Multi

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

Background Parkinson's disease (PD) is recognized as one of the most prevalent neurological disorders globally [1]. Despite its widespread incidence, there remains a significant gap in the understanding of PD, particularly concerning its risk factors [2]. We set out to catalogue the risk factors patients with Parkinson’s Disease (PD) are exposed to. The Transforming Parkinson’s Care in Africa (TraPCAf) initiative is a collaborative research effort, which aims to address various facets of PD [3]. Multiple risk factors for PD have been established across various regions of the world. Newer

Background Parkinson’s disease (PD) results in a 2-to-4-fold higher risk of hip and fragility fractures due to osteoporosis, falls, and motor dysfunction. Fractures in this group often cause loss of mobility, extended admissions, and higher mortality. Despite these consequences, bone-health assessment is inconsistently incorporated into routine PD care. Introduction The local analysis of 100 patients at York Hospital during the 2025 Parkinson’s UK audit, revealed bone health was considered in 10% of cases, compared with a national figure of 63% (2022 data for comparable services; p < 0.001)

Introduction Patients with Parkinson’s Disease (PD) frequently experience delays or missed doses of time-critical medications, leading to worsened symptoms and prolonged stays. This issue is thought to be partly due to gaps in doctors’ knowledge and prescribing practices. Therefore, this project uses a survey to assess staff knowledge and practices and identify gaps in managing Parkinson’s medications in acute and complex clinical scenarios. Methods: A questionnaire was distributed to 26 doctors across adult medical wards and the Emergency Department, including consultants and trainees. The

Introduction: Parkinson’s UK consistently report that over half of inpatients with Parkinson’s face challenges getting their medications on time. This is associated with patient harm, poorer outcomes and increased admission length. Although electronic prescribing has benefits, it has not solved these issues. We audited local practice and implemented an EPMA care plan to improve reliability. Method: A two-cycle clinical audit in a central London teaching hospital. Cycle 1 (n=29) and cycle 2 (n=23) reviewed electronic records over two 4-month periods for inpatients with Parkinson’s disease

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

Background: Diagnosing Parkinsonism remains a common and clinically significant challenge within movement disorder services, particularly in early disease and in atypical or non-motor–predominant presentations. Dopamine transporter (DAT) imaging is recommended by NICE where diagnostic uncertainty persists; however, real-world evidence demonstrating its impact on clinical decision-making beyond diagnostic confirmation remains limited. Methods: We conducted a retrospective audit of all DAT scans requested within a UK specialist movement disorder service between January 2023 and December 2024

Introduction The Personal Kinetograph™ (PKG) is a remote monitoring device that provides objective evidence of motor control in Parkinson's disease (PD). It is conditionally recommended by NICE to aid clinical decision-making (1). Our hospital trust has developed a PKG service over two years. We present the results of patient questionnaires to demonstrate the role of PKG in patient education and mental wellbeing, alongside clinical care. Method Between August 2023-December 2025, 40 patients under the care of Geriatrics Parkinson's Team underwent PKG monitoring. Results were explained via

Introduction Within the Older Person’s Medicine Movement Disorder service at Newcastle upon Tyne Hospitals, we were aware people with Parkinson's (PWP) living in nursing care were not necessarily receiving the same quality of care as other PWP. We have developed a nursing home movement disorder clinic to address this. Methods Practically, approximately 15% of PWP were identified as living in nursing care. After review of the geography and numbers, one consultant and specialist nurse clinic were allocated a month to facilitate care home visits to all PWP within 6 months. After identifying PWP

Introduction Parkinson’s disease dementia (PDD) is characterised by years of motor symptoms preceding cognitive decline, particularly presenting with declining executive function, attention, visuospatial abilities, and psychiatric symptoms. The motor symptoms of Parkinson’s disease are managed under a Parkinson’s and movement disorder service led by geriatricians or neurologists and should involve a multidisciplinary team. When dementia symptoms develop, patients are generally referred to a memory service led by old age psychiatrists with dementia support advisors and admiral nurses available

Introduction Ageing leads to subtle mobility changes that increase fall risk if not identified early. Most existing solutions intervene only after functional decline becomes evident. This work presents an integrated preventive approach combining clinically accurate gait analysis with remotely supervised exercise programmes, aiming to detect early deterioration and promote safer, more autonomous ageing. Methods The system includes: (1) a shoe-mounted inertial sensor (Moverics) enabling rapid gait assessment and extraction of validated fall- and frailty-related metrics; and (2) ViviFil, a mobile

Aims/Purpose: To assess the barriers and facilitators for rehabilitation in the older Parkinson’s Disease (PD) patient population that have been admitted to Great Western Hospital (GWH); as viewed by clinicians who work within the acute inpatient setting. This was accomplished through an internal service evaluation project designed to create a GWH-specific action plan, which may also have broader applicability. Methods: A review of the related literature informed the development of interview questions, which guided 20 semi-structured interviews with clinicians conducted in collaboration with

Introduction: Foslevodopa-foscarbidopa (Produodopa) is a new subcutaneous infusion run continuously over 24 hours for people with Parkinson’s (PwP). Foslevodopa is a prodrug for levodopa, the most effective treatment for Parkinson’s symptoms. Studies demonstrate that Produodopa improves symptom fluctuations (i.e. less OFF time & less troublesome dyskinesia) compared to oral medications. Gait and balance impairment are key risk factors for falls in advanced Parkinson’s and are less levodopa responsive. However, the impact of Produodopa on gait and balance has not yet been described. Methods

Progressive supranuclear palsy (PSP) is a rapidly progressive neurodegenerative disease characterized by postural instability, vertical supranuclear gaze palsy, bradykinesia, extrapyramidal rigidity and dementia. Patients with PSP lose independent gait and ability to stand unassisted, often becoming wheelchair-bound within 1-3 years. Clinically recognized PSP movement features, including tendency to fall backwards, posterior weight distribution and a toe-up maneuver with weight shift to the heels in sit-to-stand transitions, have been used to track progression and consider physiotherapy needs

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