Posters

Introduction: Parkinson's disease (PD) is the second most common neurodegenerative disorder worldwide and is often associated with frailty and sarcopenia. The cardinal motor features include bradykinesia, rest tremor, rigidity and postural instability. In low-resource settings such as Tanzania and sub-Saharan Africa (SSA), data on motor burden and physical function in PD are limited. Aims: To assess motor symptom burden and physical function in people with Parkinson's disease (PwP) in northern Tanzania. Methods: A cross-sectional study was conducted involving 28 PwP in the Hai district of

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. Two leading interventions for footwear when individuals are admitted as inpatients across healthcare settings are non-skid socks and their personal shoes, without assessment if non-skid socks or personal shoes are appropriate. These interventions are insufficient to meet complex needs for individualized footwear and population-specific footwear necessary for safe transfer and mobility. Two foot problem categories associated with falls are local factors (structural foot disorders affecting load-bearing bones), systemic factors (dermatologic, vascular, neurologic musculoskeletal

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

Admission Avoidance Through WROLL Background: Falls are common in older adults, with up to 35% of those aged ≥65 years falling each year. A long lie remaining on the floor for over 60 minutes conveys serious risks, including infection, muscle injury, functional decline, and hospitalisation. The Wigan Reduction of Long Lie Service (WROLL) was set up to respond quickly to these events and reduce unnecessary admissions. Methods: We prospectively evaluated 49 patients referred to WROLL. We recorded demographics, frailty scores, fall circumstances, length of lie, frailty blood tests, including CK

Introduction Locally we have the highest percentage of people aged over 65 and highest admissions due to falls in Greater Manchester. The impacts for practice recommendations from the Ethnographic study of experiences of falls in domestic settings and the use of ambulance services, found the need to raise public awareness and understanding of falls risk and provide ambulance crew with falls prevention training. Methods In 2018-2022, the strategy was developed by a partnership collaboration. It was launched in 2022, drawing on the evidence-base, specialist knowledge and learning within the

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

Objectives: The study aimed to gain an in-depth understanding of the patients’ journey following a fall, from patients and ambulance crew perspectives. Methods: A critical ethnographic approach enabled participants’ values, behaviours and beliefs to be explored. The methods were participatory observation, semi-structured interviews, and in-depth field notes. The findings were thematically analysed, and narrative used to add meaning to their experience. Results: The study gained an in-depth understanding of the experiences of crew and patients. For both ambulance crew and patients, there were

Background: The local trust inpatient falls rate is 5.27 falls per 1000 bed days. In the previous year (2023/24) this was 5.62 falls per 1000 bed days recorded. This shows a consistent trend of remaining below the national average of 6.63 per 1000 bed days. As a result of this, we are focusing on inpatient injurious falls. Methods: In the hospital, there is an established Falls panel, consisting of leads on safety, safeguarding and specialist in falls prevention, management and bone health treatment. The panel reviews any falls that result in moderate or severe harm, such as fractures, head

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

Introduction Annually, around 130,000 people in Wales are reported to have at least one fall incident. Existing evidence suggests that Mental Health inpatient units, on average exhibit higher incidence of fragility fracture than acute hospital wards which could be contributed by medication such as antipsychotics and anti-depressants. Consequently, a quality Improvement project was formulated to evaluate fragility fracture risk among Elderly inpatient Mental Health unit and to analyse their adherence of treatment to the National Standards. Method Patients admitted to old age psychiatry ward at

Background: Cognitive impairment (CI) is a common non-motor symptom of Parkinson’s Disease (PD), but little is known about its profile and assessment in Sub-Saharan Africa (SSA). This study aims to characterise cognitive function in a cohort of people with PD (PwP) in northern Tanzania, and evaluate the feasibility and acceptability of cognitive screening tools in a low-resource, community setting. Methods: Twenty-eight PwP identified in a previous door-to-door survey were followed up. Cognitive function was assessed using the Identification and Intervention for Dementia in Elderly Africans

Introduction There are few data on Parkinson’s disease (PD) in Africa, particularly in sub-Saharan Africa (SSA). The NIHR Global Health Research Group Transforming Parkinson’s Care in Africa (TraPCAf) is a four-year study, running from September 2022, investigating PD in seven African countries (1). In SSA, hypertension is highly prevalent, with many individuals remaining undiagnosed and, among those diagnosed, many untreated or poorly controlled (2). Method The TraPCAf project is recruiting a target of 1,000 people with PD (PwP) and 2,000 age- and sex-matched healthy controls. Data collected

Objective: Guidelines recommend use of rotigotine patches as an option if Parkinson’s patients are unable to take their usual oral medication, but this strategy has not been tested in clinical trials. We audited outcomes for such patients in a large UK teaching hospital. Background: This project was undertaken at University Hospitals of Derby and Burton. Method: In this retrospective study, data was extracted from the hospital’s electronic prescribing and medication administration system, Lorenzo. We examined data on every hospitalised Parkinson’s patient prescribed rotigotine at Royal Derby

Introduction: Alzheimer’s disease (AD) is a progressive neurodegenerative disease, characterised by memory and cognitive impairment. Autobiographical memory, or the memory of oneself, consists of episodic, self-defining and semantic components. AD profoundly disrupts autobiographical memory, causing individuals to lose their self-identity. Although previous research has shown that music can facilitate the recall of autobiographical memories, the extent and nature of this effect in AD is unclear. Specifically, it is debated whether music preserves neural networks involved in autobiographical

Introduction: The Lewy Body Dementias (LBD) incorporate both Parkinson’s Disease Dementia (PDD) and Dementia with Lewy Bodies (DLB). These conditions have a heterogeneous presentation and disease trajectory with much inter-individual variability. Accurate diagnostics and prognostication are becoming increasingly important in the potential disease modifying era. Cardiovascular autonomic dysfunction is a supportive diagnostic feature of DLB and a well-known non-motor phenotype of Parkinson’s Disease. It most commonly presents with orthostatic hypotension (OH) which can be easily measure