Posters

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

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