Posters

Background and Aims The GMC specify foundation doctors must be competent assessing medical emergencies and making appropriate decisions during end-of-life care. However current literature identifies medical students’ confidence in palliative care skills, including communicating with dying patients and families is low, and many feel unprepared to attend emergencies. With an ageing population, and prevalence of frailty expected to rise significantly, competence in assessing acutely unwell older adults is essential for foundation doctors. This teaching programme aims to improve students’

Introduction Frailty represents a multidimensional vulnerability associated with adverse outcomes in hospital and community settings. Despite this complexity, chronological age is often used as a surrogate marker for frailty severity. This study evaluates whether age reliably reflects frailty complexity by analysing two frailty census datasets collected in 2023 and 2025. Method Two frailty data sets at PPH (June 2023 and December 2025) were examined. Key variables extracted included age and Clinical Frailty Score (CFS). Data were cleaned and converted to numeric formats. Only rows with valid

Introduction Frail older adults account for a substantial proportion of unplanned hospital admissions. This study compares frailty-related admissions to Prince Philip Hospital (PPH) between June 2023 and December 2025 to evaluate changes in patient characteristics, prescribing burden, and admission pathways following standardisation of frailty data capture. Method A retrospective analysis was undertaken using standardised frailty datasets from June 2023 (n=77) and December 2025 (n=113). Variables included age, Clinical Frailty Score (CFS), polypharmacy prevalence, Anticholinergic Cognitive

Introduction Delirium in older adults is associated with increased morbidity, functional decline and mortality. NICE recommends the use of the 4AT within 24 hours of admission in adults aged ≥ 65 years. However, completion rates in clinical practice remain suboptimal. This quality improvement project aimed to improve recognition of acute delirium on a geriatric ward in Queen’s Hospital, by increasing the proportion of new ward admissions with a documented diagnosis of delirium and corresponding management plan by 20% through improved use of the 4AT. Methods Baseline data were collected over

Introduction Polypharmacy is defined as use of 5+ medications. An anticholinergic burden score (ACB) 3+ increases risk of adverse outcomes in frail patients including falls, cognitive decline, and mortality. Optimising older adults’ medication regimen is a critical element of Comprehensive Geriatric Assessment (CGA). Method In December 2025 a frailty census was completed at Prince Philip Hospital (PPH). Criteria for inclusion were age ≥65 years. Data was collected for a range of metrics including Clinical Frailty Scale score (CFS), polypharmacy, anti-cholinergic burden, and whether admitted

Objective: The Welsh Acute Frailty Service guidelines require Clinical Frailty Scale (CFS) completion within 60 minutes of arrival into urgent care outlining a clear need for staff to be confident using the CFS in these settings. This study evaluates use of a training package to educate healthcare staff on using the CFS in an acute setting. Method: Patient interviews were recorded in the emergency and acute medical units from which videos were created to explain how each patient’s CFS had been calculated. Patient stories and photographs were also used in an educational poster to support the

Introduction Investigations requested as an inpatient were not reliably followed up in our hospital. Poor coordination of post-discharge follow-up can lead to delayed results review, threatening patient safety. This uncertainty contributes to increased length of stay, a risk factor for deconditioning and delirium. In older adults, results must be reviewed in the context of a Comprehensive Geriatric Assessment, allowing robust advanced care planning and ensuring onward investigations are tailored to the individual. We implemented a consultant-supervised, Internal Medicine Trainee (IMT)-led

Introduction: BPSD significantly impact patient wellbeing and caregiver burden [1]. The Cardiff and Vale Memory Service provides integrated assessment, diagnosis and post-diagnostic care to around 5000 community-dwelling people with dementia (PwD) across South Wales. BPSD frequently prompt escalation to the multidisciplinary team (MDT). This project aimed to evaluate the burden of BPSD within the service. Method: Over 5 weeks, surveys were completed for patients discussed at the MDT with BPSD concerns. The survey captured number and type of BPSD features, demographics and routine clinical

Introduction Delirium is a common, but frequently under-recognised complication in older adults admitted with acute stroke and is associated with adverse clinical outcomes. Data describing the prevalence, clinical profile, and impact of delirium in older adults with acute stroke in Sri Lanka are limited. Methods This descriptive cross-sectional study included 90 adults aged ≥60 years admitted with acute ischaemic stroke (including transient ischaemic attack) or haemorrhagic stroke to Professorial Medical Unit at Colombo South Teaching Hospital, Sri Lanka. Delirium was assessed using the

Introduction Hypertension is highly prevalent among older adults and is a major contributor to cardiovascular morbidity, mortality, and cognitive decline. While the HYVET trial demonstrated benefits of antihypertensive treatment in older populations, the SPRINT trial highlighted increased adverse events with intensive blood pressure control. This highlights the importance of ensuring antihypertensive prescribing in older people is appropriate and evidence-based, particularly in those presenting with falls. Method A retrospective observational review was conducted of 60 adults aged over 75

Background A quality improvement project was undertaken on inpatient wards in the Ageing and Health department of Guy’s and St Thomas’ NHS Foundation Trust. The patient group comprised older adults predominantly living with frailty and multimorbidity. Care is delivered by a multidisciplinary team (MDT) including resident doctors, consultants, nurses, physiotherapists, occupational therapists, speech and language therapists (SALT), dieticians, and discharge coordinators. Introduction Reliable documentation of multidisciplinary meetings (MDMs) contributes to safe, coordinated and patient-centred

Background According to Healthcare Improvement Scotland, all hospitals should have an established frailty assessment area with access to a specialist frailty team within 4 hours of admission (or within 12 hours when out of hours). Timely CGA on admission is linked to improved patient outcomes. Last year at University Hospital Wishaw (UHW), a Rapid Access Frailty team (RAFT) with dedicated frailty beds was introduced over a 10-day period. They found an improvement with length of admission and discharge rates as well as positive feedback from staff. Following this pilot, a new Frailty Assessment

Introduction: One third of cancers are diagnosed in patients over the age of 65 (1), given we have an ageing population this is going to increase. Tools have been developed to identify older patients at risk of increased morbidity when receiving SACT such as Geriatric 8 (G8) and Cancer and Ageing Research Group chemotherapy toxicity tool (CARG-TT). This project aimed to assess the ability of these and other frailty assessment tools to predict 30 day mortality amongst older oncology patients. Method: Morbidity and Mortality data from a regional oncology department was reviewed to identify

Introduction: With an ageing population, more people are living with terminal illness, giving opportunities to identify those with predictable shortened life expectancy. The fast-track pathway was developed to speed up funding of care for people expected to die within 12 weeks. Our aim was to investigate the accuracy of doctors’ prediction of death for patients admitted to hospital and referred to the fast-track pathway. Methods: A prospective audit of hospitalised patients who were referred to the fast-track discharge pathway with an expected death within 12 weeks from the date of discharge

Introduction: The most recent national frailty benchmarking audit showed that many discharge letters from our Frailty Ward did not document a clinical frailty score (CFS), advanced care planning (ACP) or functional status. This project aimed to improve documentation of the comprehensive geriatric assessment (CGA) for patients seen by the Frailty Intervention Team (FIT) in Craigavon Area Hospital. Methods A baseline audit of 20 discharge letters from the FIT team was performed, assessing whether core aspects of the CGA were documented. Aspects of the CGA included were: CFS, ACP, cognitive

Introduction: Chronic Kidney Disease (CKD) affects around 10% of the Scottish population and is particularly prevalent among older adults. As renal function declines with age, drug clearance decreases, increasing the risk of systemic toxicity. Gabapentin and pregabalin, commonly used for neuropathic pain in older adults, are renally excreted and can accumulate, leading to sedation, confusion, and falls. Appropriate dose adjustment according to creatinine clearance (CrCl) is therefore essential. Despite national guidance from NICE, BNF, and SIGN, dosing errors in renal impairment remain a

Introduction Frailty is a common syndrome characterised by reduced physiological reserve and increased vulnerability to stressors presenting with hallmark features of sarcopenia, fatigue, neurodegeneration and immune dysregulation. This may result in adverse outcomes such as falls, disability and hospitalisation. Although frailty is routinely identified phenotypically, the biological mechanisms underpinning its clinical features are not always integrated into clinical understanding. This poster aims to explore the roles of these pathways in the development of frailty and to illustrate how

This project aimed to educate foundation (FY) doctors regarding post-fall assessments and develop a proforma to enhance documentation, within an acute hospital trust. NICE Quality Standard QS86 for adults aged 65 and over in a care setting states that a fast-track examination (under 30 minutes) should occur for highly vulnerable patients, or those showing signs of serious injury. The National Audit of Inpatient Falls (NAIF) Report 2024 found that 65% of patients who had a fall-related inpatient femoral fracture (IFF) received a fast-track medical review. In our hospital this was only 30%. The

This quality improvement project evaluated the clinical utility of routine vitamin D testing in frail elderly patients admitted to the Acute Surgical Unit. Baseline data demonstrated that the majority of patients had suboptimal vitamin D levels, with significant variability in repeat testing and frequent prescribing errors, particularly confusion between loading and maintenance regimens. Testing rarely altered management, as patients with sufficient levels were typically already on supplementation. In response, an empirical supplementation pathway was developed, removing vitamin D testing from

How can we Improve Multi-factorial Falls Assessments in Patients at Risk using Health Pathways and Other Measures? Background All admitted patients require completion of a multifactorial falls risk assessment (MFRA) within 6 hours; in order to identify at risk patients and implement a care plan to aim to reduce the risk of falling. Hospital Health Pathways have a ‘Falls prevention and risk assessment’ pathway which can be used to perform a multifactorial falls assessment. Objective We planned to evaluate how effectively we perform multifactorial falls assessments on the Older Persons Acute