Posters

Introduction: Older adults with cancer and frailty face increased hospitalisation and mortality. University College London Hospitals (UCLH) established a new Geriatric-Oncology clinic for specialist assessment and management of these patients. This evaluation examined rates of emergency department (ED) attendance, unplanned hospital admission and one-year mortality, and whether frailty was associated with these outcomes, in patients seen in this clinic. Methods: Electronic records were reviewed for attendees between January-2024 and April-2025. Spearman’s rank correlation assessed associations

Introduction Frailty is increasingly common in older age and is associated with poor outcomes including increased morbidity and earlier death. Hospitals often utilise front door frailty (FDF) teams to provide comprehensive geriatric assessment for frail patients attending emergency departments (ED) This audit relates to a FDF service which provides inreach into an ED in which advanced clinical practitioners (ACPs) review and treat frail patients presenting with medical complaints. Method All patient records of those seen by frailty ACPs between April 1st 2026 and June 30th 2026 were reviewed

This audit was conducted with an aim to improve the standard and quality of RESPECT forms on elderly care wards ensuring that appropriate advanced care plans for patients are made early and that RESPECT forms are appropriately filled out for patients based on their wishes. This audit was conducted by retrospectively reviewing the electronic patient records of 40 patients admitted to the acute elderly care wards at Huddersfield Royal Infirmary from the beginning of May to July 2025. Patients were selected using a random number generator from admissions during the audit period. Electronic

Introduction As falls in adults are such an important public health issue, wearable technology- such as lifelines- have become commonplace. However, there are reports of incidents related to pendant lifelines. This case highlights a rare but serious complication of near strangulation caused by a lifeline necklace following a fall and raises concerns on how they are worn in a frail population. Method This is a single-patient case report of an elderly, comorbid female wearing a lifeline necklace. Clinical assessment included examination, ENT specialist review with flexible nasendoscopy, and CT

Introduction Over 850000 people in the UK live with dementia. For those with advanced disease, pain cannot be reliably self-reported and requires structured assessment to be identified. Despite NICE guideline NG 97 and MFT Trust guidance, pain assessment on our geriatric wards was inconsistent, leaving the most vulnerable patients at risk of silent or unrecognized suffering. Method A baseline retrospective audit of EPIC (HIVE) electronic records reviewed all eligible admissions to geriatric wards between June and August 2025. Inclusion criteria were patients aged more than 65 years with

Introduction Delirium is a common clinical syndrome in older patients that significantly worsens hospital and long-term health outcomes. On-admission screening using the 4 A's Test (4AT) tool is recommended by NICE clinical guidelines. This quality improvement (QI) project evaluated and ensured accurate diagnostic coding while increasing documented delirium screening rates on admission at the Royal United Hospital, Bath. Methods A retrospective data review compared two-week patient cohorts from the frailty admissions team pre- and post-intervention. The baseline cycle (Cycle 1) evaluated

Introduction Advance care planning (ACP) is a patient-centred process facilitating discussion and documentation of future care preferences. Although medical graduates are expected to be competent in ACP, many report low confidence in conducting these conversations. Simulation-based teaching addresses this gap, but approaches are heterogeneous and rarely incorporate structured ACP documentation tools. We evaluated the feasibility and impact of a proforma-integrated ACP simulation programme on trainee knowledge, communication skills, and empathy. Method We conducted a single-centre mixed-methods

Introduction Advanced Care Planning (ACP), including Proactive Elderly Advance Care (PEACE) planning, is an integral part of the holistic care we provide to our population, used to anticipate health needs and record individualised care preferences. The Electronic Palliative Care Co-ordinating System (EPaCCS) is a method of capturing these preferences and making them accessible to professionals in hospital and community settings. Referrals from hospital made up 1.28% of EPaCCS referrals in Mid Essex. A driver diagram identified opportunities for improvement, including the need for staff

Background: A new guideline was implemented in Warwick to reduce unnecessary ED attendances for frail patients in the community following falls with head injuries on blood thinner medications. Prior to December 2025, patients in the community with falls and head injuries on blood thinners were typically conveyed to ED via ambulance for clinical review and CT imaging and they bypassed a review from the Urgent Community Response (UCR) Team. A new UCR Falls Response guideline was implemented from December 2025. The major change was that the UCR team were now allowed to review this patient group

Introduction Frailty is common in patients with chronic kidney disease (CKD), and their coexistence increases the risk of cardiorenal complications. Whether the cardiorenal benefits of sodium-glucose co-transporter-2 (SGLT2) inhibitors extend to patients with CKD and frailty remains unclear. This review summarised the evidence in this population. Methods We searched MEDLINE, Embase, and the Cochrane Library from inception to February 10, 2025, without language restrictions. Eligible studies were randomised controlled trials (RCTs) or observational studies of adults with CKD receiving SGLT2

Introduction Aspiration pneumonia (AP) is a common and potentially life-threatening respiratory infection that is often under-recognised in clinical practice. The British Thoracic Society (BTS) recommends early identification of aspiration risk, medication review, and antimicrobial stewardship; however, variation in clinical practice persists. This quality improvement project aimed to standardise doctor-led aspiration risk assessment and optimise antimicrobial prescribing. Method A quality improvement project was conducted across two acute care-of-the-elderly wards over four months, comprising

Introduction: Completion of geriatric medicine training (CCT) marks the transition to independent consultant practice, bringing new clinical, managerial and leadership responsibilities. We explored senior trainee and early consultant experiences of this transition to identify gaps in support and opportunities for the British Geriatrics Society (BGS) to better prepare the future workforce, ultimately improving care for older people. Methods: Senior trainees and early career consultants were invited to complete an online survey exploring their experiences of transitioning to consultant practice

Introduction: Venous thromboembolism (VTE) prophylaxis assessment is a critical but often under-prioritised aspect of inpatient care. In the community rehabilitation setting, this process is particularly nuanced: patients are often frail with complex comorbidities, many patients have had strokes and clinicians have limited information required for safe prescription of VTE prophylaxis including renal function and sufficient details of their recent admission that is more readily available in acute hospital settings. At our community rehabilitation hospital we identified low rates of VTE

Background Hearing loss associated with age or presbycusis is the most common cause of hearing loss and has adverse effects on the quality of life, communication and social functioning of the older adults. So, the present study was conducted to investigate hearing loss and its associated factors in the older adults of Amirkola city. Methods This cross-sectional study was conducted using data from the Amirkola Health and Ageing Project (AHAP). A total of 1,878 community-dwelling adults aged 60 years and older were enrolled, and participants with complete data were included in the final analyses

Falls and medicines-related harm are significant and preventable causes of morbidity among frail older adults living in care homes. Frailty is a long-term condition associated with reduced physiological reserve, increased susceptibility to stressors, and poorer health outcomes. Compared with non-frail individuals, frail residents are substantially more likely to experience falls, adverse drug events, functional decline, and hospital admissions. Polypharmacy and the use of high-risk medicines further increase these risks, highlighting the need for proactive and structured approaches to

Introduction Community-acquired pneumonia (CAP) is a common cause of hospitalisation and is associated with significant morbidity and mortality in older adults. Early management requires timely administration of appropriate antibiotics in line with local guidelines. The CURB-65 score is a validated risk stratification tool recommended by the British Thoracic Society (BTS) and National Institute for Health and Care Excellence (NICE) to guide antibiotic therapy. This audit aimed to assess compliance with national and local guidelines for documentation of CURB-65 scores and appropriate antibiotic

Introduction Pressure ulcers are a global concern, are costly and detrimental to health systems and patients. Despite there being a plethora of assessment scales and devices there is a deficit in how mobility is assessed. The devices do not differentiate between healthy, protective movement and agitated movement. Assessment scales mostly assess for immobility. There is a gap in practice where assessment is not made for the ‘high mover’ cohort within the bed/chair-fast. These patients are at risk of pressure ulcer formation. Methods An interpretivist, qualitative think aloud design. Following

Introduction: Falls are common among care home residents and can have serious physical and psychological consequences. Effective post-falls management is essential to identify injuries and prevent further falls, often requiring multi-agency collaboration. However, there is no national care home-specific guidance, with approaches typically developed locally. This study maps organisational post-falls management processes in English care homes and explores challenges to delivery. Method: An online mixed methods survey was completed by care home and healthcare staff with experience of post-falls

Introduction: Physical frailty and musculoskeletal decline are significant public health challenges in ageing populations. Although oral health and mobility are often assessed separately, the concept of sarcopenic dysphagia suggests they may be linked. Reduced mastication in older adults may shift diets away from protein-rich foods, lowering protein intake, and accelerating sarcopenia and lower-limb weakness. However, it remains unclear if oral frailty relates to specific domains of physical performance. This study evaluated whether oral frailty predicts domain-specific physical performance in

Introduction As an orthogeriatric service caring for patients >60 years who are having operative management for neck of femur fractures, our patients are a high risk group for the development of delirium. The National Hip Fracture Database recommends 4AT by the third day after surgery. Our local guidelines also recommend recording delirium assessment in a standardised EPR entry. This QIP aimed to assess compliance with both national and local guidelines. Methods In February 2026, 17 patients aged >60 were admitted to our orthogeriatric service with neck of femur fractures and were managed