Posters

Introduction Early mobilisation following hip fracture surgery is a key determinant of better health outcomes and reduced mortality. However, high levels of postoperative pain and inconsistent analgesia administration were noted as barriers to mobilisation on our dedicated femoral fracture unit. This quality improvement project aimed to understand pain and analgesia on the unit, and in doing so, target better pain relief to improve outcomes through optimised engagement with therapy. Methods Baseline data were collected on 26 post-operative patients to assess subjective pain scores (or Abbey

Background Falls are a leading cause of morbidity among older people living in care homes. The Action Falls programme includes a multicomponent falls risk assessment checklist and guidance on mitigating actions. It demonstrated a 43% reduction in falls in a clinical trial. Initially developed as a paper-based tool embedded within care plans, Action Falls faced limited adoption when adapted as a standalone digital version. Care homes indicated they could not implement digital checklists that operated outside their electronic care planning systems. Since the COVID-19 pandemic, the Digitising

Introduction Frailty is a strong prognostic predictor. By incorporation routine frailty scoring as part of routine primary care this can help as guide to clinical teams Method In 2021 we recognised that our we needed to improve identification of frailty. We undertook whole team training of nurse, GPs and Health Care Assistants , and incorporated scoring the Rockwood Clinical Scale as a routine part of regular chronic disease reviews and template for those over 80. An alert was added on the clinical system to highlight last Rockwood score or where this remained outstanding. Results In May 2020

Introduction: Falls are a leading cause of morbidity in older adults. NICE guidelines recommend that all older patients admitted with a fall undergo a vision assessment as part of the multifactorial falls risk evaluation. Despite this, compliance in clinical practice is often suboptimal. We undertook a quality improvement (QI) project to assess and improve adherence to this guideline at Wythenshawe Hospital. Method: A retrospective audit of case notes and electronic records was conducted over a 3-month period to evaluate the proportion of patients admitted with falls who had a documented

Introduction The Commissioning for Quality and Innovation (CQUIN) framework sets a 10% minimum and an ideal goal of 30% of acutely presenting patients over the age of 65 to receive frailty assessment scores. Early recognition of frailty helps mitigate risks such as deconditioning. This project aims to assess and improve the adoption of this standard in medical emergency admissions of a Birmingham district general hospital by working with medical admissions teams and frailty services and observing for associated outcome measures. Methodology PDSA methodology was used. Data was retrospectively

Introduction: Advance care planning is a process that allows individuals to make decisions about their future healthcare, including end-of-life care, by discussing and documenting their preferences, values, and goals with healthcare providers and loved ones. These are especially critical for patients with serious, life-limiting conditions or for frail older adults who may face unexpected health crises. It is a commonly recognised barrier to care planning however that senior doctors often do not have the time to complete it for all patients who require them and that junior doctors lack

Introduction Small, qualitative studies suggest discrepancies between older adults’ measured and self-perceived frailty. Any mismatch will have implications for frailty interventions and advanced care planning. We therefore, aimed to report the relationship between older adults’ self-perceived frailty and the Electronic Frailty Index (eFI), an objective screening tool measure of frailty, in a large, unselected cohort of older people. Method One thousand people aged ≥ 70 years, randomly selected from a single GP practice, were sent a survey, asking them to rate their own frailty using self

Introduction Lack of access to sensory aids like glasses or hearing aids, can lead elderly patients to experience disorientation, difficulties engaging with healthcare professionals, negatively impacting recovery and both patients and their next of kin’s hospital experience. These challenges, combined with a lack of staff awareness of sensory needs of patients on a busy geriatrics ward highlight the need for focused interventions. Methods This quality improvement project utilised the Plan-Do-Study-Act (PDSA) methodology over a 12-week period. Documentation of sensory impairments and aids was

Introduction Advanced care planning (ACP) is particularly relevant for those living with frailty, who are at heightened risk of sudden health changes and loss of cognitive ability. The concepts of frailty and ACP are understood differently by older adults and health care professionals (HCPs). This abstract represents the qualitative component of a mixed methods study aiming to evaluate older people’s perspectives of frailty, including how and why they build self-perceptions of frailty, and their perceptions of ACP. Method Ten community dwelling, older adults, (aged seventy years plus)

Introduction Cancer and ageing have a bidirectional relationship: age is the strongest risk factor for cancer, and cancer and treatments can accelerate ageing. Consequently, biological age of patients with cancer is likely to deviate from chronological age. Validated biomarkers of biological age are needed to quantify this and stratify interventions to minimise accelerated ageing. Methods Using the BioAge R Package, PhenoAge was calculated from eight blood test results of patients attending the Geriatric Oncology Liaison Development (GOLD) clinic at Guy’s Hospital between 2022 and 2025

Introduction Elderly inpatients are particularly vulnerable to complications from prolonged antibiotic therapy, such as adverse drug reactions, Clostridium difficile infections, and antimicrobial resistance. On the Care of the Elderly (COTE) wards at Lister Hospital, prolonged antibiotic use beyond guideline recommendations was frequently observed. This quality improvement (QI) project aimed to reduce inappropriate antibiotic durations in patients aged ≥65 using the Plan-Do-Study-Act (PDSA) methodology. Methods: Conducted on Level 9 of Lister Hospital, data were collected from four wards on

Introduction: Polypharmacy—commonly defined as the use of five or more medications—is highly prevalent among older adults and is associated with increased risks of adverse drug events, falls, cognitive impairment, hospital admissions, and reduced quality of life. Inappropriate polypharmacy, where medications provide limited benefit or cause harm, represents a significant patient safety concern. Structured medication reviews (SMRs), supported by validated deprescribing tools such as STOPP/START and Beers Criteria, are essential for identifying and addressing potentially inappropriate

Introduction: Recommendations from the revised European Society of Cardiology (ESC) guidelines (2023) have changed how we manage decompensated heart failure (HF) in acute hospitals. Adherence to ESC guidelines is associated with reduced mortality, readmissions and improved quality of life ( www.escardio.org, 2023). This audit was conducted to compare our practice against the above ESC guidelines. Method: Two PDSA cycles were completed between July 2024 and April 2025 in the Acute Frailty Unit and two Elderly Care wards. Patients presenting with decompensated HF above 65 years were included

Introduction Caring for patients with Parkinson’s disease (PD) approaching end of life (EoL) is challenging. A switch to transdermal rotigotine for dopamine therapy due to loss of an oral route can lead to delirium/agitation and several first-line symptom management medications used at EoL have anti-dopaminergic activity. Aims To analyse and improve prescribing for patients with PD at EoL in an acute hospital setting, focusing on: Dopamine replacement therapy Symptom management Methods Deaths where PD was entered on the medical certificate of cause of death (MCCD) were collated in 3 rounds of

Introduction Bone health assessment forms a standard aspect of orthogeriatric care in line with NHFD* and NOGG**. Current recommendation is to administer first dose of bone protection medication during hospital stay due to high imminent fracture risk. We identified several cases where the first dose was delayed, including near misses and adverse events with potential for patient harm. Methods A process map of 20 patients was conducted to collect data on decision-making, documentation, and implementation of bone protection plans. A staff questionnaire identified key shortcomings and areas for

Introduction: Hospitalisation of people living with dementia often leads to an increase in behavioural and psychological symptoms, a risk of poor outcomes, a higher incidence of harm, and further cognitive decline. The “This is me” leaflet was designed by the Alzheimer’s Society and, upon its completion, provides information about a person living with dementia. This helps to deliver personalised care and reduce distress and the issues associated with hospitalisation. Whilst working on the older people’s wards at Ipswich hospital, we observed a low uptake of this clinical tool. We performed a

Introduction: Falls in older people are a major public health concern causing much morbidity, mortality and cost to health and social services. Frailty and co-morbidities are important risk factors for falls and a multidisciplinary approach and geriatric services are best suited to manage older fallers. Falls clinics led by geriatricians have been developed over the last three decades. However, as there is much variation in availability of geriatric services across Europe it is unclear to what extent Falls clinics/services exist across the continent. This study aimed to assess the prevalence

Introduction Older care home (CH) residents are particularly vulnerable to infections and often experience adverse outcomes. Despite this group being prioritised for vaccination, no COVID-19 vaccine trials recruited CH residents. Given that the social and biological characteristics of CH residents may influence vaccine effectiveness, it is crucial to test vaccines in this population. Methods The Widening Access to Trials in Care Homes (WATCH) project was established to develop best practice guidance on designing and conducting vaccine trials in the CH population. As part of this project, a

Introduction Falls are a common presentation comprising 17% of all ED attendances in older people and can result in harm including fragility fractures (FFs). FFs lead to pain, functional decline, deconditioning, and high mortality. Validated tools such as FRAX can increase prescribing of antiresorptive medications (ARM), reducing harm. Comprehensive geriatric assessment (CGA) is the gold standard for assessing and managing geriatric syndromes including falls and can include fragility fracture risk assessment. Method An audit was conducted of all inpatients over one day on Colwell Ward at Isle

Background A key challenge for disease-modifying trials in Parkinson’s disease (PD) is the lack of sensitive, patient-relevant outcome measures. Digital mobility outcomes (DMOs), captured using body-worn devices, offer a novel, objective means to assess real-world gait and mobility. The Mobilise-D study validated DMOs in PD, demonstrating that the analytics software could accurately and reliably monitor mobility in the real world. However, to progress towards regulatory qualification, demonstration of responsiveness to therapy is required. The Edmond J Safra Accelerating Clinical Trials in