Posters

Introduction: Perioperative care for Older People undergoing Surgery (POPS) services embed Comprehensive Geriatric Assessment and optimisation (CGA) within surgical pathways to improve perioperative outcomes for older adults. POPS-SUp is a hybrid implementation-effectiveness study examining national scale-up of POPS services. Effective implementation requires knowledge mobilisation. The POPS-SUp study team utilise the NHS Futures Workspace to share resources with study sites. Social media is used to signpost stakeholders to resources but is often underutilised in healthcare. This project

Introduction: Traumatic brain injury (TBI) is a significant cause of morbidity and mortality globally, most precipitated by falls in older adults (1). Beyond immediate risks, venous thromboembolism (VTE) represents a significant yet preventable complication in affected patients. A key challenge is determining the best time to initiate pharmacological thromboprophylaxis in TBI patients due to the risk of progression of the intracranial haemorrhage. Previous studies suggest early initiation (24–72 hours) may be safe and beneficial (2). We conducted a retrospective review to evaluate our current

Introduction Falls, boredom and unhappiness are issues faced by residents in UK carehomes. A 6-week exercise programme was hypothesised as a strategy to combat these issues. Method 6-week seated exercise programme was devised and delivered at a local carehome. Two sessions were created using modified strength based exercises to activate all major muscle groups. Each session was delivered three times. Outcome measures included a qualitative survey completed before and after the intervention, time to stand TTS (seconds) and falls data. Results Before the programme, 10% (n=1) were unhappy, 40% (n

Introduction: Corridor care disproportionately affects patients living with frailty and has become a growing challenge within our Emergency Department (ED). It is widely acknowledged to be unsafe, undignified and unacceptable. To improve patient flow and reduce corridor care, we sought to better utilise our Frailty Same Day Emergency Care (FSDEC) unit by proactively identifying suitable patients for early transfer. At the time of the project, FSDEC operated Monday–Friday, 9am–5pm, with medical and nursing support but no dedicated therapy input. Methods: Awareness of FSDEC was increased through

Coexistence of Orthostatic Hypotension and Refractory Hypertension in Diabetic Cardiovascular Autonomic Neuropathy: A Therapeutic Dilemma Background: Diabetic cardiovascular autonomic neuropathy (DCAN) is an under-recognised complication of diabetes that can cause profound cardiovascular dysregulation. The coexistence of severe orthostatic hypotension (OH) and supine hypertension (SH) presents a major therapeutic challenge, as treatment of one condition may exacerbate the other. We present a case illustrating the severe functional and end-organ consequences of this autonomic disorder. Case

Introduction: Oral frailty has been associated with cognitive decline and impairment in older adults. Physical performance is another well-established correlate of cognitive function alongside demographic and psychosocial factors. However, it remains unclear whether oral frailty provides information beyond these established measures. We therefore examined whether oral frailty contributed additional explanatory value to cognitive performance, beyond demographic, psychosocial and physical-performance factors, in community-dwelling older adults. Methods: A cross-sectional analysis was conducted

Introduction: Dementia is a major public health concern. However, research shows that awareness of dementia amongst the general public is often poor, and that dementia stigma and misconceptions are common. This could impede dementia recognition, disclosure, and help-seeking. Evidence suggests that men may hold more stigmatising views of dementia than women, yet there is a lack of qualitative research focusing on male attitudes. Therefore, this qualitative study aimed to provide an in-depth exploration of male perceptions of dementia. Method: Semi-structured interviews were conducted with 12

There is a growing population of older adults undergoing surgery later in life. This group tends to have more complex medical backgrounds as well as being frailer and prone to poorer post op and functional outcomes. Prehabilitation is not a new concept and has been shown to increase outcomes within populations in cancer care and surgical pathways, however there is limited evidence evaluating prehabilitation specifically for older adults undergoing surgery. Therefore, we set out with the aim to introduce a prehabilitation programme within our current perioperative care for the older person

Introduction Older people are vulnerable to antimicrobial-related harm owing to frailty, polypharmacy, acute kidney injury, Clostridioides difficile infection, and drug interactions. National guidance recommends documenting the indication and stop/review date for all antimicrobial prescriptions to support antimicrobial stewardship. With the transition from paper drug charts to electronic prescribing, documentation of antibiotic indication within prescribing notes (P-notes) is no longer routinely prompted, increasing the risk of inconsistent documentation. We aimed to improve documentation of

Quality, Content and Readability of NHS Delirium Information Resources: A Cross Sectional Study Introduction Delirium is a common and distressing clinical syndrome with significant consequences for patients and families. Clear written information can help people understand the condition, recognise its symptoms, and know what support is available. This study assessed the quality, content, and readability of publicly available NHS delirium resources in England. Methods A cross sectional review was conducted using structured web searches in August 2026. English language resources produced by NHS

Introduction Older people >65 years admitted to acute medical services may receive care inconsistent with their preferences when emergency treatment plans are incomplete. ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) supports personalised emergency care planning and shared decision-making. We identified inconsistent ReSPECT and Clinical Frailty Scale (CFS) documentation and aimed to improve completion and quality to ensure elderly patients admitted must have a ReSPECT plan and CFS in place in case of emergency situations. Methods Baseline data were collected over 2 months

Background: Newly qualified Foundation (F1) doctors frequently care for older people and encounter delirium, mental capacity assessments, deprivation of liberty safeguards (DoLS) and end-of-life care. A pre-induction needs assessment suggested a mismatch between anticipated and subsequently valued learning needs: F1s predominantly requested acute scenarios including cardiac arrest, A–E assessment, and airway management. This informed a quality improvement intervention exploring whether less acute but commonly encountered scenarios were valued alongside acute emergency training. Aim: To improve

Introduction Call to action: a five nations consensus on the use of intravenous zoledronate after hip fracture provides a compelling argument for the use of IV zoledronate as first line antiresorptive therapy for patients with neck of femur fracture. Historically, North West Anglia Foundation Trust’s zoledronate administration rate has lagged behind other trusts. Method Between October 2025 and January 2026, we deployed the following strategies to embed change: IV zoledronate kept as stock drug on the ward. Patient’s bone health status (zoledronate needed) highlighted every board round from

Introduction Peripheral venous cannulas are invasive devices associated with phlebitis, local infection and bloodstream infection. Older people may be vulnerable because of frailty and multimorbidity. Safe cannula care requires reliable documentation, Visual Infusion Phlebitis (VIP) monitoring and reassessment of clinical need. This audit evaluated whether embedding cannula review into ward processes could improve safety on an older people’s medicine ward at St James’s University Hospital, Leeds. Methods A two-cycle clinical audit was undertaken in October 2025. Cycle 1 reviewed 39 inpatients

Introduction Pneumonia is a common complication following neck of femur (NOF) fracture and is associated with increased morbidity, prolonged hospitalisation and mortality. Following a previous prospective audit identifying pneumonia as a major contributor to increased length of stay, chlorhexidine mouthwash was introduced into the electronic NOF admission prescribing bundle. This quality improvement project evaluated its impact on pneumonia-related outcomes. Methodology A two-cycle prospective quality improvement audit was undertaken. Cycle 1 included 65 consecutive patients admitted with NOF

Introduction Osteoporosis is an asymptomatic chronic condition, often undiagnosed until a fragility fracture occurs. It is diagnosed through bone mineral density (BMD) using DEXA scans, however risk assessment tools such as the FRAX risk score can predict absolute risk of major osteoporotic fractures. This quality improvement project aims to improve FRAX score documentation in elderly patients admitted with falls. Methods A pre-interventional retrospective analysis of patients aged ≥65 years female >75 years male with a Clinical Frailty Scale (CFS) ≥5 as per the NICE Osteoporosis - prevention

Introduction Older adults living with frailty are at increased risk of problematic polypharmacy, adverse drug reactions and medication-related harm. Structured medication review (SMR) is recommended to support medicines optimisation but evidence supporting pharmacist-led SMR within acute secondary care remains limited. This evaluation assessed the impact of introducing a specialist pharmacist-led SMR service within an acute orthogeriatric setting. Method A retrospective quasi-experimental service evaluation with a non-randomised control group was conducted at a UK district general hospital

INTRODUCTION Clinical Frailty Scale (CFS) is a validated 9-point scale for assessing frailty, with higher scores associated increased risk of injurious falls, morbidity, prolonged hospitalization and death. Individuals with CFS 4 represent a heterogenous pre-frail group, making risk stratification challenging. Falls are a key adverse outcome that often precedes functional decline. This study aimed to identify predictors of falls in community-dwelling older adults with CFS 4. METHODOLOGY A retrospective study included community-dwelling adults aged ≥65 with CFS4. Demographic, nutritional, and

Introduction The British Geriatrics Society and Vascular Society recommend regular multidisciplinary team (MDT) discussions to improve care. Frailty affects approximately one-third of Vascular Surgery (VS) inpatients at GHNHSFT, yet the ward lacked a regular MDT meeting. Using a structured MDT board round, this quality improvement (QI) project aimed to improve frailty identification and management, to reduce median length of stay (LOS) for VS inpatients by 10% over six months. Methods Using QI methodology, four key drivers were identified: early frailty identification, proactive discharge

Introduction People with learning disabilities (LDs) experience significant health inequalities and poorer health outcomes. Communication difficulties and failure to provide appropriate reasonable adjustments may contribute to avoidable harm. The Learning from Lives and Deaths (LeDeR) programme identifies communication and reasonable adjustments as areas requiring improvement. The NHS Accessible Information Standard (AIS) requires healthcare organisations to identify, record, flag, share, meet and review patients’ communication needs. This quality improvement project aimed to improve the