Posters

Introduction Delayed discharge worsens patient outcomes, increasing risk of hospital associated infections and reducing patient flow. Criteria-Led Discharge (CLD) enables multidisciplinary teams (MDT) to discharge patients once predefined clinical criteria are met, without needing a final senior clinician review. This quality improvement project evaluated CLD documentation and its association with discharge 24-48 hours later, staff awareness and barriers to CLD use. Method A Plan–Do–Study–Act cycle was completed across the Acute Medical Unit, Acute Medical Assessment unit, Medical Short Stay

Introduction Falls in older adults are a common Emergency Department (ED) presentation associated with significant morbidity and an estimated prevalence of 26.5% within this population. ¹They may indicate reversible underlying medical, cardiac, neurological, or medication-related causes. National guidance recommends assessment including observations, electrocardiography (ECG), lying and standing blood pressure (LSBP), and delirium screening. ² Completeness of this assessment can be challenged by the ED setting. This quality improvement project aimed to evaluate baseline practice and improve

Introduction: The Comprehensive Geriatric Assessment (CGA) is a cornerstone of good quality geriatric medical care. It enables identification of the medical, functional, cognitive and social needs of older people accessing healthcare. Frailty post-take ward rounds (PTWRs) provide an important opportunity for geriatricians to establish and record components of the CGA. We aimed to assess the documentation of selected GCA domains during frailty PTWRS and improve their completion through specific interventions. Method: A two-cycle quality improvement project was conducted over a six-month period

Introduction Community-acquired pneumonia is a common cause of hospital admission and is associated with significant morbidity and mortality. National guidance recommends repeat chest x-ray 6–8 weeks after the initial diagnosis to confirm radiological resolution and exclude underlying pathology. A local audit was undertaken to assess compliance with these recommendations. The findings identified deficiencies in the follow-up process, resulting in missed opportunities for repeat imaging and highlighting an important patient safety concern. Methods A local quality improvement project was

Introduction: Collateral history is a cornerstone of comprehensive geriatric assessment, particularly in patients with frailty, delirium, or cognitive impairment where self-reported information may be unreliable. Failure to capture baseline cognitive, functional, and social status can compromise diagnostic accuracy, delay discharge planning, and hinder multidisciplinary decision-making. Despite its clinical importance, collateral history documentation is often inconsistent. This quality improvement project aimed to improve the completeness, accessibility, and standardisation of collateral

Introduction: Frailty is associated with falls, hospitalisation, functional decline and mortality, but routine frailty assessment is rarely embedded in primary care. Early identification enables proactive, person-centred interventions. This quality improvement (QI) initiative aimed to implement routine Clinical Frailty Scale (CFS) screening for patients aged ≥65 years and evaluate its impact on frailty identification and delivery of evidence-based frailty care. Methods: A before-and-after QI initiative using three Plan–Do–Study–Act (PDSA) cycles was conducted in a family medicine clinic. The

Introduction Falls in hospitalised older adults are a major cause of morbidity, prolonged hospital stay and increased healthcare costs. NICE guidelines recommend multifactorial falls risk assessment (MFRA) and structured post-fall management to reduce fall-related harm. This audit evaluated compliance with MFRA and post-fall management following inpatient falls in a UK district general hospital. Method A retrospective clinical audit was conducted at Luton and Dunstable University Hospital. All inpatient falls resulting in harm during 2025 were included. Data were collected from electronic

Introduction: Daridorexant is a dual orexin receptor antagonist approved for the treatment of adult patients with chronic insomnia. Following single-dose administration at bedtime to healthy younger adult and older adult (≥65 years) subjects, pharmacodynamics and safety were investigated in the middle of the night after forced awakening to a noise stimulus. Methods: Double-blind, placebo-controlled, randomized, 3-way crossover study (placebo, 25, and 50 mg daridorexant in the evening) in 36 male and female young adult and older adult subjects (1:1 sex/age ratio). Four hours post-bedtime

Introduction Data analysis within the Older Person’s Unit (OPU) identified increasingly complex and physically dependent patients. Elderly Mobility Scale (EMS) lacks sensitivity in highly dependent patients, with a pronounced floor effect obscuring functional gains in those requiring two‑person assistance. We aim to identify a more accurate outcome measure (OM) for functional change in hospitalised older adults. Method This iterative project comprised: Scoping: benchmarking with 11 acute older adult wards nationally Medline-based literature search, yielding 1298 articles: 5 were reviewed

Introduction Alzheimer’s disease (AD) is biologically heterogeneous. High-dimensional omics may identify molecular strata relevant to precision medicine, but it remains unclear how studies differ in molecular inputs, computational methods, subtype outputs, and validation approaches. This scoping review mapped computational approaches to omics-driven AD and AD-spectrum subtyping. Methods A scoping review was conducted using Joanna Briggs Institute methodology. MEDLINE, EMBASE, and Web of Science searches identified 8,238 records. Two reviewers independently screened records using Covidence

Delirium is a neuropsychiatric condition commonly affecting hospitalised elderly individuals. It is characterised by acute cognitive disturbance and can present with agitation and aggression putting patients and staff at risk. Sedatives for rapid tranquilisation of agitation are not without risk in elderly populations and should be given as a last resort, at the lowest effective dose and with clear documentation of justification. This study aims to optimise these critical factors for safe rapid tranquilisation in elderly agitated patients. This study used the electronic patient record system

Introduction: In April 2025, Darlington Memorial Hospital introduced a same-day Frailty Assessment Unit (FAU) and Hospital at Home (H@H) virtual ward service, both staffed seven days a week by senior clinicians and advanced therapists. These services aimed to provide earlier comprehensive geriatric assessment, facilitate admission avoidance, and support more older adults to receive care in the community. This work built on best practice from other trusts nationally, and aims to forward the agendas of the NHS 10-year Health Plan for England and Getting It Right First Time to move care from

Background: Clinical Frailty Scale (CFS) assessment is a validated tool that supports clinical decision-making, escalation planning and holistic care for older adults. At our Emergency Department, CFS was routinely assigned at triage but was frequently found to be inaccurate when compared with consultant geriatrician assessment, potentially influencing patient management. We aimed to improve the accuracy of CFS documentation by 20% over six months. Methods: Baseline CFS scores recorded at triage were compared with the reference standard assigned by a consultant geriatrician during the post

Patients with Parkinson's Disease can deteriorate quickly without their critical medications in a timely manner. This can lead to an increased length of duration of hospital admissions and an increase in both morbidity and mortality. As a result, the Parkinson's Excellence Network recommends time critical medications must be given within 30 minutes of when they are due. Over a 24 month period, we aim to identify the barriers to this recommendation being achieved within ambulatory services such as frailty same day emergency care (FSDEC) and implement interventions to come closer to this target

Introduction: Vertebral fragility fractures (VFFs) are the most common osteoporotic fracture and are often under-recognized, leading to significant morbidity, mortality, and healthcare costs. Despite evidence-based guidance, including the GIRFT VFF Pathway, variation in assessment and management persists. This audit assessed compliance with the GIRFT pathway in various departments of a district general hospital to identify gaps in care and areas for improvement. Methods: A retrospective case note review was conducted of adult inpatients with suspected vertebral fragility fractures between 01

Introduction: Bedside teaching, involving direct patient interaction, is central to undergraduate medical education, helping students integrate clinical knowledge and build practical skills in a supported learning environment. Managing older adults with multimorbidity, frailty, cognitive impairment and functional decline require students to develop higher-level skills in history taking, examination, and functional assessment to provide safe, holistic care. However, older adults with complex presentations are underrepresented in bedside teaching, and foundation doctors often lack confidence

Introduction Orthopaedic trauma care is a key setting for acute geriatric inpatient management. Foundation Year One (FY1) doctors on orthopaedic rotations predominantly provide ward-based care, with surgical workload analyses showing that resident doctors spend most clinical time on prescribing, multimorbidity optimisation, and discharge coordination rather than senior-led operative decision-making. In this setting, FY1 doctors are responsible for the day-to-day delivery of core orthogeriatric care, including analgesia optimisation, delirium prevention, early mobilisation, fluid management

Introduction Entries onto the Electronic Patient Record must be saved under a designated ‘Type’, selected from a dropdown menu including: Progress Note, General Clinical Note, Ward Round Note, and other options. Specialities have specific note types, such as ‘Respiratory Medicine Progress Note’. Saving entries under the correct ‘Type’ enables them to be retrieved easily when filtering for speciality-specific input. This project aimed to quantify the proportion of respiratory ward round entries saved under the correct ‘Type’ and introduce an intervention to improve this aspect of medical record

Introduction Community rehabilitation supports older adults living with frailty or multiple long-term conditions to maintain independence and remain at home. However, wide variation in outcome measurement limits comparison between interventions and evidence synthesis. This systematic review aimed to identify and categorise outcome measures used in community rehabilitation research and examine their consistency and breadth. Methods A systematic review was conducted according to best-practice guidance and registered with PROSPERO (CRD420261296268). MEDLINE, EMBASE, CINAHL, Cochrane Library, Web

Delirium affects approximately 30% of medical inpatients over 65 and has an associated mortality rate of approximately 39%. Although one third of cases are preventable, delirium remains under recognised, delaying integrated care and prolonging admissions, leading to poorer patient outcomes. Aim - to evaluate diagnosis of delirium in patients aged ≥65 with an admission 4AT score of ≥4. To improve awareness of delirium and encourage completion of a ‘delirium screen’. Eligible patients were identified across four downstream medical wards within University Hospital Ayr. Medical notes were reviewed