Posters

Introduction: Delivering compassionate, patient-centred care at the end of life requires internal medicine trainees to demonstrate effective communication, ethical decision-making, and multidisciplinary teamwork. Simulation-based education offers a safe, structured environment to practise these skills and reflect on their ethical dimensions. Method : A survey was conducted before and after the simulation session. This survey evaluated the impact of simulation-based training on internal medicine trainees interpersonal, ethical, and collaborative competencies in end-of-life (EOL) care for older

Simulation-Based Training to Enhance Medical trainees Communication, Ethical Reasoning, and Teamwork in End-of-Life Care I Bargaoanu1; A Fletcher1; W Lea2; M Cullen2 York and Scarborough Teaching Hospital Foundation Trust Introduction: Delivering compassionate, patient-centred care at the end of life requires internal medicine trainees to demonstrate effective communication, ethical decision-making, and multidisciplinary teamwork. Simulation-based education offers a safe, structured environment to practise these skills and reflect on their ethical dimensions. Method : A survey was conducted

Background Delirium is an acute neuropsychiatric syndrome characterised by fluctuating cognition, consciousness, and attention, affecting up to 55% of older inpatients. It is associated with falls, prolonged admission, functional decline, mortality, and long-term cognitive impairment. Environmental factors such as disorientation, sensory deprivation, noise, disrupted sleep, and poor lighting increase delirium risk, particularly among frail or cognitively impaired patients. NICE CG103 recommends orientation aids (clocks, calendars, signage, lighting, and family contact) as key delirium

Introduction Poor sleep in hospitalised older adults has been associated with functional impairment, decreased cognitive functioning and increased mortality risk. There is a paucity of studies objectively measuring the sleep patterns of older adults throughout the course of an acute health event and/or hospitalisation. This study aims to objectively evaluate sleep patterns of hospitalised older adults in an acute geriatric inpatient unit using sheet-shaped body vibrometer (SBV), explore the incidence and clinical characteristics of hospitalised older adults with sleep disturbances, identify

Introduction Continuous glucose monitoring (CGM) is transforming diabetes care and its access should not depend on age, ethnicity, or socioeconomic status. Updated NICE guidance in 2022 expanded NHS funding to include people with type 2 diabetes mellitus on insulin who meet certain criteria. Emerging evidence indicates that older adults are significantly less likely to be offered CGM. We aimed to systematically review prescribing of CGM in older age groups compared to younger ones. Methods PROSPERO registration: CRD420251104079 Databases: PubMed, Web of Science Inclusion criteria: studies that

Introduction Frailty is associated with adverse surgical outcomes1. Prolonged surgical waiting lists risk progression of frailty in older adults. This study evaluated changes in clinical frailty scale (CFS) over 12 months among individuals remaining on a surgical waiting list and explored whether involvement of a geriatrician led Perioperative care for Older People undergoing Surgery (POPS) team influenced frailty progression. Methods Patients over 65 years of age on a single trust general surgical waiting list were asked to self-report their CFS via a digital platform. Patients with CFS score

Introduction Resuscitation status is frequently not considered, resulting in CPR being performed when it may not be in a patient’s best interests and limiting opportunities for patients/families to express their wishes. Even when a do not resuscitate (DNR) decision is made, forms are not always uploaded to electronic systems, leading to repeated discussions and periods during readmission when no DNR is in place. Aim: This QI project in the orthogeriatric department at Forth Valley Royal Hospital (FVRH) aimed to: Increase consideration of resuscitation status to >90% of patients. Increase the

Introduction: At our Trust a single Parkinson’s Specialist nurse manages a caseload of around 900 outpatients living with Parkinson’s in conjunction with a team of consultant neurologists. It is estimated around 60% of patients living with Parkinson’s will fall each year and patients living with Parkinson’s are known to be at higher risk of osteoporosis and osteopenia. A proportion of these patients will be living with frailty. In order to reduce harm, manage frailty and reduce unplanned hospital admissions we would suggest a more holistic assessment from a geriatrician may be beneficial for a

Introduction The Queen Elizabeth Hospital (QEH), King’s Lynn serves a population of around 331,000 people. There has been exponential growth in the percentage of the population who are aged 65+. The RCP recognises that older people with complex needs would benefit from prompt review by specialist geriatric teams, and the BGS recommends that there is a role for a dedicated geriatrician embedded within assessment units focusing on frail older people. We implemented a number of pilot studies between 2021-2024, however, none provided sustainable excellent care models for frail patients. As such

Introduction Our movement disorder service provides care for people living with Parkinson’s across 4 boroughs and 2 acute hospitals. There are predicted to be 1,671 people living with Parkinson’s in our area1. Foslevodopa-foscarbidopa is indicated for the treatment of advanced levodopa-responsive Parkinson’s with severe motor fluctuations when available combinations of medications have not given satisfactory results and apomorphine or deep brain stimulation (DBS) are no longer effective or not appropriate2. Method Our service aims to proactively identify patients who are living with advance

Introduction As part of the NHS England Ageing Well programme, social care nurses from care homes across East Kent were invited to shadow their local acute hospital frailty teams. The aims of the project were to strengthen understanding of the patient journey, enable nurses to identify transferable learning and enhance collaboration across organisational boundaries. Method Participants: Social care nurses from two care homes in East Kent. Format: One-day shadowing placements alongside the Acute Trust Frailty Team. Setting: Hospital frailty units and acute care wards. Feedback: Structured

Introduction Immedicare, a digitally-enabled, round-the-clock NHS clinical service provides remote support to care homes nationwide, with approximately a quarter of clinical consultations pertaining to falls. Falls in older people are often multifactorial, with medication being a significant modifiable risk factor. In July 2024, Immedicare’s pharmacy team launched a targeted, remote falls medication review service (FMRS) to support residents who had fallen and were prescribed at least one medicine identified as contributing to falls, according to the STOPPFall tool (Seppala et al, A&A, 2021)

Introduction Acute kidney injury (AKI) is common in hospitalised older adults and associated with increased mortality, prolonged length of stay and preventable harm. NICE NG148 and Trust AKI guidelines outline essential early management standards. This project aimed to improve compliance with these standards in medical inpatients at Good Hope Hospital, with a focus on older adults. Method This QIP used a Plan-Do-Study-Act (PDSA) approach and was conducted on general medical wards. Cycle 1 involved retrospective review of 30 adult inpatients with KDIGO-defined AKI alerts over four weeks (April

Introduction The number of people aged 60 years and over from ethnic minority backgrounds in the United Kingdom has increased by approximately 80% since 2011. Despite the principle of universal access within the National Health Service (NHS), this population experiences persistent inequalities in diagnosis, prevention and specialist care. Evidence addressing the intersection of ageing and ethnicity remains fragmented. This review mapped barriers and facilitators to healthcare access for older ethnic minority populations in the UK. Methods A scoping review was conducted using the Arksey and O

Background: Falls are a serious concern for people with Parkinson’s disease (PD), often leading to hospitalisation, dependence and reduced quality of life. Effective fall management requires identification of those at risk. Although many clinical and mobility-related outcomes have been linked with falls, it remains unclear which selection of outcomes best discriminate fallers from non-fallers. Methods: Participants with PD were recruited as part of the ICICLE-GAIT study. Data presented are from the 54-month and 72-month follow-up. Participants were stratified into fallers and non-fallers based

Introduction: People living with advanced Parkinson’s Disease (PD) and Atypical Parkinsonian Syndromes (APS) often experience reduced mobility. This may result in difficulty attending specialist outpatient clinics, and consequently reduced access to review potentially complex symptoms. Therefore, there is a potential unmet need for people living with these conditions to have ongoing specialist medical input in community settings. Objectives: To record common interventions and outcomes following a Parkinson’s Disease Fellow Home visit. Method: People identified for a Home visit by a PD Multi

Introduction Comprehensive geriatric assessment (CGA) should be performed in all patients admitted to a specialist frailty unit. All interventions should be documented and communicated to community teams to allow continuous and safe care. A lack of CGA documentation was highlighted on our hospital discharge summaries. Method A discharge template was designed to include eight key aspects of CGA, including clinical frailty score (CFS), functional assessment, medication review, cognition, continence, bone health, postural blood pressure and advance care planning (ACP). We collected baseline data

Background Parkinson's disease (PD) is recognized as one of the most prevalent neurological disorders globally [1]. Despite its widespread incidence, there remains a significant gap in the understanding of PD, particularly concerning its risk factors [2]. We set out to catalogue the risk factors patients with Parkinson’s Disease (PD) are exposed to. The Transforming Parkinson’s Care in Africa (TraPCAf) initiative is a collaborative research effort, which aims to address various facets of PD [3]. Multiple risk factors for PD have been established across various regions of the world. Newer

Background Parkinson’s disease (PD) results in a 2-to-4-fold higher risk of hip and fragility fractures due to osteoporosis, falls, and motor dysfunction. Fractures in this group often cause loss of mobility, extended admissions, and higher mortality. Despite these consequences, bone-health assessment is inconsistently incorporated into routine PD care. Introduction The local analysis of 100 patients at York Hospital during the 2025 Parkinson’s UK audit, revealed bone health was considered in 10% of cases, compared with a national figure of 63% (2022 data for comparable services; p < 0.001)

Introduction Patients with Parkinson’s Disease (PD) frequently experience delays or missed doses of time-critical medications, leading to worsened symptoms and prolonged stays. This issue is thought to be partly due to gaps in doctors’ knowledge and prescribing practices. Therefore, this project uses a survey to assess staff knowledge and practices and identify gaps in managing Parkinson’s medications in acute and complex clinical scenarios. Methods: A questionnaire was distributed to 26 doctors across adult medical wards and the Emergency Department, including consultants and trainees. The