Katharine Bhatt

GP Lead, The Harbour, TSDFT- delivering acute frailty care in the community. Passionate about integration & collaboration in older people's care. Views my own.

[The BMJ @bmj_latest]

"The more we outsource cognitive effort, the less we experience the friction that builds clinical intuition."

If doctors always let AI provide an answer first, they might never develop clinical reasoning skills, warns Nguyen Phu Nghia
https://t.co/B0ziMq3ms7

[UK Hospital at Home Society @UKHaHSoc]

The Journal of Advanced Home Medicine has officially launched 📢

The UK Hospital at Home Society are proud to be collaborating in the first international journal dedicated to driving research & development for #HospitalAtHome.

Access the first issue 👉 https://t.co/oxcg4Pko2i

[Alasdair MacLullich @A_MacLullich]

New review in Alzheimer's & Dementia on UTI-related delirium in dementia.

Key tension: UTIs are overdiagnosed as causing delirium.

But they're also a genuine and common trigger, especially when the patient can't report symptoms.

60-day mortality 6.31x higher. Delayed Abx treatment: HR 1.57. Abx withheld: 1.85.

We need to hold two ideas at once: stop reflexive urine-dipping AND take UTI seriously when delirium is the presenting feature.

Kim S et al. Alzheimer's Dement. 2026;22:e71184

#Dementia #MedTwitter

[Tony Avery @TonyAvery1]

Please listen to my podcast that highlights the importance of getting the balance right when considering prescribing medicines https://t.co/nM5uXcf06S @GM_PSRC @davidwebb_1 @MedicineUoN @PrescQIPP @pcpa_org @rcgp @rpharms

[British Geriatrics Society @GeriSoc]

Core20PLUS5 Framework: Reducing healthcare inequalities among older people.
This new framework from BGS aims to help identify people who have unequal access to and experience of healthcare, and to target action to counter that inequality. https://t.co/iIMcri7Lab

[Alasdair MacLullich @A_MacLullich]

🧠 Delirium affects over 25% of hospice patients, & prevalence increases as people approach end of life.

🙁 Delirium causes huge distress in patients & carers. Yet it often goes undetected. Lack of detection makes the suffering worse.

⁉️ A key reason for underdetection is the lack of validated studies of delirium detection tools.

➡️ This study in the Palliative Medicine journal tested the 4AT delirium tool in two hospices against DSM-5 reference standard. N=134: the largest validation study in an inpatient hospice.

→ Sensitivity: 89%
→ Specificity: 94%

***What makes this important?***

👉 The 4AT is a practical tool which is simple to implement. It is suited for use in patients who are fatigued, drowsy, or unable to engage in lengthy assessments. Because of the way the 4AT is scored, there are no "untestable" patients with the 4AT: every gets a score.

👉 Also the 4AT is already widely used globally, & recommended in multiple international guidelines for general hospital use, ED use, etc.

Link to the full paper in my first comment.

[Lucy Pollock @lucypgeridoc]

The level of #Frailty in #Cardiovascular trial participants isn’t always assessed w due care, so applicability to a wider popn isn’t as straightforward as some triallists would claim https://t.co/v4XzIoelpM - editorial to accompany great study by Bousetta,Hanlon et al @pash22

[The Association of Ambulance Chief Executives @AACE_org]

"Don’t let a #fall ruin your winter."

#Ambulance chiefs, emergency doctors & geriatricians urge older people to prepare now for winter weather, and issue important advice: know what to do #IfYouFall, and take simple steps to stay steady on your feet.

👉 https://t.co/kggzfccHBD

[South Western Ambulance Service @swasFT]

On dark nights, help make it easier for us to find you 👇

✅ Check that your house number can be seen from the road

✅ If safe, have someone meet our #TeamSWASFT crews outside

✅ Switch on outside and inside lights to guide crews to your door

#HelpUsToHelpYou

[British Geriatrics Society @GeriSoc]

BGS President @JKDhesi has responded to this article from @mancunianmedic, reiterating the need to support expert generalists and highlighting the need for all clinicians to have the skills to care for older people. You can read her response here: https://t.co/aAACMOBXTC

[🌟Ben Allen GP 🌟 @BenAllenGP]

⭐️What takes minutes & could save 1000s of unhelpful admissions?⭐️
I often hear (usually older) patients being told "𝐘𝐨𝐮 𝐡𝐚𝐯𝐞 𝐭𝐨 𝐠𝐨 𝐭𝐨 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥".

Which is rarely true. 1/11

[ĐulaAlićehajić-Bečić @dula79]

Very proud to have contributed towards the "Pragmatic Prescribing to reduce harm in moderate and severe frailty" led by us @GeriSoc and launched today #BGSconf endorsed by @rpharms @rcgp
@woodford_henry @TonyAvery1 @lucypgeridoc @FackrellRobin @DebGompertz @SteveTheChemist
https://t.co/Y5oAnmnghj

[Age_and_Ageing @Age_and_Ageing]

British Geriatrics Society (BGS) is the UK's first and only membership organisation for multidisciplinary professionals in healthcare for older people. Their scientific conference opens tomorrow. Register here: https://t.co/mzWZeR8Oj3 or follow #BGSconf for news. @GeriSoc

[Sarah Mistry @SarahMistryBGS]

We're sharing some useful hints and information for anyone aiming to ensure their healthcare services are well-designed for older people living with frailty and long-term conditions. Do check out these @gerisoc resources.

[British Geriatrics Society @GeriSoc]

Have you had a chance to read our report on Hospital at Home services for older people? Endorsed by the @UKHaHSoc, it explains how Hospital at Home services are provided and how they might develop in the future as a key part of community-based healthcare. https://t.co/pEZuwk39C6

[UK Hospital at Home Society @UKHaHSoc]

📣 Coming soon!

The UK Hospital at Home Society National Benchmarking Survey, the most comprehensive look at Hospital at Home services yet!

Members watch this space so you can….

➡️Tell your story.
➡️Share your model.
➡️Shape the future.

#HospitalAtHome #Benchmarking

[Duncan Burton @Duncan_CNO]

Volunteers make a huge contribution across the NHS, charities and social care. Our new NHS Volunteering website will make it easier for more people who want to give back to their local community to find and apply for volunteering roles. https://t.co/BxbNtApOzs

[Alasdair MacLullich @A_MacLullich]

Falls prevention in over 65s.

#falls

[Alasdair MacLullich @A_MacLullich]

☑️ New research in @Age_and_Ageing

⭐️The 4AT is more than a #delirium tool: a score of ≥1 has an 87% sensitivity for known #dementia in older hospital patients.

➡️ Could assist in identifying dementia in hospital inpatients.

#medtwitter

Link below 👇

[Katharine Bhatt @kathbhatt]

Working with social care to tackle this is a brilliant initiative...huge potential!