St Josephs Hospital | Dr Inderpal Singh

Dr Inderpal Singh

Consultant Geriatrician (General Medicine and Geriatrics)

MBBS; MD (Medicine); MSc (Ageing, Health and Disease); MRCP (Geriatric Medicine); FRCP

Specialist interests

General Medicine and Geriatrics

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Conditions and treatments

Professional bio

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Professional bio

I am a Consultant Geriatrician at Aneurin Bevan University Health Board and Honorary Senior Lecturer at Cardiff University. My qualifications include MBBS, MD, MRCP (UK), MSc (Ageing, Health and Disease), and FRCP.

My special interest is to provide care to older people at risk of falls or have experienced falls previously. I can provide specialist advice for osteoporosis care and to help you minimise the risk of another fragility fracture.

I can also offer bone health assessment in case you have risk-factors like family history of fragility fracture, long term-condition like coeliac disorder, bowel disorders leading to reduced absorption, previous have both ovaries removed or have received hormonal treatment for breast/prostate cancer or taking certain drugs like steroids over longer period.

I have a special interest in osteoporosis care and can offer expert advice and treatment with specialist osteoporosis medications eg anabolic treatment (bone-forming medications). These drugs are intended to prescribe using a ‘treat to target’ approach to build bones. After the initial course of these drugs, patients need regular follow-up for ‘sequence treatment’ with other osteoporosis drugs over longer period.

How can I provide care as a Geriatrician?

• Osteoporosis care – supporting people who have had a fragility fracture (wrist, spine, arm, or hip) and helping prevent further fractures.
• Bone health assessments – checking your bone strength and helping reduce the risk of your first fragility fracture.
• Falls risk assessments – identifying what may increase your risk of falling as you get older.
• Support for balance and confidence – creating a personalised plan to improve balance and reduce fear of falling.
• Comprehensive Geriatric Assessment (CGA) – a full review of your health, mobility, memory, medications, and day-to-day needs.
• Management of general medical conditions – such as high blood pressure and other common health issues in later life.

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Research Papers

1. Jayaram S, Hlaing N, Muthukrishnan SK, Edwards C, Anwar A, Singh I . Mortality outcomes among patients admitted to an acute medical assessment unit with or without delirium. MOJ Gerontol Ger. 2025;10(2):84‒87

2. Singh I, Duric D, Motoc A, Edwards C, Anwar A. Relationship of Prevalent Fragility Fracture in Dementia Patients: Three Years Follow up Study. Geriatrics. 2020 Nov 30;5(4):99.

3. Jones L, Singh S, Edwards C, Goyal N, Singh I. Prevalence of Vertebral Fractures in CTPA's in Adults Aged 75 and Older and Their Association with Subsequent Fractures and Mortality. Geriatrics (Basel). 2020 Sep 21;5(3):56.

4. Singh I, Hooton K, Edwards C, Lewis B, Anwar A, Johansen A. Inpatient hip fractures: understanding and addressing the risk of this common injury, Age and Ageing, 2020; 49 (3): 481-486.

5. Aithal S., Sequeira R., Edwards C., Singh I., Fragility Fractures and Parkinsonism: Relationship of Fractures with Demography, Severity and Predictors of Adverse Outcomes. Geriatrics, 2017, 2 (2), 17.

6. Young C., Edwards C., Singh I., Impact of Hospital Design on Acutely Unwell Patients with Dementia. Geriatrics, 2017, 2(1), 4.

7. Singh I., Fernando P., Griffin J., Edwards C., Williamson K., Chance P., Clinical outcome and predictors of adverse events of an enhanced older adult psychiatric liaison service: Rapid Assessment Interface and Discharge (Newport). Clin Interv Aging, 2017; 12: 29–36.

8. Singh I., Fletcher R., Scanlon L., Tyler M., Aithal S., A quality improvement initiative on the management of Osteoporosis in older people with Parkinsonism. BMJ Open Quality, 2016; 5:u210921.w5756.

9. Bevan V., Edwards C., Woodhouse K., Singh I., Dignified care for older people – Mixed methods evaluation of the impact of hospital environment: Single rooms or multi-bedded wards. Healthy Aging Research, 2016; 5:13.

Book chapters

1. Singh I., (2016). Assessment and Management of Older People in the General Hospital Setting, Challenges in Elder Care, Dr. Edward T. Zawada, Jr. (Ed.), InTech, Available from: http://www.intechopen.com/books/challenges-in-elder-care/assessment-and-management-of-older-people-in-the-general-hospital-setting

2. Singh I., "Approach to Falls in the Young, Middle Aged, and the Elderly." In: Prabhakar, S. and G. Singh, editors. Differential Diagnosis in Neurology. 1st ed. New Delhi: Jaypee; 2016. p. 281-86. Print.

My research and how it benefits my patients

Alongside my full-time NHS clinical work, I focus on improving services for people at risk of osteoporosis and falls. My aim is simple: to diagnose osteoporosis, often a hidden condition earlier and prevent avoidable fragility fractures.
In 2021, I developed a new digital system that automatically picks up the word “fracture” from X-ray, CT and MRI reports. This has transformed how quickly we can identify patients with possible osteoporosis.

What this means for patients:

• Earlier diagnosis: more people with bone weakness are identified before they break another bone.
• Better prevention: faster referrals and stronger care pathways reduce the risk of future fractures.
• Proven results: fracture identification increased from 875 patients in 2021 to 2,638 in 2024—one of the highest improvements in Wales.

My work has been recognised nationally and internationally, including awards from NHS Wales, Osteoporosis UK, and publication in respected medical journals. I have written 68 publications, delivered keynote talks, led national conferences, and helped bring £1 million of investment to expand specialist osteoporosis services across Wales.

For patients, this means you are seen by a doctor who is not only clinically experienced, but also actively improving how osteoporosis and falls care is delivered across the country.

Teaching and Training

I am an experienced medical trainer. From 2015 to 2025, he served as the Training Programme Director for Internal Medicine in Wales. In this role, I have worked with Health Education and Improvement Wales (HEIW) to improve how doctors are trained and to introduce new national training programmes. This helped ensure that future doctors receive high-quality education and are well prepared to care for patients.