Abstract Background Social work psychosocial assessments highlighted an elevated prevalence of patients experiencing low mood, isolation, and the impact of their hospital admission. Groupwork is an effective evidenced based social work tool. As psychological factors can impact acute and longer-term recovery, peer support groupwork was piloted to address these issues. This research aims to determine the success of the inclusion of social work facilitated peer support groupwork within the orthopaedic geriatric rehabilitation setting. Methods One pilot and three peer support groupwork sessions were held with 4-6 participants per group. Patients were identified with support from multidisciplinary team colleagues. Patients were over 65 years of age, medically stable and were an inpatient on the orthopaedic rehabilitation ward without any contraindications to attendance. A patient led thematic approach informed each session. Structured feedback forms were given to all participants which provided both quantitative and qualitative data. Results 100% of patients found that peer support groupwork was a beneficial addition to orthopaedic rehabilitation. Patients recognised the benefit of sharing their experiences and emotions with one another. 95% of patients said that they would reattend and many recognised the motivating influence of this forum. 17 out of 19 patients found that the peer support groupwork directly improved their mood. An incidental finding determined a better understanding of the patient and assisted social workers in identifying patients who required more focused holistic support. Conclusion Social work facilitated peer support groupwork assists in motivating and improving the mood of older adults engaging with inpatient orthopaedic rehabilitation. It was a resource efficient method which improved the psychological factors experienced by older adults in this setting. The patient led approach and careful consideration and planning generated the groups’ success. This approach has numerous benefits to the overall patient experience and has scope to be utilised within other gerontological settings.