Four participants were lost to phone follow-up at one week and a further five were 'thanked and discharged' as they had not triggered any of the categories during screening. Of the remaining participants, five had taken action as a result of the study and others had plans, all relating to dental appointments. Follow-up is ongoing and due for completion in March 2020. Conclusion The PED offers an underutilised opportunity to deliver public health interventions. Findings from this study will be used to refine the intervention before an assessment of its effectiveness is made, using an appropriate study design.

appendicitis. Development of the pathway focus on adolescent females, adapting the score to differentiate tubo-ovarian pathologies and interpreting PAS sore with clinical relevance when assessing septic children.

gestation. The diameter of the hair in these children is smaller than in those born on time. That is, structural and morphological immaturity of hair, deficiency of nutrients involved in its formation may be one of the factors of premature birth.

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Compared to the non-track process, the ASD track achieved 1) reduced default rates of 17.7%, 2) 45% reduction in psychological assessment duration, 3) 64.4% reduction in wait time for psychological assessment, 4) 63.3% reduction in ASD psychological assessment cycle time, 5) 32.8% reduction in ASD diagnostic process cycle time, 6) 28.1% reduction in clinic time usage, 7) enhanced case management and delivery of interim intervention services in family-centred manner.(Illustration -Improvements of ASD Track from Old Process) Conclusions The ASD track improved the diagnostic process and delivery of interim intervention service for Autism Spectrum Disorder in our department. There has been a sharp increase in short-term paediatric admissions over the past decade. Not only is this costly, but could also be detrimental to the children's health; increasing the risk of hospital acquired infections and impacting on their psychological welfare. G457(P)WOULDThe Royal College of Nursing states that 'every child and young person has the right to expect care to be provided at home unless they need to be admitted to a hospital environment' (2009). The aim of this paper was to determine whether any patients either admitted from Children's A&E or invited to attend a Consultant/SpR led follow-up clinic would have been suitable for discharge and subsequent care at home by children's community nurses. Data was taken from emergency admissions from Children's A&E into the general paediatric ward for the period 1 st May to 30 th June 2014 (n = 114) and attendees to a Consultant/SpR led follow up clinic in paediatric A&E from 1 st June 2014 to 30 th June 2014 (n = 55). It was found that 13% of admissions audited would have been suitable for care in the community, equating to 15 patients (Figure 1). An additional 25 patients invited to the follow up clinic would have also been suitable for community care (Figure 2). The skills required from the CCN's were identified; medication administration, recording observations, reassuring and advising patients, performing investigations, changing dressings and relaying test results.This audit identified an unmet need and showed that the introduction of a CCN service could reduce the number of acute hospital admissions as well as decrease the number of children returning to an A&E review clinic. Introduction Unintentional childhood injury is a major public health problem associated with significant mortality. In Gloucestershire there have been several fatal accidents among children related to heavy furniture, blind-cords and nappy bags as well as potentially harmful practices such as co-sleeping. In recent years, UK injury prevention programmes have halved the number of childhood accidental deaths. There is evidence that communitybased campaigns encourage positive behavioural change and can potentially reduce the number of injuries requiring medical attention. Our aim was to explore carer awareness of four specific hazards (nappy sacks, cord blinds, co-sleeping and heavy furniture) linked to paedi...