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decrease in socialisation and interaction of young people during this period but worrying is the increase in the proportion seen who were defined as under 16 years of age and siblings. The impact of lockdown, restrictions on movement of young people outside the home and the increase use of the internet with its potential exposure to pornography are all hypothesis to explain this trend. However, further analysis of data is required over a longer time span to see the real impact of the pandemic on CYP.Despite the decrease in absolute numbers, there remains concern of the hidden harm experienced by children and young people and every effort made to have support in place for disclosure.

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Questionnaires responses from junior doctors and biochemistry laboratory staff indicated dis-satisfaction with the established system due to inefficiency.These findings were discussed locally by the QIP working group and presented at divisional management level in the NHS trust. Impact Positive impacts:. Reduced workload for both clinical and laboratory staff . Potential reduction in blood tests for patients due to increased ease of adding on requests Challenges and opportunities:. Design of the electronic patient record change with a focus on clarity and user-friendliness . Interface with the biochemistry IT systems and usability in the lab; training of lab staff and addressing technical or process errors . Culture change to adapt to new process, achieved through frequent multisite meetings with stakeholders Abstracts