1276 Strive to prescribe and do no harm

Abstract

across all four criteria was achieved for 13% of patients attending the clinic from our baseline measure of 10%. Conclusion Introducing frequent, small change ideas through PDSA cycles allowed us quickly to identify our most successful interventions to address the frustration surrounding communication breakdown shared by all service users. This process will also be useful in the induction of new trainees managing the clinic. Targeted interventions resulted in a safer, more efficient service. Ongoing feedback continues to guide strategies for change as we strive towards improving the quality of post-discharge care for children and young people. Future work will focus on capturing patient experience and improving patientcentred outcomes.