113 Developing the neurology referral process at a district general hospital

Introduction Despite neurological presentations accounting for around 15% of all hospital admissions, data on inpatient referrals to neurology is limited. 1,2 Early intervention from a neurologist can improve clinical outcomes and reduce readmissions.3 Therefore, it is important that referral processes are reviewed and developed to improve clinical effectiveness Methods The study aimed to identify reasons for referral to neurology in addition to outcomes of the referral. 50 consecutive referral forms from February 1st 2019 were reviewed to collect data. Results Most common reason for referral was for advice on management of a long-term neurological condition (n=15, 30%), followed by new onset seizures (n=11, 22%) and focal neurological deficits (n=11, 22%). Referrals commonly resulted in further imaging (n=17, 34%) and investigations (n=17, 34%), followed by medication advice (n=16, 32%). Discussion Neurology services are used for both input on acute management of a new neurological presentation and advice on management on chronic neurological conditions. Seizure management is common in both categories. Referrals commonly result in requests for further investigations, however, it is perhaps less commonly documented when further tests are advised against. Overall, the neurology referral form could be adapted to reflect the above conclusions, to increase efficiency of the service. Loredana.kent@nhs.net