139 Absence of Coding in an Outpatient Paediatric Orthopaedic Department – Where Does the Money Go?

Abstract Aim Paediatric orthopaedics conditions are often managed in the outpatient department (OPD) setting. Due to lack of official coding for these minor procedures our OPD, hospital receives neither financial benefit nor evidence a formal auditing process. With Get It Right First Time (GIRFT) report underway, we have looked at building pathway paediatric interventions OPD. Method The number orthopaedic were collated and grouped 6-month period, clinical outcome form was created accordingly. After consulting with department, cost analysis prospective earnings conducted, as well comparisons current standard tariff rates OPD attendance. Results From January 2021 June 2021, 100 performed breakdown of: 21 clubfoot serial casting, 70 casting pathology such tip toe walkers, 6 Botox injections spastic contracture limbs 3 Pavlik harnesses developmental dysplasia hip. assistance new procedural 14 relevant listed. A loss £6110 calculated due being solely attendance based compared interventional based. Conclusions should outcomes place each intervention that is ensure trust appropriate commission audit trial can be produced.