193 Evaluation of the ‘One-Stop Diagnostic Head and Neck Lump Clinic' At A Tertiary Head and Neck Centre

Abstract An urgent neck lump service was introduced at the Freeman Hospital (Newcastle-Upon-Tyne) in 2017. All 2-week-wait head and referrals were triaged into this service. The clinic involves clinical examination by a specialist if appropriate an ultrasound scan (USS) +/- fine needle aspiration for cytology (FNAC). This centralised system means patients can be diagnosed earlier thus receive treatment swiftly. audit aimed to primarily identify: prevalence/pick-up rate of cancer through clinicThe utilisation USS/FNACThe time-to-treatment initiation Data collated retrospectively electronic record system. initial evaluation conducted between June-November 2018 (n = 191). subsequent re-evaluation performed September-November 2019 159), following increased capacity, implementation methods increase awareness formal triage process. In over 6 months 191), 9.9% underwent USS 9.95% later date. 18% FNAC. 6.8% with cancer. mean 36 days. 3 23.2% had 30.2% 13% 9.4% 44 affirms benefits swift ‘one-stop clinic’. On average, 40-days post-review. Furthermore, even process only 1 10