305 Improving Clinic DNA Rates with a Patient Initiated Follow Up Pathway: A Cohort Study

Abstract Introduction A Patient Initiated Follow-Up (PIFU) pathway was implemented in 2019; this enabled patients with specific plastic surgery trauma diagnoses to request a consultant clinic review within 3 months, without routine follow-up appointment being made. PIFU aims reduce ‘did not attend' (DNA) rates line the Royal College of Surgeons England Outpatient Clinics Guide. Aim To assess impact on DNA clinics. Method prospective cohort study outpatient undertaken (1st January–31st October 2021) and compared data held for pre-PIFU January–30th June 2018); inclusion dates 2021 were extended achieve comparable sample sizes patient numbers routinely booked into collected from hospital database. Data analysed using IBM®SPSS®. The Kolmogorov-Smirnov test performed population distribution, Chi2 used compare categorical data. Results total 1702 included study. Pre-PIFU, there an 18% (149/823) rate (31.4 years ± 18.45 years) (mean age SD) Consultant follow-up. Post-PIFU, 9% (77/879) (31.1 20.77 This represents significant reduction by (Chi2=7.49, p<0.01); non-operatively managed hand fracture most frequent non-attenders. Conclusions has significantly reduced rates.