Compliance Audit on Diagnosis and Treatment of Folate and Cobalamin (Vitamin B12) Levels in CAMHS Transition Service at Oldham, a Full Cycle Audit

Aims To investigate compliance with British Society of Haematology (BSH) guidelines and NICE clinical summarieson diagnosis treatment folate cobalamin deficiencies in CAMHS Transition service, Oldham. Methods The standards used were based on BSH Nice summaries, targets for all 100%: 1. Haemoglobin concentration mean corpuscular volume (MCV) checked at the same time as assay serum folate. 2. Cobalamin assays should be assessed concurrently due to close relationship metabolism. 3. Treatment established deficiency follow schedules BNF. 4. All patients anaemia, neuropathy or glossitis, suspected having pernicious tested anti-IFAB regardless levels. 5. Patients found have a low level absence anaemia who do not food malabsorption other causes deficiency, IFAB clarify whether they an early/latent presentation anaemia. 6. disorders schedule 7. We reviewed open cases service Their NHS number was through pathology laboratory portal. In addition, notes Paris electronic system digital letters see if results acknowledged. initial audit period run from February 2021 April 2021.The shared Multidisciplinary Team algorithm created attempt improve practice. re-audit May 2022 July 2022. A total 80 included 25 re-audit. entered analysed our data using Microsoft excel. Results Compliance levels following: standard 1, 2 5 100%, 3 6 0%, 4 applicable. 100% Conclusion indicate that met. However, It appears implemented changes may affected outcome results. sample patient small might need repeat this cycle future remain same. physical health protocols are relevant psychiatric practice can disseminated further use.