ThTP8.7 Streamlining ambulatory management of emergency general surgery

Abstract Aims There is a trend to increase ambulatory management of general surgical patients, both improve the experience and outcomes for as well reduce need inpatient beds. Prior 2019, our trust had no service; during 2019 clinic was opened, which located remotely from admissions ward, result we were unable direct majority patients support management. We sought assess benefit clinic, co-locate ward triage access Methods Admission rates assessed before after ability run virtually all through ‘triage’ making decision discharge or admit. Data have been used electronical hospital systems. Results In average number reviewed 18, with 81% admission rate. Practice variable COVID pandemic, once things stabilised in 2022, 25 between daily, 16.2(65%) The move 2022 did not change total clinical contacts day (25), however there reduction percentage staying overnight 13.5(54%). Conclusions demonstrated that can stays length stay patients. same rate improved by allowing be regarding made.