Background In 2014 Public Health England produced an action plan to improve the health and well-being of MSM in the UK. We mapped key domains to create a “Checklist for holistic care of MSM” for staff and audited performance (Audit 1). We redesigned the “Checklist” to enable client led audit and feedback in real time, either named or anonymously and re-audited (Audit 2).

Aims To assess the acceptability and impact of a client led real-time audit and feedback tool on the delivery of holistic care to MSM presenting for STI testing within generic sexual health services.

Methods A retrospective electronic patient record (EPR) case note review of consecutive MSM under 27yrs new to the service between January and May 2015 was performed. (Audit 1). We introduced the Client Checklist in August 2015 and re-audited all MSM attendances to February 2016.

Conclusion A client led real time audit of care was highly acceptable to clients and staff and was effective in improving the content of client and healthcare worker interactions and documentation. The checklist complemented STI care focussed EPR proformas, significantly improved communication modalities and was especially valued by staff and clients new to the service.