PT - JOURNAL ARTICLE AU - E Mabonga AU - D Williams AU - E Collins TI - P160 Complex GUM: an audit of a consultant led service AID - 10.1136/sextrans-2012-050601c.160 DP - 2012 Jun 01 TA - Sexually Transmitted Infections PG - A62--A63 VI - 88 IP - Suppl 1 4099 - http://sti.bmj.com/content/88/Suppl_1/A62.3.short 4100 - http://sti.bmj.com/content/88/Suppl_1/A62.3.full SO - Sex Transm Infect2012 Jun 01; 88 AB - Background A minority of patients present to GU services with complex, recurrent or chronic issues requiring senior review which is challenging in a busy walk-in service. A specialist clinic was set up to facilitate appropriate diagnosis and management. Objectives To describe referral patterns, diagnoses and outcomes. Methodology Retrospective case note review of booked patients between 2 September 2010 and 9 December 2010. Demographics, referrer, reason for referral, management and outcomes collected. Results 102 appointments were made for 84 patients 65 attended, 82 reviewed. 55% were female. Average age 36. 94% referred from within the service, all staff groups represented including SpRs, nurses and clinical assistants. 20 patients had biopsies with 17/20, 85% providing a diagnosis. Of the 102 appointments 13% DNA; 11% cancelled by patient. Patients with vulval pain will be studied in more detail, data to follow (see abstract P160 table 1). View this table:Abstract P160 Table 1 Diagnoses of patients with complex GU problems Conclusion The clinic was utilised by all staff groups, saw patients with a variety of conditions, predominantly dermatological and in the majority a definitive diagnosis was made. As well as improving patient management the clinic provided an excellent training opportunity and has resulted in improved links particularly with Dermatology and Histopathology.