RT Journal Article SR Electronic T1 P172 Implementation of alcohol screening in patients attending a large walk-in sexual health service within london JF Sexually Transmitted Infections JO Sex Transm Infect FD BMJ Publishing Group Ltd SP A72 OP A72 DO 10.1136/sextrans-2015-052126.215 VO 91 IS Suppl 1 A1 Oxenham, Chantal A1 Guild, Alexander Campbell A1 Watfa, Salima A1 Dosekun, Olamide A1 Malek, Ramona A1 Hodson, Lydia A1 Wilkinson, Dawn YR 2015 UL http://sti.bmj.com/content/91/Suppl_1/A72.3.abstract AB Background UK national guidelines advocate a role for sexual health services to offer routine screening for high-risk alcohol consumption in patients. Screening for alcohol misuse and offering brief interventions in this setting has been shown to be acceptable to clinicians and patients. In August 2014 the Fast Alcohol Screening Test (FAST) was incorporated into the sexual history proforma in a London Genitourinary Medicine (GUM) clinic. Aim An audit was undertaken to assess the use of the FAST tool and management of patients with a positive FAST result. Methods A retrospective case-notes review of randomly selected patients attending the GUM clinic in October 2014 was performed. Information was collected on patient demographics, sexual history, sexually transmitted infections, completion of FAST tool and action dependent on outcome of risk assessment. Results 169 case notes were reviewed: 55% female and 45% male, mean age was 30 (range 17–74) years. The FAST tool was completed in 87% (147/169) of case notes. Of patients screened, 86% (127) identified as low risk, 10% (15) increasing and 4% (5) high risk (hazardous drinkers). Of hazardous drinkers, 90% (18) had a documented action for risk reduction; 56% (10) had verbal advice documented, 22% (4) accepted written advice, 22% (4) accepted referral to a sexual health advisor. Conclusion Clinician completion of the FAST tool within the sexual history proforma in a busy clinic was high, with some scope for improvement. Of the relatively low number of hazardous drinkers identified, most accepted only brief verbal advice in clinic.