We performed below the IBD audit for: • Sigmoidoscopy in 72 hours (28% vs 99%) • Prescribing Ca/vit D (65% vs 74%) • Median time to surgery (9 vs 7.5 days) Important standards of IBD nurse and dietician review maintained. Delay in endoscopic evaluation and therefore time to surgery indicate there has been a slipping of standards in ASC care. This may be related to less direct ward continuity.Our data show a drop in performance (access to endoscopy and time to surgery). They have allowed us to critically appraise our acute IBD service thus leading to care delivery change and an education package for medical and surgical directorates. A repeat audit is planned in 24 months to demonstrate quality improvement as a result of this.
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