P333: Rapid exome/genome sequencing in acute pediatric settings influences acute and long-term management of patients and their families

Rapid Exome/Genome Sequencing Service was launched by National Health Service England on 1st October 2019 for acutely unwell babies and children with a likely monogenic disorder. The service was provided by the Exeter Genomic laboratory under R14 category as per the National Genomic Test Directory. We present a clinical audit data of five years of the service from one regional clinical genetics center (West Midlands Clinical Genetics Centre) In England.