ABSTRACT NUMBER: ESOC2026A2217 UNDERSTANDING TIA SERVICE PROVISION IN THE EAST OF ENGLAND (EOE), UNITED KINGDOM (UK). DATA DRIVEN SERVICE IMPROVEMENT INITIATIVES SUPPORTED BY INTERGRATED STROKE DELIVERY NETWORKS (ISDNS)

Abstract Background and aims Work with healthcare systems demonstrated that TIA services in the EoE were poorly understood. We aim to appraise services against UK and ESO guidance. Methods A questionnaire regarding TIA clinic provision including diagnostics, processes and outcomes was completed by services regionside. Analysis was completed by the ISDN teams. Results Each team responded to 40 detailed questions, providing over 600 responses. Responses were mapped against national guidance. Variance in services was evident. 94% aspired to offer services in line with guidance and reasons for non-compliance were multifactorial. Routine data collection pertinent to TIA services was often inadequate. Findings included; 100% were consultant led, 80% did not risk stratify and those that did cited capacity as the reason. 87% demonstrated good access to MRI. 50% of teams offered seven day TIA clinics with mechanisms in place for urgent reviews for those that didn’t. 67% of teams aimed to see all patients within 24 hours of referral irrespective of time from TIA. Clinic appointments ranged from 4-8 per day despite similar referral numbers TIA mimic activity ranged from 40-60%. Post clinic access to cardiac diagnostics varied significantly. All clinics could refer patients identified as having a stroke to specialist rehabilitation. Conclusions Following analysis workshops were held and action plans commenced, underpinned by the sharing of best practice. This work continues with demonstrable improvements. Outside of clinical teams TIA clinics and the guidance that underpins them is not well understood. The complexity of services needs to be well recognised to inform improvement, mandatory audit would support this. Conflict of interest Joanna Clayden: nothing to disclose Dawn Monaghan-Patel: nothing to disclose Martin Bainbridge: nothing to disclose