s / International Journal of Surgery 12 (2014) S13eS117 S25 37% of the patients had hypertension, which if well controlled did not affect the suitability of patients for streamlined direct referral and day case surgery. 7% of patients required overnight admission following the procedure which was unpredictable. An initial consultant led clinic appointment did not affect the overall outcome. Patient with MC score 3 are suitable for the streamlined assessment pathway. Conclusions: This audit has demonstrated a direct referral pathway for suitable patients with groin hernia straight to pre-operative assessment can help deliver cost effective and efficient care. This has the potential to reduce waiting times and help re-allocate clinic for patients with complex needs. 0990: AN AUDIT OF THE MANAGEMENT OF PATIENTS WITH ACUTE PANCREATITIS AT AN EAST LONDON DGH Amrita Banerjee, Sundeep Govind, Faisal Mihaimeed, Amit Sinha. Newham University Hospital, Barts Health NHS Trust, London, UK. Introduction: To audit the management of patients with acute pancreatitis, at a busy east London DGH, against the national standards of practice in the British Society of Gastroenterology guidelines. Methods: A retrospective audit of 70 consecutive patients with acute pancreatitis was undertaken. Standards audited were correct diagnosis and severity stratification within 48hrs, aetiology determined in more than 80%, definitive management of gallstone pancreatitis within 2 weeks, overall mortality below 10 per cent and correct documentation of fluid balance status. Results: The audit showed that severity stratification was documented in 41% of patients, while definitive management of gallstone pancreatitis within 2 weeks was undertaken in only 17% of patients. Correct fluid balance was documented in 27% of patients. Other standards were in keeping with the national guidelines. A clerking proforma was developed, distributed and an education programme undertaken. The audit was repeated after 6 months. Conclusions: Improvement was shown in severity stratification (54% vs 41%) and correct fluid balance documentation (92% vs 27%). Delay to management of gallstone pancreatitis is a trust wide concern, which is being reviewed imminently. The clerking proforma is currently used within the surgical department, while implementation of an electronic proforma in A&E, is currently being considered. 1211: COMPARING SURROGATE MARKERS OF SURGICAL SITE INFECTION BETWEEN TWO DIFFERENT ANTIBIOTIC PROPHYLAXIS REGIMES IN TOTAL JOINT REPLACEMENT PATIENTS: A PROSPECTIVE STUDY Punit Makwana, Satish Babu. William Harvey Hospital, East Kent NHS Trust