RT Journal Article SR Electronic T1 AN AUDIT OF PARKINSON'S DISEASE MANAGEMENT JF Journal of Neurology, Neurosurgery & Psychiatry JO J Neurol Neurosurg Psychiatry FD BMJ Publishing Group Ltd SP e4 OP e4 DO 10.1136/jnnp-2014-309236.40 VO 85 IS 10 A1 Daniyal Daud A1 Zenita Cowen A1 Sue Palfreeman A1 Neil Archibald YR 2014 UL http://jnnp.bmj.com/content/85/10/e4.151.abstract AB Background Currently, PD is managed either in general neurology or specialist clinics. The NICE guideline on PD is the standard of care, summarized in the Parkinson's UK audit tool (PUKAT).Objective Comparing the care of PD patients between specialist-led and general neurology clinics in our trust.Methods Using the PUKAT, we audited documentation of the following, over a one-year period in patients under (‘Specialist’ group, n=20) and not under the care of a specialist movement disorder neurologist (‘General’ group, n=20): frequency of review; medication side effects including hypersomnolence and its effects on driving, and impulse control disorders (ICDs); reviewing motor and non-motor symptoms, and need for multi-disciplinary care.Results Review rate within last year was: Specialist 100% vs. General 90%. Rates of documentation of issues were: hypersomnolence: 84% vs.45%; advised against driving if hypersomnolent: 52% vs 22%; ICDs in patients on dopamine agonists: 100% vs. 50%; non-motor (9 vs. 3 points, max. 12) and motor symptoms (11 vs. 3 points, max. 12); need for MDT input (9 vs 3 points, max. 10)Conclusions Compliance with NICE guidelines on PD management in better in specialist-led clinics than in general neurology clinics which has implications for resourcing the care of PD patients.