Introduction: Our national Intestinal Failure Unit provides care for patients from across the UK and beyond. Type

3 IF patients are routinely reviewed at 3-6 month intervals. Between Mar 2007-2017 there was a 90% increase

in type 3 patients attending our outpatient. Coping with the increasing demand whilst maintaining outpatient

capacity and standards is a key component of IF care. Telemedicine provides a strategy for achieving this.

Methods: QI methodology was used to implement and evaluate remote video consultations. Implementation

began Dec 2015 via patient consultation and small tests of change. Clinical data were obtained from a

prospectively maintained database forming part of ESPEN audit standards. A face to face discussion via the

internet using the video call service Skype. An anonymous qualitative satisfaction questionnaire was

subsequently completed.

Results: During the study period, patients receiving HPN rose by 13.7% to 285. Twenty-one patients used

telemedicine service, totaling 55 contacts. Mean potential distance traveled by telemedicine cohort was

118.6 miles (10-441.8), mean cumulative miles saved was 8600 miles. Twelve patients used the service on

multiple occasions. Seventy percent of patients rated their satisfaction with the system at ≥90%, with the

mean satisfaction of 83%. The mean duration between outpatient appointment offered reduced from 103.7

days to 100.4 days in 2017. One patient had a CRBSI following commencement of telemedicine. 9.5% of the

telemedicine cohort were admitted with an HPN complication, compared to an admission rate of 23.5% for the

whole HPN cohort.

Conclusions: Telemedicine can release some HPN clinic capacity and help reduce the increasing pressure for

patient access to HPN services. Whilst maintaining compliance with NICE and ESPEN guidance, patient

satisfaction and patient safety